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LONDON HEALTH SCIENCES CENTRE
2008–2009 BOARD OF DIRECTORS

Mr. Doug Alexander
Mr. Paul Andrews
Mrs. Helen Connell
Mrs. Ruthe-Anne Conyngham
Dr. Christopher Fernandes
Dr. Carol Herbert
Mrs. Bernice Hull
Mr. Peter Johnson
Mr. George Kerhoulas
Mr. Bob Lawless
Mr. Michael Lerner
Mr. Cliff Nordal
Mr. Bill Peel
Mr. Brian Semkowski
Dr. Mithu Sen
Mrs. Marilyn Sinclair
Mr. Bob Siskind (Chair)
Dr. Rita Suri
Mr. Gerry Wheaton

Caring for you.
Innovating for the world.

London Health Sciences Centre has a proud tradition of care, being at the forefront of medicine in Canada for over 130 years. Since 1875 we have trained generations of health care professionals and advanced medical science through significant breakthroughs.

We attract the best and the brightest. Our staff, physicians and scientists are recognized internationally for the significant contributions they have made towards the advancement of medicine. We also teach thousands of health care professionals from across Canada and around the world.

London Health Sciences Centre provides patients the broadest range of service of any hospital in Ontario. This, along with our mandate for discovery and academic excellence, offers health care professionals a remarkable network of peers.

One of Canada’s largest acute care teaching hospitals, LHSCv cares for the most medically complex and critically ill patients in the region. We are committed to providing compassionate, high quality care to our patients and their families.

Saving lives and changing lives–we are here when you need us.

CLIFF NORDAL

PRESIDENT AND CHIEF EXECUTIVE OFFICER, CLIFF NORDAL

As I reflect back over the past 12 months, I take pride in the moments and milestones that have helped define our hospital as we care for our patients and innovate for the world.

Health care restructuring in London took a giant leap forward in January as a confirmed construction schedule and major program move timelines were established for Victoria Hospital’s North Tower. This will include the transfer of the mental health care program from South Street Hospital and perinatal and women’s programs from St. Joseph’s Health Care, London into the tower, along with the children’s program relocation and clinical support services move. Representing the end of a significant amount of work over the past 12 years, the completion of the North Tower will strengthen our role as a leader in providing excellent patient care to the region.

A three-year Strategic Plan for LHSC was approved and implemented in June and as we come to the end of the first year, we remain on track and looking ahead to future projects. More information can be found in the Strategic Directions section of this year’s report.

As always, LHSC remains focused on those we serve, providing them excellence in patient care and safety while sustaining our ability to deliver patient care into the future. To help accomplish this, we continue to address our patient capacity and access issues while planning new initiatives to address patient flow, quality of care and safety such as the Patient Safety Summit on April 1, 2009. This conference represented a year of planning and development, inspiring health care providers, physicians and leaders to promote and implement patient safety in their practices.

By focusing on those we serve, I would be remiss if I didn’t address the work being done to improve LHSC’s infection control rates. With a significant part of this year’s operational focus set on improving infection control practices, in particular hand hygiene, we have initiated many activities that we believe will help us reduce hospital-acquired infections among patients.

Last summer we launched a new and consistent model of nursing clinical practice based on the Ottawa Hospital Model of Nursing Clinical Practice. This evidence based approach will see substantive changes occur in the existing model of care on inpatient units and will be implemented over a three-year period.

We continue to drive performance culture at LHSC with new reports and indicators. Our Hospital Standardized Mortality Rate (HSMR) for 2008/09 improved significantly as a result of introducing new coding standards for palliative care and a number of quality improvement projects and structures. Implementation of patient safety initiatives such as rapid response teams and central line infection teams are examples of work undertaken.

LHSC has moved ahead on all of the Required Organizational Practices determined by our 2008 Accreditation Survey, and we have provided evidence of follow-up actions as stipulated for improvement to Accreditation Canada in May 2009.

Our staff is actively engaged in the development of an enabling technology plan. A new Information and Technology Planning Committee was created to address recommendations from an external review, in keeping with the Enabling Priority identified in our strategic plan.

The innovations within the organization over the year, including medical breakthroughs and international recognitions, are documented in the body of our report. One success was our new website, which we completed in March 2009 making it more accessible, user-friendly and dynamic. As we continue our efforts to develop and attract outstanding people, this year we successfully recruited 11 new paediatric physicians from around the world to our Children’s Hospital. Overall, last year 1,263 staff were hired, 395 of which were nurses.

Approval was received for several of Lawson Health Research Institute’s construction projects to move forward including: the Lindros Legacy Building, which houses the centre for Clinical Investigation and Therapeutics; the Brent and Marilyn Kelman Centre for Advanced Learning, a new education component of CSTAR and the Dr. Sandy Kirkley Musculoskeletal Research Centre, as well as the Translational Cancer Research Unit at Victoria Hospital.

Since our external peer review in 2006, we have maintained a balanced budget as per our agreement with the Ministry of Health and Long-Term Care.

In closing, we remain strongly committed to providing excellence in care and innovation to the patients of London, Southwestern Ontario and around the world.

Cliff Nordal
President and CEO

Bob Siskind

CHAIR, LHSC BOARD OF DIRECTORS, BOB SISKIND

The fine balance of caring and innovating within the hospital walls guides our daily activities and shapes our future as an academic teaching hospital. Looking ahead at the future of health care it is an exciting time to serve as Board Chair for London Health Sciences Centre.

Over the past year the LHSC Board of Directors has been actively looking at the issues that challenge our organization, most notably the quality issues affecting our hospital including bed access, patient safety and infection control. I want to recognize the hard work LHSC staff are putting forward while their capacity is being stretched daily, and reassure you that we are working to resolve these issues.

Our Board approved a three-year strategic plan this year that incorporates our core values of respect, trust and collaboration, and sets directions and outlines initiatives we will take to transform our organization. While the resolution of our issues is not something that will occur in weeks or months, we are committed to working on the plan and setting goals.

In the new era of accountability and transparency, we encourage our staff, physicians, community members and patients to visit the Accountability section on the LHSC website. This site publicly reports what our organization is doing to improve the quality of our patient care and services, how we manage our budgets, and how we govern our organization. We will continue to add information about all aspects of care provision, governance and other matters of public record in the coming months and years.

The 2008 Accreditation process was another opportunity for the Board to become involved and aware of the areas identified as strengths as well as areas of opportunity for LHSC. The work being done to advance the recommendations of Accreditation Canada is top of mind for the Board.

As the governing board for LHSC, we are charged with ensuring the proper stewardship of available resources. We are pleased to see a balanced budget again for this past year as we move towards a more challenging financial climate in the years to come.

Finally, the work done to complete our restructuring milestones this year is a testament to the leadership and dedication of the administration and staff at the hospital. I thank each of you for your hard work in getting us to this moment.

My two-year term as Board Chair began last June and I look forward to being a part of all the significant accomplishments to come for our hospital. I would like to extend my heartfelt thanks to the leaders, staff, physicians and volunteers of the hospital for your commitment to providing excellence each and every day.

Bob Siskind Chair,
LHSC Board of Directors