Humber River Health: Innovation Frontrunners

Summary

The Humber River Hospital is at the forefront of healthcare innovation, addressing the aging population's health needs through advanced technology and a culture of empowerment. With a fully digital facility and a Command Center for patient safety, they've seen significant improvements in care quality and efficiency. The hospital's strategy focuses on community health, staff and patient empowerment, and continuous innovation, including robotic surgery and a patient-centric discharge system, enhancing the patient experience and care outcomes.

Takeaways

• 👴 Aging Population: The healthcare industry faces the challenge of an aging population, with people living longer but not necessarily healthier lives.
• 🏥 Hospital Stay Alternatives: There is a need to provide care for the elderly outside of traditional hospital settings to maintain their health.
• 🔍 Personal Experience: The speaker's personal research led them to HME hospital, highlighting the importance of finding quality healthcare providers.
• 📲 Informed Patients: The use of technology for communication, such as emails and digital forms, ensures patients are well-informed and feel involved in their care.
• 💻 Technological Advancement: HME hospital is described as technologically advanced, emphasizing the role of technology in modern healthcare.
• 🌱 Vision for the Future: HME hospital's planning phase involved envisioning healthcare's future, focusing on three elements: lean, green, and digital.
• 🌟 Innovation Culture: HME fosters a culture of innovation, attracting professionals who are eager to nurture and develop new healthcare solutions.
• 🏆 Firsts in Technology: HME has been a pioneer in adopting robotic technology for urology and knee surgeries, showcasing their commitment to innovation.
• 🛡️ High Reliability: The hospital aims for zero harm in patient care, utilizing a command center to monitor and optimize patient safety and care quality.
• 📈 Positive Outcomes: The implementation of the command center and other innovations has led to significant improvements in patient care metrics.
• 🤝 Community Engagement: HME's strategy involves working closely with the community to improve overall health and well-being, not just in healthcare.
• 🌐 Digital Hub: The command center serves as the hospital's digital hub, facilitating informed decision-making and early intervention for patients.
• 📈 Predictive Care: HME uses technology to predict patient decline and prevent ICU admissions, demonstrating proactive care approaches.
• 📱 Patient-Centric Innovations: Innovations like pain pumps and family updates via text messages are implemented to enhance patient and family experiences.
• 📊 Efficiency Gains: HME has shorter surgical wait times and is considered one of the best-kept secrets in the Greater Toronto Area for quality care.
• 💰 ROI on Innovation: The hospital focuses on achieving a return on investment for innovations, often through team-based approaches and process improvements.
• 🌐 Ontario Health Teams: HME is part of the Northwest Toronto Ontario Health team, emphasizing the importance of local, culturally sensitive care.
• 🗣️ Communication is Key: Effective communication and information sharing are crucial for patient satisfaction and a sense of control over their healthcare.

Q & A

What are the primary challenges facing the healthcare industry today?

The primary challenges include recognizing the aging population, understanding that people are living longer but not necessarily healthier, and the need to help them stay healthy outside of hospitals.

Why did the speaker choose Humber Hospital for their hip replacement?

The speaker chose Humber Hospital because of its advanced technology and the reputation of its surgeons.

What is the significance of Humber Hospital being a fully digital hospital?

Being a fully digital hospital drives efficiency, allows for more time with patients, reduces administrative burdens, and enhances patient care through technology.

What are the three vision elements that guided the development of Humber Hospital?

The three vision elements are lean, green, and digital.

How does Humber Hospital empower its staff and patients?

Humber Hospital empowers its staff by providing them with necessary tools and equipment and empowers patients by giving them access to their health information and involving them in their care.

What role does the Command Center at Humber Hospital play?

The Command Center serves as the digital hub for the hospital, enhancing patient safety, quality of care, situational awareness, and decision-making.

What are some of the innovations Humber Hospital has adopted in patient care?

Innovations include the use of robotic technology for surgeries, a discharge planning system (iPlan), and remote patient monitoring through an app.

How has Humber Hospital impacted surgical wait times in the GTA?

Humber Hospital has lower surgical wait times due to its efficient processes and advanced technology, making it an attractive option for patients in the GTA.

What is the importance of cultural sensitivity in healthcare according to Humber Hospital?

Cultural sensitivity is important for providing care that respects and meets the specific needs of the local community, ensuring better patient outcomes and satisfaction.

What advice does the speaker offer to other hospitals regarding the use of technology and AI?

The speaker encourages other hospitals to join the journey of using technology and AI to improve patient care, emphasizing the benefits and success seen at Humber Hospital.

Outlines

00:00

🏥 Healthcare Innovation and Aging Population Challenges

The first paragraph discusses the challenges faced by the healthcare industry, particularly the aging population and the need for health maintenance outside of hospitals. The speaker shares a personal experience with hip replacement surgery at Humber Hospital, highlighting the hospital's advanced technology and digital communication for patient information. The hospital's strategic vision includes embracing a lean, green, and digital approach, fostering a culture of innovation and empowering both staff and patients. The hospital aims to provide high reliability care, focusing on patient safety and quality through the use of technology, such as the Command Center, which has contributed to significant improvements in patient outcomes and efficiency.

05:02

🛠️ Embracing Innovation for Patient Care and Community Health

The second paragraph emphasizes Humber Hospital's commitment to innovation, which is deeply ingrained in its culture. The hospital has been a pioneer in adopting robotic technology for urology and knee surgeries, improving patient outcomes and reducing recovery times. Innovations like the iPlan discharge system facilitate earlier patient discharges, and pain management innovations, such as the pain pump, enhance post-surgery recovery. The hospital also focuses on same-day surgeries and remote patient monitoring through an app. Humber River's shorter surgical wait times and emphasis on innovation attract patients, and the hospital's innovations are funded with a focus on achieving a return on investment. The hospital's goal is to continue innovating to provide better, safer care, and to extend this approach to community health, including culturally sensitive care through the Northwest Toronto Ontario Health Team.

Keywords

💡Aging population

The term 'Aging population' refers to the demographic phenomenon where the proportion of older individuals in a society is increasing. In the context of the video, it is a significant challenge for the healthcare industry as it must adapt to the needs of a growing number of elderly individuals who may require more medical support. The script mentions the need to help these individuals 'become healthy, stay healthy somewhere other than a hospital,' indicating the importance of preventative care and community support.

💡Healthcare technology

Healthcare technology encompasses the use of advanced tools and systems to improve patient care and streamline medical processes. The video highlights the evolution of healthcare technology, particularly at Humber Hospital, where equipment can collect substantial information and provide high reliability care. The script describes the hospital as 'technologically very advanced,' and mentions the use of email, documents, and forms for patient communication, which exemplifies the integration of technology in healthcare delivery.

💡High reliability care

High reliability care is a concept in healthcare that aims to achieve a high level of safety and consistency in patient care, minimizing errors and adverse events. The video discusses how Humber Hospital has adopted this approach, with a focus on 'zero harm.' The script provides examples of improvements such as a '10% decline in reported sepsis cases' and '41% decrease in inpatient cold blues,' demonstrating the impact of high reliability care on patient safety.

💡Command Center

The Command Center is a digital hub within Humber Hospital that facilitates situational awareness and early intervention for patients. It is described in the script as a tool that 'drives responsible, informed decision-making' and 'early rescue for patients.' The Command Center is an example of innovative healthcare technology that supports patient safety and quality of care by providing real-time monitoring and alerts.

💡Innovation

Innovation in the context of the video refers to the introduction of new ideas, technologies, or methods to improve healthcare services and patient outcomes. Humber Hospital is portrayed as a leader in healthcare innovation, being the first to adopt robotic technology for urology cases and developing a discharge planning system. The script emphasizes the importance of fostering a culture of innovation to 'nurture and foster' new ideas and improve patient care.

💡Patient empowerment

Patient empowerment is the process of enabling patients to take an active role in their healthcare decisions and management. The video discusses how Humber Hospital aims to empower both patients and staff, giving patients 'health information at their fingertips' and a 'say in their care.' This approach is part of the hospital's strategy to improve patient outcomes and satisfaction.

💡Cultural sensitivity

Cultural sensitivity in healthcare involves understanding and respecting the cultural differences among patients to provide appropriate and respectful care. The video mentions the importance of 'culturally sensitive care' in the context of Ontario Health teams and the hospital's mission to extend this approach to the community. This reflects the hospital's commitment to inclusive and personalized healthcare services.

💡Digital hospital

A digital hospital is a healthcare facility that extensively utilizes digital technology to enhance its operations, patient care, and administrative processes. The script refers to Humber Hospital as 'the first fully digital hospital in North America,' highlighting its use of digital tools to increase efficiency, reduce red tape, and improve patient care.

💡Surgical innovation

Surgical innovation refers to advancements in surgical techniques, technologies, and procedures that improve patient outcomes and the overall surgical experience. The video discusses specific innovations at Humber Hospital, such as the use of the da Vinci surgical system for urology cases and the Rosa Zimmer system for knee surgeries. These innovations contribute to the hospital's ability to perform complex surgeries with greater precision and less invasiveness.

💡Patient flow

Patient flow in a hospital setting refers to the movement of patients through various stages of care, from admission to discharge. The video mentions the use of the Command Center to monitor and optimize patient flow, which is crucial for efficient hospital operations and timely patient care. The script describes how the Command Center provides 'situational awareness' and supports 'early warning systems' to manage patient flow effectively.

💡Community engagement

Community engagement in healthcare involves actively involving the community in the planning, implementation, and evaluation of health services. The video discusses how Humber Hospital consulted with over a thousand people from the community to develop its strategy and mission. This approach ensures that the hospital's services are tailored to meet the needs and expectations of the local community, fostering a sense of ownership and trust.

Highlights

The healthcare industry faces challenges due to an aging population and the need for health maintenance outside of hospitals.

HMER hospital is technologically advanced, providing patients with a lot of information through digital means.

Healthcare has evolved with equipment that can collect significant amounts of information, leading to new ways in healthcare delivery.

Humber Hospital moved into a new facility in 2015 with a vision for healthcare in the next 10-15 years, focusing on lean, green, and digital elements.

Humber has become an attractive place to work, fostering a culture of innovation among healthcare providers.

As the first fully digital hospital in North America, Humber drives efficiency and minimizes time spent on administrative tasks.

Humber's strategy involves community consultation to develop a plan for healthier living and success in healthcare and life.

Empowerment of both staff and patients is key to providing better care and health information accessibility.

Innovation at Humber includes the use of a Command Center to optimize patient safety and quality of care.

High reliability in healthcare is a cultural concept aimed at achieving zero harm, with significant improvements reported at Humber.

The Command Center serves as a digital hub, enhancing situational awareness and early intervention for patient care.

Humber has innovated in the digital realm, improving quality of care and work-life balance for staff and physicians.

Humber was the first to adopt robotic technology for urology cases and the first robotic knee surgery using the Rosa Zimmer system.

I-Plan, a discharge planning system, assists patients in going home earlier, improving patient experience and efficiency.

Innovations in postoperative care, such as pain pumps, allow patients to be pain-free for up to 72 hours after surgery.

Humber River has lower surgical wait times and is considered one of the best-kept secrets in the Greater Toronto Area.

Innovation at Humber is funded with a focus on achieving a return on investment through improved care processes and technology.

Humber's goal is to continue innovating and using technology to provide better, safer care, with a focus on community and culturally sensitive care.

Communication is key in healthcare, and providing patients with information helps them feel more in control and informed.

Humber encourages a journey of using technology and AI to improve patient care and shares this vision with other hospitals.

Transcripts

the healthc care industry today has a

number of challenges uh most importantly

I think we have to recognize the Aging

population we have to recognize the fact

that people are living longer but not

everybody living longer is healthier and

so we have to help them become healthy

stay healthy somewhere other than a

hospital

I needed to have a hip replacement so

did a little bit of research to find out

well where's the place to go found hmer

was great uh some surgeons were were

really good here so uh yeah this

hospital is technologically very very

Advanced and so you get a lot of

information by email documents forms

which is good because you're informed

and so you feel good you're not in the

dark technology and Healthcare has

evolved to the point where the equipment

can collect quite a bit of information

we are lighting new ways in healthcare

and that's really what we're doing by

bringing this technology together

providing High reliability

care so humer Hospital in 2015 uh had

the opportunity to move into a new

facility during our planning phase we we

did a lot of visioning into what is

Healthcare going to look like in 10 and

15 years but we also looked very hard at

technology we had three Vision elements

in developing our new institution our

new hospital uh and that was lean green

and digital Humber has become an

increasingly attractive place to work

because we are a culture of providers

here that really wants to nurture and

Foster Innovation we are a beautiful

state of-the-art facility the first

fully digital hospital in North America

and really what that drives is

efficiency

working in a digital environment in a

facility like this really allows us to

spend the most amount of time with our

patients and the least amount of time

caught up in red tape and other

headaches that can really hinder your

progress during the day hospital has a

very well-defined strategy and a mission

we consulted over a thousand people in

the community in the Healthcare

Community in the community itself and we

developed a strategy that said we need

to work with our community to make them

healthier and to allow them to suceed

not only in healthare but in life that's

one of our initiatives the other one is

to empower our staff and our patients

and we do that because we know that if

we Empower patients they will and they

have health information at their

fingertips and they know what to expect

and they have a say in their care we

need to empower our staff because we

need to be sure that they have the tools

the equipment empowered staff and

Physicians people who feel they are part

of and can control the environment will

always want to provide better care

cumber has done a lot of innovation in

the digital realm uh improving quality

of care improving life work balance for

our staff and our physicians and we want

to continue to do more research in that

area one big innovation that we have

taken huge advantage of is our Command

Center um and that's something that we

were the second in the world to launch

within our hospital and the first in the

world to really leverage that to focus

on optimizing patient safety and quality

of

care so high reliability

is a cultural concept it's it's a

concept that's used to move toward a

journey of zero harm and our Hospital

embarked on that making sure that every

single time that we deliver care we we

have an outcome of zero harm we've seen

a 10% decline in reported sepsis cases

41% decrease in inpatient cold blues and

observed patient harm events from our

clinical deterioration tile 34%

reduction in average time a patient

spends an emergency 38% reduction was

seen in the time patients wait to

receive certain diagnostic tests the

command center is the digital hub for

our hospital it drives responsible

informed decision-making it drives

accountability and it drives early

rescue for patients when we see they're

running into trouble so the tools within

the command center are a lot of

collaboration I would say a lot of um

early warning systems and algorithms

that actually support the actual alerts

that are built into the command center

so the command center gives us a lot of

situational awareness when it comes to

Patient flow for examples the Next

Generation that we embarked upon was the

patient safety and quality component

we've looked at things like labor and

delivery we've looked at things like

clinical deterioration which means we

are able to predict the rate of decline

for our patients and actually prevent

them from going to ICU the command

center provides an additional layer of

monitoring and an additional point of

communication so for example if there's

a patient that seem to be having a

change in their Vital Signs man Center

is there is a back stop to say you know

were you guys aware that we're seeing

this change in this patient similarly if

I am trying to Advocate to get something

done for a patient the command Center's

a phone call away to try and convert an

inpatient MRI to an outpatient it's a

two-way support system and you know it's

grown in popularity and it's really been

embraced as part of the culture of

Humber innovation in many institutions

is a concept at Humber Innovation is a

verb it's an action word Humber was the

first hospital to adopt robotic

technology to do Urology cases we did

the first robotic case here using the da

Vinci surgical system we did the first

robotic knee here using the Rosa Zimmer

system as well we've also innovated and

created I plan which is a discharge

planning system that assists patients to

go home earlier at Humber Hospital

sometimes we have complex cases that we

get to do particularly just need

replacement surgery some patients have a

lot of deformity in their limb this

makes doing a total new replac placement

much more challenging than traditional

now that we have Rosa we're able to take

images ahead of time to calibrate them

to size the patient appropriately

intraoperatively we can navigate and

know where we're putting our pieces

without having to use manual instruments

that we did historically afterwards they

go home with a pain pump which is a new

innovation at Humber hospital that

allows them to be pain-free for up to 72

hours after their surgery during their

surgery their family members will get uh

updates via text messages about where

their family member is I think that

helps alleviate the stress of members

and also helps alleviate patient stress

so from the patient perspective they're

getting top-of-the-line surgery with the

latest technology postoperative and

intraoperative anesthetic care which

allows them to be painfree during their

procedure and after we have a team here

that specializes in Same Day Surgery

which calls the patients afterwards and

in fact we even remote monitor all our

patients with an app so all these

Innovations are small things which

aggregate you know give us a huge

benefit overall for that patient tumber

River in general has lower surgical

weight times because it's one of the

best kept secrets in in the GTA I think

once people get to see Humber and

realize the care they have and realize

that there's a shorter weight leing list

for many surgical procedures they end up

coming to Humber Hospital part of being

an organization that believes in

Innovation is understanding that the

Innovation curve has a lot of funding

attached to it being a public payer

system what's important is that we

achieve our return on investment on a

lot of these Innovations often with

these new Innovations of care process

changes new technology changes and new

models of

care what we've found is that a lot of

times using that culture that team based

approach we've been able to achieve that

return on investment much quicker we

have Frontline nurses Frontline staff

Porters um EVS staff that come up with

ideas and those ideas get brought up and

they get operationalized and that's what

allows us to disrupt every single

process and when we look at how do we

increase accessibility for this

community provide them access to the

best care possible that drives us as an

institution to provide the best care for

them hum of Health's goal is to continue

to innovate continue to use technology

to provide better safer care and

allowing our practitioners to be part of

a unique opportunity to care for our

patients in a better way the second

component of that is focusing on our

community and extending all of that same

technology but also culture sensitive

care and we are on that Journey now so

we have what is called the Northwest

Toronto Ontario Health te when you can

receive care in your local community

that's culturally sensitive that's very

important to us and that's Ontario

Health teams communication is key I just

know the information I've been given and

so I had a lot of information from the

hospital so when you get information you

feel good about it because you think you

you have the illusion that you have some

control over what's going on around you

so it's very very helpful always Blown

Away with um certainly some of the

technology the cleanliness of the

hospital I wasn't here very long but and

that just blew me away so I was in and

out in a you know in a day so what I

would share with other hospitals is

let's all go on the Journey of using

technology and AI to improve patient

care because we know it works but let's

share the

information