hdhEnews issue: September 11, 2015

Inside this issue:HDH news logo

New surgical program provides access to gold standard cancer treatment
Multi-million dollar investment boosts chronic pain services at Hotel Dieu
Hotel Dieu Hospital receives $1.47 million in infrastructure funding
Additional funding supports implementation of French-language services
Fairway fundraising:  summer golf tournaments support Hotel Dieu
Hospital staff lace up their sneakers for patient comfort and care

New surgical program provides access to gold standard cancer treatment Mohs clinical team

One of only 13 in Canada, a new Mohs micrographic surgery program at Hotel Dieu Hospital is giving patients access to the gold standard treatment for complex non-melanoma skin cancers. 

Mohs surgery is largely used to treat the two most common skin cancers—basal cell and squamous cell carcinomas—and is especially useful for cancers that are large and aggressive, are likely to recur, have poorly defined borders and are located in sensitive areas of the body where it is essential to preserve as much healthy tissue as possible (e.g., head, face, neck).

Performed on an outpatient basis under local anesthetic, the Mohs technique is extremely precise.  The surgeon slices away thin layers of cancer-containing skin and immediately examines the tissue under a microscope.  The tumour is progressively pared away, with the surgeon removing the minimum amount of tissue required to ensure disease-free surgical edges.  When the area is clear, the surgeon repairs the wound in a manner that achieves the best cosmetic result.

“While the procedure can mean a long day for the patient,” says Mohs surgeon Dr. Benvon Moran, “it has the benefit of allowing you to verify the margins are clear at the time of surgery, which increases the chance of a cure and reduces the need for further surgery.  The patient leaves knowing the cancer is gone and healthy skin has been preserved.”

Mohs surgery has an excellent cure rate—99 per cent for basal cell cancers and 97 per cent for squamous cell carcinomas.  The new clinic at Hotel Dieu—which includes three procedure rooms and a dedicated laboratory—has the capacity to perform up to 15 procedures per week.

“With the incidence of skin cancer rising, it’s vital to provide patients with the very best treatment options.  Mohs therapy is one of the most advanced techniques available for removing and reconstructing areas of skin cancer,” says Dr. Michael Fitzpatrick, Hotel Dieu Chief of Medical & Academic Affairs/Chief of Staff. 

The Mohs surgery program expands the new Division of Dermatology launched last year by the Department of Medicine at Queen’s University.  The Division’s team of three dermatologists now provides advanced dermatologic care in specialized clinics at Hotel Dieu and the Cancer Centre of Southeastern Ontario.

Photo:  The new Mohs surgical team (l-r):  Dermatologist and Mohs surgeon Dr. Benvon Moran; medical lab technologist Elisa Kelly; and RPN Kristin Yeomans.  Absent from the photo is medical lab technologist Regina Zelizniak.

Multi-million dollar investment boosts chronic pain services at Hotel Dieupain treatment procedure

The Ministry of Health & Long-Term Care is making a multi-million dollar investment in an expanded academic adult Chronic Pain Program at Hotel Dieu Hospital that will translate into decreased wait times, improved access and increased treatment options.

This new and permanent funding replaces prior temporary funding for the hospital’s Pain Clinic.  While the clinic has provided excellent care to patients living with chronic pain, leaders within both the clinic and the hospital were committed to building a more comprehensive, inter-professional chronic pain management program to support the estimated 37 per cent of adults in the South East Local Health Integration Network who experience chronic pain. 

A key priority was securing long-term funding to stabilize the program and to allow Hotel Dieu to recruit additional resources to boost chronic pain services within our region.

In October 2014, the hospital submitted a strong business case to the Ministry outlining the real need for additional and permanent funding to add resources to Hotel Dieu’s existing Pain Clinic.  The proposed expansion would decrease wait times, improve access, increase treatment options, and improve management and discharge of patients with chronic pain from ambulatory or inpatient care.

In August, Hotel Dieu learned that it will receive base funding for an expanded program in the amount of $1,322,325 for fiscal 2015/16.  This amount will grow to up to $1,655,219 in base funding in 2016/17 and will annualize at $1,668,711 for 2017/18. 

This funding will allow the hospital to enhance collaboration with other care providers—including primary care practitioners—to improve patient functioning and health, support patients returning to work and decrease patients’ utilization of health services.

Guided by a strong philosophy of patient empowerment and education, the pain program team will build on the existing academic pain program.  Specifically, it will be able to enhance and broaden the scope of the program by providing consultation to support medication therapy; developing physician specialty clinics; adding a group pain program; and increasing procedures.

“This investment is welcome news indeed for patients and families in our region,” says CEO Dr. David Pichora.  “We’re very proud of the work being undertaken by our adult chronic pain team and of their success in securing this significant funding.”

Watch for more information over the coming months as Hotel Dieu begins to implement its Chronic Pain Program expansion plans.

Hotel Dieu Hospital receives $1.47 million in infrastructure fundingrefurbished exterior wall

Hotel Dieu Hospital picked up $1.47 million in the latest round of infrastructure renewal grants announced by the South East Local Health Integration Network.

Health Infrastructure Renewal Fund (HIRF) grants are regular infrastructure funding monies allocated by the Ministry of Health and Long-Term Care to hospitals to help them tackle approved infrastructure upgrades that improve the quality and functionality of their facilities.

At Hotel Dieu, a portion of the one-time HIRF monies will be immediately applied towards a roof replacement project and the reinstatement of a large stone wall on the southeast exterior of the hospital, says Krista Wells Pearce, Director of Redevelopment & Planning.

“Both are seasonal projects that we’re eager to complete while the weather is kind, so the funding is timely,” she says.  “After that, we’ll return to our laundry list of infrastructure upgrades in the fall, but we’ll need approval from the hospital’s Board of Directors before we can proceed with other upgrades that aren’t weather dependent.”

Wells Pearce says HIRF grants are vital to ensuring that hospital facilities are well maintained and upgraded, which in turn translates into good patient care.

“We’re grateful for this annual boost to our capital funds because it helps us to provide the best facilities possible for delivering quality patient care,” she says, “and the infusion of HIRF funds frees up money in our hospital budget to direct towards that patient care.”

Photo:  X marks the spot where a large stone wall at Hotel Dieu will be reinstated with HIRF funding support.

Additional funding supports implementation of French-language servicesfrench ID button

Hotel Dieu Hospital has received a robust funding allocation for French Language Service projects in 2015-2016, excellent news as the hospital continues working to improve access for our Francophone community.

This month, the hospital received $46,000 in one-time funding from the South East Local Health Integration Network to help support a variety of projects that will propel our FLS plan forward, including the translation and creation of interior and exterior bilingual signage; development of educational modules and/or video for staff e-learning and orientation; community engagement events (that will include Kingston General Hospital and Providence Care); and document translation.  All of the allocated funds must be spent by March 31, 2016.

“We’re grateful to receive this support from the LHIN and pleased that it has arrived in good time for us to complete the work,” says  Elizabeth Bardon, Chair of the hospital’s FLS Working Group and Chief of Public Relations & Community Engagement. 

“We continue working to improve access for our Francophone community, which is an important component of good patient and family-centred care because it will give Francophone patients and families the choice to discuss their health care in their own language when they come to Hotel Dieu.  Having that option can be an especial comfort when an individual is feeling anxious, stressed or vulnerable.”

You can learn more about the FLS implementation plan at Hotel Dieu Hospital by clicking here.  To find out about regional health services in French, please visit Réseau des services de santé en français de l'Est de l’Ontario.

Fairway fundraising:  summer golf tournaments support Hotel DieuTricia Anson golf cheque

Hospital staff and community members teed off this summer in charity golf tournaments that turned loads of great swings into support for Hotel Dieu Hospital programs and services.

Early in the summer, the Tricia Anson Memorial Golf Tournament raised $5000 for the Child Development Centre's "Chances for Children" Trust Fund, which helps children and families with special needs purchase items not covered (or fully covered) by other funding sources.  These kids always had a special place in the heart of HDH employee Tricia Anson, who passed away suddenly at a young age.  Since its inception in 2004, the tournament has raised $44,125.00.

In June, the 5th Annual Ellis Don Golf tournament raised a record $60,000, funds that will be shared among Kingston’s university hospitals.  This total includes a match from Ellis Don.  Since the first tournament in 2011, Ellis Don has raised more than $100,000 for Hotel Dieu, Kingston General Hospital and Providence Care.

Photo:  Tricia Anson's family and CDC staff celebrate the success of the 2015 Tricia Anson Memorial Golf Tournament in support of children and families with special needs.

Hospital staff lace up their sneakers for patient comfort and care

Hotel Dieu Hospital will be fielding a team in the inaugural We Walk! For Your Comfort and Care event on October 3, a special event of the University Hospitals Kingston Foundation that aims to raise $50,000 for Kingston’s hospitals.

While hospital staff across Hotel Dieu, Kingston General Hospital and Providence Care demonstrate amazing care every day, the first-ever We Walk! event is designed to help them demonstrate that care in a new and different way, says Lori Faggiani, Director of Annual Programs for UHKF.

“We’re launching the next major multi-year campaign for our hospitals on October 2 and want to follow that up the next day by showcasing the incredible commitment the staff and families of Kingston’s hospitals,” she says.  “What better way than to do that while raising funds that directly help support patients in need? These funds help with extra costs such as transportation, equipment or medication not covered through drug benefit plans.”

Hospital staff can sign up in teams (with co-workers, family members, etc.) for family-friendly event.  Fundraising is pledge-based and funds can be directed to the hospital of choice.  The five-kilometre walk takes place at Lake Ontario Park on October 3, with registration starting at 8 am.  It wraps up with a barbeque lunch and team presentations at noon. Family and team activities will take place throughout the morning.