Ontario Shores | Davies Enterprise Award

2015 HIMSS Davies Enterprise Award of Excellence winner Ontario Shores Centre for Mental Health Sciences is a public teaching hospital specializing in comprehensive mental health and addiction services for those with complex, serious and persistent mental illness.  Located in Whitby, Ontario, Canada, Ontario Shores has 15 specialized inpatient units and extensive outpatient and community services, serving a total regional population of approximately 2.8 million. The organization is staffed by approximately 1,300 employees with 326 inpatients beds (servicing over 115,000 patient days annually), and approximately 60,000 annual outpatient visits.

Ontario Shores conducted a systematic implementation of clinical practice guidelines over a five-year period for the assessment and treatment of Schizophrenia patients. Ontario Shores leveraged their electronic medical record to provide real time access to a full spectrum of evidence-based guidelines, increase clinician adherence to clinical best practices; and track adherence to practices and provide meaningful feedback to physicians and clinical managers.

Over a twelve month follow-up period, adherence to polypharmacy, metabolic monitoring, and referral to Cognitive Behavioural Therapy for Psychosis (CBT-P) were increased by 5.8%, 51.0% and 74.8%, respectively. Making sure patients were receiving the correct therapy at the correct time resulted in fewer patients that presented a risk to themselves or others and a much higher quality of life.

Mental health care facilities face unique challenges in reducing hospital-acquired infections due to the large amount of time patients spend in communal areas. Through the utilization of an Infection Prevention and Control status board supporting an innovative symptom surveillance workflow to identify at-risk patients and initiate precautions in the absence of a physician order.  Ontario Shores reduced outbreak days from 47 in the year prior to implementation to 7 in the year following implementation.

Clinical Practice Guidelines

Over a twelve month follow-up period, adherence to polypharmacy, metabolic monitoring, and referral to Cognitive Behavioural Therapy for Psychosis (CBT-P) were increased by 5.8%, 51.0% and 74.8%, respectively. Making sure patients were receiving the correct therapy at the correct time resulted in fewer patients that presented a risk to themselves or others and a much higher quality of life.

Read the Case Study

Infection Prevention and Control

Mental health care facilities face unique challenges in reducing hospital-acquired infections due to the large amount of time patients spend in communal areas. Through the utilization of an Infection Prevention and Control status board supporting an innovative symptom surveillance workflow to identify at-risk patients and initiate precautions in the absence of a physician order.  Ontario Shores reduced outbreak days from 47 in the year prior to implementation to 7 in the year following implementation.

Read the Case Study

Medication Administration 

Point of care staff were involved in vendor selection and in working groups specific to the project.  After extensive training for staff, including additional education for “super-users” to provide added on-unit support, the Bedside Medication Verification (BMV) with an electronic medical administration record (eMAR) was launched.  Initial evaluation showed sub-optimal adherence, so quality improvement initiatives were undertaken to improve adherence to exceed 95% scan rates.  Implementation of this system has allowed a number of medication errors to be prevented from reaching the patient, ultimately improving patient safety.

Read the Case Study

Keywords: 
behavioral health, Medication Administration, Clinical Decision Support, Infection Prevention