Report of the chief staff

Presented at the Annual Meeting of the Hawkesbury General Hospital held on June 25, 2013

This past year at HGH has been a busy one for the medical department. Recruitment has been an active priority given the imminent expansion. Many new physicians have joined our team in 2013-2014 namely: Dr. Dumais (surgery), Drs. Houshmand, Mills, Kaza, and Barbosa (anesthesia), Drs. Charette, Gervais, Krechowicz, Maunders, O’Sullivan, Dello Sbarba, Vincent, and Guindon (ER and hospitalists), Dr. Brown (nephrologist), Dr. Givari (internist), and Drs. O’Connor and Mercer (psychiatry). There are several more scheduled for the coming year. We thank HFO (Health Force Ontario) for helping fill some gaps in our ED schedule too. We also bid farewell to a few familiar faces. In particular, Dr. Simon McCall retired from his Anesthesia responsibilities to focus on his family practice after 41 years of service to HGH.

Teaching continued to be emphasized and over 60 medical students and residents came through our halls for academic rotations. This is a significant increase from previous years. They participated in all department activities including working with our allied health professionals. Inter-disciplinary care and the realities of rural practice provided rich learning experiences for these students and the feedback has been universally positive.

The Emergency Department continued to be a priority for the medical group. The implementation of an ambulatory service (EDAS) in the fall of 2013, working in parallel to the acute Emergency Department was a huge endeavor. The number of patients coming to the HGH ED has increased steadily. The acuity of the patients has also increased steadily. The need to provide more physician coverage has been a challenge, but one that we have been able to overcome. Extended hours for diagnostic imaging, the increased use of fast bedside ultrasound imaging, and the dedicated work of the EDIP (Emergency Department Improvement Project) team has helped tremendously. The leadership of Dr. Jeff Sirzyk as the new ED Medical Chief has also been a very positive influence.

Dr. Lyne Arsenault was also very influential this past year as Medical Chief for the hospitalist group. The increased acuity and volume in the ED led to an inevitable increase in admissions to the medical ward. Providing medical coverage to a large number of acutely ill patients grew more and more challenging. As a result, a third group of hospitalists was formed, a group with an interest in critical care medicine. Again these are positive changes that have improved the quality of care for our patients and are helping to prepare HGH for the expanded hospital of 2018.

There were many changes to policies and procedures; for example a streamlined referral process for breast cancer screening, Bone Mineral Density testing, a change in VRE screening policy, addition of a flow coordinator for in-patients, revised professional staff by-laws, stroke protocols for admitted patients, multiple audits on quality of medical care, a new trauma checklist for the ED, the addition of the rapid strep test in the ED, and much more.

After my first year as Chief-of-Staff I am thankful for the professional and personal growth opportunities HGH has provided. I successfully completed the Champlain LHIN leadership course and made many new acquaintances throughout our region. I continue to explore and learn on a daily basis and feel lucky to work with so many passionate colleagues providing high quality care. As HGH doctors we live the vision “dedicated people pursuing healthcare excellence through teamwork, innovation and “leadership” on a daily basis.

Julie Maranda, MD
Médecin-chef / Chief of Staff
613-632-1111, ext. 31000.