The Joint Centres for Transformative Healthcare Innovation is a partnership between large community hospitals with a goal of sharing innovations focused on improving quality and value in health care. Member hospitals comprise Mackenzie Health, Markham Stouffville Hospital, Michael Garron Hospital, North York General Hospital, Southlake Regional Health Centre, and St. Joseph’s Health Centre.
As a platform for innovation and collaboration, the Joint Centres is guided by five strategic directions:
- Seek and share innovative ideas that improve service delivery and/or value across the system
- Serve as a living laboratory to demonstrate innovation
- Provide a forum for the rapid execution of new ideas, technologies, products and processes to improve system performance
- Provide a test environment for Ministry of Health and Long-Term Care and/or LHIN sponsored innovation and demonstration projects
- Create opportunities for shared innovation, learning, and knowledge transfer among the member organizations, their staff and physicians
Mackenzie Health is a dynamic regional health care provider serving a population of more than a half million people across York Region and beyond. Nationally recognized for its commitment to safety and quality patient care, Mackenzie Health is a health care leader with a wide variety of academic partners. Mackenzie Health includes Mackenzie Richmond Hill Hospital, the future Mackenzie Vaughan Hospital, as well as a comprehensive network of community-based services in Richmond Hill, Vaughan and the surrounding communities.
Markham Stouffville Hospital
Markham Stouffville Hospital is a progressive, two-site community hospital with leading diagnostic services and clinical programs in acute care medicine and surgery, addictions and mental health and maternal and child rehab/transitional care; all of which are focused on the needs of its rapidly growing communities. Partnering with other specialist providers, the over 450 physicians, 17 midwives, and 1,900 staff of the hospital make it the centre of community care for the almost 400,000 residents of Markham, Stouffville and Uxbridge.
Michael Garron Hospital
Michael Garron Hospital is an award-winning urban community teaching hospital that has served the diverse population of East Toronto since 1929 when it opened as a 110-bed general hospital. The hospital consists of its primary site on Coxwell Avenue and two satellite offices that provide community-based mental health and withdrawal management services. The hospital has developed a revitalized patient-centred focus and, additionally, staff and physicians are committed to reducing avoidable health inequities to ensure that everyone from their diverse catchment area has equitable access to quality care.
North York General Hospital
North York General Hospital, affiliated with the University of Toronto, is one of Canada’s leading community academic hospitals. The hospital offers a culturally diverse community a wide range of acute care, ambulatory and long-term care services across three sites. Through partnerships, collaboration and academic endeavours, North York General seeks to set new standards for patient- and family-centred care. Working together with patients and their families, we are making a world of difference.
St. Joseph’s Health Centre
St. Joseph’s Health Centre is a Catholic community teaching hospital affiliated with the University of Toronto that has served the communities of West Toronto and beyond for nearly a century. Empowered by the dedication of our staff, physicians, students and volunteers, and emboldened through strong partnerships and the input of local residents, St. Joe’s Toronto is committed to achieving its vision of advancing the health of our community by being Canada’s best community teaching health centre.
Southlake Regional Health Centre
Southlake Regional Health Centre is a full-service hospital with a regional, clinically advanced focus. Southlake offers almost 400 patient beds and accommodates more than 90,000 visits to the Emergency Department, 22,000 inpatient admissions, and 600,000 outpatient visits each year. As a regionally designated site, Southlake is responsible for developing and providing advanced levels of care to the more than one million people who reside in York Region, Simcoe County, and in some cases, as far north as Muskoka.
Joint Centres Leadership
- Altaf Stationwala, President and CEO, Mackenzie Health
- Jo-anne Marr, President & CEO, Markham Stouffville Hospital
- Sarah Downey, President & CEO, Michael Garron Hospital
- Joint Centres Chair – Tim Rutledge, President & CEO, North York General Hospital
- Elizabeth Buller, President & CEO, St. Joseph’s Health Centre
- Dave Williams, President & CEO, Southlake Regional Hospital
The Joint Centres hospital members are collectively working on several projects aimed at improving quality, value and safety in health care. By pooling resources and talent, all six hospitals can benefit from lessons learned and individual best practices. These projects can later be used as a model for other health care institutions to emulate.
Reducing C. difficile Infections
Hospital acquired infections, including C. difficile, impose a significant strain on the recovery of patients and on resources within the health care system. Notably, C. difficile is recognized to be a heavy environmental contaminant and measures must be taken to mitigate transmission of disease via health care worker hands, shared equipment, and the hospital environment. As the lead site for the C. difficile Spread Initiative, Michael Garron Hospital has been collaborating with the Joint Centre hospitals since 2014 to develop and improve C. difficile control measures. Together, the Joint Centre hospitals are sharing best practices and identifying emerging practices to assist in the reduction of the burden of C. difficile in health care.
Reducing C-section Rates
The Joint Centres are spreading Markham Stouffville Hospital’s strategy to reduce the rate of C-sections through patient/client education and awareness, a tracking and reporting process, and change in unit policy. Recommended practice changes for consideration and adaptation by other hospitals include early maternal education on options (i.e. VBAC classes), review of policies and procedures (i.e. induction), supportive care during labour and delivery and development of midwifery programs for low-risk births.
Spreading Choosing Wisely
Choosing Wisely Canada is a campaign to help clinicians and patients engage in conversations about unnecessary tests and treatments. Since 2014, North York General Hospital has been working to implement Choosing Wisely Canada recommendations and spread its success to the Joint Centres hospitals. Significant reductions in unnecessary testing have been demonstrated at North York General Hospital and Michael Garron Hospital. Moving forward, efforts will be focused on supporting the implementation of Choosing Wisely campaigns and recommendations across participating Joint Centres sites. Choosing Wisely: An Idea Worth Spreading received two-year funding through the Adopting Research to Improve Care program (ARTIC), a program co-led and sponsored by the Council of Academic Hospitals of Ontario (CAHO) and Health Quality Ontario (HQO). This funding will extend the project to other Joint Centres hospitals and primary care practices affiliated with them. The project has included the identification of physician champions and selection of the top tests that will be targeted for reduction by each organization.
Workplace Violence Prevention
The Joint Centres are collaborating on a spread project focused on prevention of violence in the workplace that is being co-led by Michael Garron Hospital and Southlake Regional Health Centre. The project will build on strategies developed by all hospitals to create safe and secure workplaces that help achieve the objective of zero tolerance for violence. Leading practices will be identified and developed into a “spread playbook” that can be shared and adapted by each hospital in areas such as risk assessment, training, flagging, reporting and leadership and staff engagement.