Sunnybrook 2018-21: Strategic directions
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Innovative and sustainable models of care

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Please review our draft goals & objectives, then post a comment at the bottom of this page or email engagement@sunnybrook.ca

Overview

Sunnybrook exists as part of a larger health care system, and this strategic direction is about building partnerships to improve the care journey for patients, to further education and learning opportunities, and to generate research collaborations.

Over the past few years, Sunnybrook has been working to develop partnerships with community health agencies and fellow hospitals to ensure patients receive care in the right place at the right time. Through this direction, the intention is to continue to build formal partnerships and relationships both within the surrounding community and with organizations throughout the province and in some cases, across the country and around the world.

Locally, one of the most important aspects of this direction is to ensure patients are able to access resources at Sunnybrook when they need them most, but also be able to transition their care outside of the hospital to connect with community support as soon as possible.

Further afield, Sunnybrook is exploring how to build partnerships to use its areas of expertise to become a national resource in areas such as mental health, as well as offer consultation and advice to other countries on establishing systems of trauma care for example.

Draft Goals

Draft Objectives

1. Work with local partners to create an integrated health system in the North Toronto sub-region

a. Create a shared action plan with our partners to address the priority needs of the North Toronto sub region

b. Develop integrated models of care that reduce the need for hospitalization

2. Lead in transitions of care

a. Develop cross-organizational care pathways

b. Enhance transitions of care through improved processes, communication, and information sharing

c. Work with our provider partners to enhance system capacity in providing care following treatment at Sunnybrook

Follow our progress (click to read more)

Fifth meeting - March 2018

The meeting started with a review of the strategic planning process to-date and an update on the goals and objectives developed across all four strategic directions.

The team was asked to consider and discuss the following questions:

  • What research will we conduct from this strategic direction over the next three years?
  • How will this strategic direction change how and who we educate?
  • How can this strategic direction collaborate with the other three to achieve its goal?

Finally, the group reflected on the strategic planning process. Members expressed general satisfaction with the process. They felt that the voice of patients and families had been incorporated well into discussions and was reflected in the draft goals and objectives arrived upon. It was agreed that there exists an opportunity to strengthen engagement for future planning cycles by involving patient and family partners as members of the strategic planning teams, while continuing to engage using the methods initiated during this round of planning.

Fourth meeting - February 2018

The meeting begun with a review of the draft goals and objectives, and was followed by a discussion of some hypothetical action items.

Team members then broke into groups. Using the draft actions as a starting point and focusing on one goal and associated objectives, the breakout groups were asked to answer the following questions:

  • What actions must be added, changed or deleted to achieve the objective?
  • What work, if any, is already underway to support the action items?
  • What are the key enablers for the action items?
  • What are some measures of success?

Third meeting - December 2017

Meeting three saw the team break into groups to take part in a visioning exercise focused around three themes:

  • Access to care
  • Delivering seamless care
  • Population health

Teams were invited to consider a scenario seven years in the future in which Sunnybrook is achieving tremendous success in relation to these themes and asked to consider what must happen to facilitate that success. Each team presented back three bold change ideas.

Second meeting - November 2017

The discussion at the second meeting focused on identifying the goals and objectives we can work towards to improve access to health care and to deliver seamless care with our partners across the health-care continuum – from entry into the health-care system, through different stages of care and reintegration back into the community.

To help facilitate the discussion, the group reviewed feedback from patients and families regarding their experience in transitioning to and from Sunnybrook, and discussed how the common concerns that were identified – access, information and education, and coordination of care – can be addressed through the group’s work.

The group decided it would be beneficial to clarify the specialized services we provide for patients across Ontario versus those in the local area we serve; and why the geographical boundaries that determine our local area is necessary.

First meeting - October 2017

The first meeting of this diverse group brought together staff from community and specialty programs, as well as our external partners.

The discussion centered around providing faster access to the right care, and delivering better, coordinated and integrated care in the community and closer to home. There was discussion about Sunnybrook's dual role in the health care system; essentially how we’re both a provider of very specialized services for patients across Ontario and also a community hospital with a local area we serve. With important external stakeholders at the table, the group also touched on how Sunnybrook’s partnerships can continue to thrive. Weaved into this discussion were great ideas about how we can provide a positive experience for our patients in every corner of the hospital, and beyond, once our specialized care is no longer needed. The group committed to opening dialogue with patients on their experience in transitioning from Sunnybrook to another hospital or the community and also speaking with our partners on areas for collaboration improvement. As a result of the diversity and size of the group, working groups may be formed for specialized care and community care.

A few examples of where we are doing well at this now:

Why this direction?

Population density and patient demand are increasing in the communities Sunnybrook serves. Occupancy is routinely in excess of 100 per cent, while large numbers of patients wait for care in other institutions. It is important for Sunnybrook to build bridges to ensure patients are able to access care across the system from nursing homes and complex continuing care facilities to fellow hospitals and care in the home. Success in this strategic direction is critical to the ability of Sunnybrook to provide care for those who will benefit most from the hospital’s programs and services that are unique to the organization.