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Accountability

pen on paper

North Wellington Health Care and Groves Memorial Community Hospital formed an administrative alliance in 2005. The Wellington Health Care Alliance shares the Chief Executive Officer and a senior management team.This alliance allows all three hospitals to work closely together to provide a broad range of services and quality care to our communities. Working together we have a stronger voice for rural health care.

Attestations

For NWHC BPSAA click here

For NWHC Compliance Criticall Onatrio click here

Audited Financial Statements

Please click here to view the audited 2012/13 NWHC Finanical Statements.
Please click here to view the audited 2013/14 NWHC Financial Statements.
Please click here to view the audited 2014/15 NWHC Financial Statements.
Please click here to view the audited 2015/16 NWHC Finanical Statements.

Expense Policy

Expense Policy

North Wellington Health Care’s Expense Policy sets out rules and principles for the reimbursement of expenses to ensure fair and reasonable practices; and to provide a framework of accountability to guide the effective oversight of resources in the reimbursement of expenses.

To access the North Wellington Health Care’s Expense Policy please click here.

Expense Reports

Expense Reports

In accordance with the Broader Public Service Accountability Act, all hospitals are required to post executive expenses. The public disclosure of such expenses is posted on a semi-annual basis. These reports will include information on travel, meals and hospitality expenses made by every member of the Board of Directors and our Senior Management team. Wellington Health Care Alliance staff expenses are paid by North Wellington Health Care. The expenses are then split 50-50 with Groves Memorial Community Hospital. Please click on the name below to access expense reports.

Wellington Health Care Alliance Senior Management Team Expense Reports

Jerome Quenneville
President and CEO
 
Diane Wilkinson
Vice President Patient Services/Chief Nursing Executive
 
Stephen Street
Vice President Corporate Services & Planning (CIO\CPO)
 
Stephen Street

President and CEO
 
Marsha Martin
Chief Financial Officer
 
Sherri Ferguson
Chief Human Resources Officer NWHC Board of Directors Expense Reports
 
Stepahnie Pearsall
Vice President Patient Services/Chief Nursing Executive
 
Lisette Columbus
Acting-Vice President Patient Services/Chief Nursing Executive
 
Dan Coghlan
Vice President Corporate Services & Planning (CIO\CPO)
 
NORTH WELLINGTON HEALTH CARE BOARD MEMBERS
Al Hodgson
Maxine Rybka
Mary Lou Brown
David Craig
 
Bob Becker
Patti-Jo McLellan-Shaw
 
Dave Anderson
 
John Williams
 
Tom Sullivan
 
Bonnie Stevenson
 
Matt Aston
 
Patrick Downey
 
Janice Benson
 
Michael O'Dwyer
 
Marion Redpath
 
 

Employment Contracts

Employment Contracts

Please find below the Wellington Health Care Alliance Senior Management Team’s employment contracts. The purpose of publicly and proactively disclosing the employment contracts is to demonstrate the Senior Management Team’s commitment to be transparent and accountable to the communities they serve.

Please click on the name of the individual below to access the contract.

Stephen Street
President and CEO

Vice President, Patient Care Services and Chief Nursing Executive

Marsha Martin
Chief Financial Officer

Sherri Ferguson
Chief Human Resources Officer

Green Energy Act

Infection Prevention and Control Reporting

Patient Safety

Surgical Safety Checklist

A surgical safety checklist is a patient safety communication tool that is used by a team of operating room professionals (nurses, surgeons, anesthesiologists, and others) to discuss important details about each surgical case. In many ways, the surgical checklist is similar to an airline pilot’s checklist used just before take-off. It is a final check prior to surgery used to make sure everyone knows the important medical information they need to know about the patient, all equipment is available and in working order, and everyone is ready to proceed.

Patient Safety Indicator Report Surgical Safety Compliance
  Palmerston and District Hospital Louise Marshall Hospital
January 2103 97.1% 100%
July 2013 97.9% 100%
January 2014 98.48% 99.38%
July 2014 98.43% 98.88%
January 2015 99.12% 97.20%
July 2015 98.37% 96.20%
January 2016 100% 98.50%
July 2016 98.61% 94.93%
January 2017 100% 97.0%

Infection prevention and control reporting

Clostridium difficile Associated Disease (CDAD)

Clostridium difficile is one of many types of bacteria that can be found in feces and has been a known cause of hospital-associated diarrhea for about 30 years. C. diff is found in the intestine, occurring naturally in three to five percent of adults. It can be picked up on the hands from exposure to contamination in the environment and gets into the stomach once the mouth is touched, or if food is handled and then swallowed.

What do we do at NWHC to prevent Clostridium difficile infections?

  • We promote hand hygiene and work hard to provide clean environments to prevent infection all the time.
  • We monitor closely for new cases and watch for signs of transmission among patients.
  • We implement control measures (use of single rooms, careful hand hygiene, gowning, use of gloves, enhanced environmental cleaning) at the first sign of symptoms.  The precautions continue until patients are no long infectious.
  • We provide ongoing education to health care, nutritional services, maintenance and housekeeping staff in our hospitals.
  • We use antibiotics with care.

 If you require anything further you can contact Sandra Hamilton, Infection Prevention & Control at shamilton@nwhealthcare.ca

Patient Safety Indicator Report C.Difficile
 

Rate of acquired CDAD/1,000 patient days

Rate of acquired CDAD/1,000 patient days Number of NWHC acquired CDAD cases Number of NWHC acquired CDAD cases
  Palmerston and District Hospital (PDH) Louise Marshall Hospital (LMH) PDH LMH
Jan 2014 0 0 0 0
Feb 2014 0 0 0 0
Mar 2014 0 0 0 0
April 2014 0 0 0 0
May 2014 0 0 0 0
June2014 0 0 0 0
July 2014 0 0 0 0
Aug 2014 0 0 0 0
Sept 2014 0 0 0 0
Oct 2014 0 0 0 0
Nov 2014 0 0 0 0
Dec 2014 0 0 0 0
Jan 2015 0 0 0 0
Feb 2015 0 0 0 0
Mar 2015 0 0 0 0
Apr 2015  0 0 0 0
May 2015 0 0 0 0
June2015 0 0 0 0
July 2015 0 0 0 0
Aug 2015 0 0 0 0
Sept.2015 0 0 0 0
Oct. 2015 0 0 0 0
Nov. 2015 0 0 0 0
Dec. 2015 0 0 0 0
Jan. 2016 0 0 0 0
Feb. 2016 0 0 0 0
Mar 2016 0 0 0 0
Apr 2016 0 0 0 0
May 2016 0 0 0 0
June2016 0 0 0 0
July 2016 0 0 0 0
Aug 2016 0 0 0 0
Sept.2016 0 0 0 0
Oct. 2016 0 0 0 0
Nov 2016 0 0 0 0
Dec 2016 0 0 0 0
Jan 2017 0 0 0 0
Feb 2017 0 0 0 0
Mar 2017 0 0 0 0
Apr 2017 0 0 0 0
May 2017 0 0 0 0

Methicillin-resistant Staphylococcus Aureas (MRSA)/Vancomycin-resistant Enterococcus (VRE)

Bacteraemia means an infection in the blood stream. Cases of MRSA and VRE bacteraemia mean that the patients have confirmed bloodstream infections with either of these bacteria as proven through laboratory testing.

 

Patient Safety Indicator Report

MRSA/VRE bacteraemia

 

Rate of NWHC acquired MRSA/VRE bacteraemia per 1,000 patient days

Number of NWHC acquired MRSA/VRE bacteraemia cases

MRSA bacteraemia

Palmerston and District Hospital

Louise Marshall Hospital

Palmerston and District Hospital

Louise Marshall Hospital

Jan - March 2013 0 0 0 0
April - June 2013 0 0 0 0
July - Sept 2013 0 0 0 0
Oct - Dec 2013 0 0 0 0
Jan - March 2014 0 0 0 0
April - June 2014 0 0 0 0
July - Sept 2014 0 0 0 0
Oct - Dec 2015 0 0 0 0
Jan - Mar 2015 0 0 0 0
April - June 2015 0 0 0 0
July - Sept. 2015  0 0 0 0
Oct - Dec. 2015 0 0 0 0
Jan - March 2016  0 0 0 0
April - June 2016 0 0 0 0
July - Sept 2016 0 0 0 0
Oct - Dec 2016 0 0 0 0
Jan - March 2017 0 0 0 0

VRE bacteraemia

Palmerston and District Hospital

Louise Marshall Hospital

Palmerston and District Hospital

Louise Marshall Hospital

Jan - March 2013  0 0 0 0
April - June 2013 0 0 0 0
July - Sept 2013 0 0 0 0
Oct - Dec 2013 0 0 0 0
Jan - March 2014 0 0 0 0
April - June 2014 0 0 0 0
July - Sept 2014 0 0 0 0
Oct - Dec 2014 0 0 0 0
Jan - Mar 2015 0 0 0 0
Apr - June 2015 0 0 0 0
July - Sept. 2015  0 0 0 0
Oct - Dec. 2015  0 0 0 0
Jan - March 2016  0 0 0 0
April - June 2016 0 0 0 0
July - Sept. 2016 0 0 0 0
Oct - Dec 2016 0 0 0 0
Jan - March 2017 0 0 0 0

Hand Hygiene Compliance Rates

Ontario hospitals are posting their hand hygiene compliance rates as percentages for time periods identified by the Ministry of Health and Long-Term Care.

April 1, 2012 – March 31, 2013

Type of Indication

% Compliance

 

Palmerston & District Hospital

Louise Marshall Hospital

Before initial patient/patient environment contact

85%

85%

After initial patient/patient environment contact

94%

97%

April 1, 2013 - March 31, 2014

Type of Indication

% Compliance

 

Palmerston & District Hospital

Louise Marshall Hospital

Before initial patient/patient environment contact

85%

82%

After initial patient/patient environment contact

94%

90%

April 1, 2014 - March 31, 2015

Type of Indication

% Compliance

 

Palmerston & District Hospital

Louise Marshall Hospital

Before initial patient/patient environment contact

84%

82%

After initial patient/patient environment contact

98%

96%

We are not required to report on the following:

Central Line Infection (CLI) Surgical Site Infection (SSI) Ventilator associated pneumonia (VAP)

Organizational Chart

To access our organizational chart please click here.

Patients First: A Proposal to Strengthen Patient-Centred Health Care in Ontario

As outlined in Patients First: Action Plan for Health Care, Ontario is committed to giving patients better access to care no matter where they live.

As part of this plan, Ontario is releasing this proposal for feedback. It outlines ways to:

  • Make it easier for patients to find a primary health care provider when they need one, see that person quickly when they are sick, and find the care they need, closer to home.
  • Improve communication and connections between primary health care providers, hospitals and home and community care.
  • Ensure the province has the right number of doctors, nurses, and other health care providers, and plan locally to make sure they are available to patients where and when they are needed.

The ministry looks forward to hearing from health care providers, patients and caregivers around the province on these recommendations. Feedback would be appreciated before 5 p.m. on February 29, 2016. Feedback and questions can be sent to health.feedback@ontario.ca

Patients First: Proposal to Strengthen Patient-Centred Health Care in Ontario

Patients First: Executive Summary

Procurement Policy/Reporting

Procurement Policy/Reporting

The North Wellington Health Care Purchasing Procedure Policy helps to govern how NWHC conducts sourcing, contracting and purchasing activities, including approval segregation and limits, competitive and non-competitive procurement, purchasing, contract awarding, conflict of interest and bid protest procedures.

Please click here to read the NWHC Purchasing Procedure Policy.

Quality Improvement Plan/Reporting

Quality Improvement Plan/Reporting

In June 2010, the Ontario Government passed the Excellent Care for All Act. This legislation will help support hospitals to further improve the quality and safety of care they provide for members of our community.

One of the ways that the Excellent Care for All Act is helping hospitals meet our community’s expectations regarding quality, patient safety and accountability is through the public reporting of Quality Improvement Plans.

Quality Improvement Plans (QIP) provide a meaningful way for North Wellington Health Care to clearly articulate our accountability to our community, patients and staff. Our QIP is focused on creating a positive patient experience and delivering high quality health care.

Our Quality Improvement Plan is made up of two parts:

  1. A document that provides a brief overview of our quality improvement plan, highlighting and listing our hospital’s top priorities for the year.
  2. A spreadsheet that includes our improvement targets and initiatives. The spreadsheet includes a core set of indicators that all similar hospitals across the province are working on. Please click here to read our Quality Improvement Plan. The Ontario Health Quality Council has requested that all hospitals report on a series of core indicators to support province-wide comparisons. The core indicators that apply to our hospital are reflected in our QIP. The QIP is only one of the ways we are working to improve our patients’ experiences. Please feel free to contact us with any questions you may have.

Please find below our annual Quality Improvement Plans:

2017/18 Quality Improvement Plan

2016/17 Quality Improvement Plan

2015/16 Quality Improvement Plan

2014/15 Quality Improvement Plan

2013/14 Quality Improvement Plan

2012/13 Quality Improvement Plan

The Ontario Health Quality Council has requested that all hospitals report on a series of core indicators to support province-wide comparisons. The core indicators that apply to our hospital are reflected in our QIP. The QIP is only one of the ways we are working to improve our patients’ experiences. Please feel free to contact us with any questions you may have.

North Wellington Health Care

  • Louise Marshall Hospital

  • 630 Dublin Street, Mount Forest,
    ON N0G 2L3
  • Map
  • Phone: (519) 323-2210
  • Palmerston and District Hospital

  • 500 Whites Road, Palmerston,
    ON N0G 2P0
  • Map
  • Phone: (519) 343-2030