GlenroseRehabilitationHospital

BUILDING ABILITIES FOR LIFE: NEWS FROM THE GLENROSE REHABILITATION HOSPITAL (GRH)

November 2019

Building Abilities for LifeTM

“Once you set aside the acute phases or crises that mark injury or disease, much of modern health care is indeed rehabilitation in one form or another.”

~Dr. David Naylor, Former President, University of Toronto (2005 - 2013)

Above: Connect Care Wave 1 Launches at the GlenroseFar Left: Connect Care Super Users Support StaffLeft: Dr. Rawani & Dr. Andersen show thier support during the launch of Connect Care Wave 1

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GLENROSE NEWSLEADER IN PROVIDING SPECIALIZED TERTIARY REHABILITATION ACROSS THE LIFESPAN

Dynamic Staircase The Glenrose Foundation was pleased to help facilitate the donation of a Dynamic Staircase to the Physical Therapy department this month. A former patient sustained a work site related injury and as part of the legal settlement a donation was made to the Glenrose Foundation to support Adult Rehabilitation in the Physical Therapy department.

Patients who have difficulty walking can now progress their therapy in a set of parallel bars that also include an adjustable inclined ramp and stairs. This equipment allows the therapist to adjust the difficulty of the mobility challenges to help clients become more confident with the skills they need to return to their lives in the community.

WalkOn Fit Kit Donated to the GlenroseAndy Mason from Ottobok has donated a WalkOn Fit Kit to the Glenrose. The Kit contains two sets of Carbon Fiber Ankle Foot Orthosis (AFO’s) that will be used with patients to assess if a brace will help improve their walking. Thank you Andy for your generous donation.

STRONG PARTNER WITH PATIENTS & COMMUNITY IN SUPPORTING PATIENT-GUIDED CARE

Friends of Glenrose Donation Supports Physical Therapy Services at the GlenroseThe Friends of Glenrose have generously donated funds to support several items to improve the rehabilitation journey for our patients undergoing Physical Therapy for Spinal Cord Injury or other Neurologic conditions.

• Bariatric sized sling for the Zero G - This will allow patients with a larger stature to safety participate in therapy using the ZeroG mobilization system.

• Two Easy Clip Wheelchair Backs and two Mot Move Wheelchairs: Having these additions to the fleet will help patients trial options to help make informed and timely decisions before purchasing an expensive wheelchair for community use.

• One pair of Stance Control KAFO: This adjustable brace will allow for a trial of therapy with changes as required as patients improve in therapy, and will help to make informed recommendations on what will be needed when they return to the community.

Thank you to the Friends of Glenrose for their continued support.

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New Tools Help Patients Get Access to the Glenrose Quicker For Their Rehab‘A fresh centralized team approach is helping patients in other facilities get to the Glenrose Rehabilitation Hospital (GRH) quicker for their rehabilitation.

For the Glenrose, it’s all about helping patients receive the right care at the right time and in the right place.

The facility’s new approach came about following a year of focus groups with staff, patients and families. Their feedback led to the creation of a centralized team - complete with rehab navigators and social workers to help optimize patient flow - which now helps patients and staff easily access the Glenrose from across the continuum of care.

“Through our relationships with managers, staff and physicians from other sites we’ve been able to develop a team approach across the continuum of care,” says Mareika Purdon, Manager of Patient Transitionsa at the Glenrose. “We’ve really been able to rally the teams from all sites to do collaborative work.”

She adds that, with a single referral form and clearer intake criteria, the Glenrose has been able to clarify: “Who are the patients that should be accessing the Glenrose and how can we get them over quickly?”

This new criteria is helping the GRH to address challenges such as waiting lists, inconsistent intake processes and limited coordination. Rehab navigators, patient representatives, family care advisors and interdisciplinary teams (from across all sites) have helped create a more fluid process between intake and discharge.

The work has since expanded to be recognized by Accreditation Canada with its Trauma Distinction accreditation. Trauma patients need to meet specific wait-time-to-rehab targets. These include transfers from acute care to the Glenrose within eight days. As well, patient flow initiatives are identifying patients at risk of falling between the cracks to ensure they have access to the services they need.

The team recently hosted a co-design session where frontline staff from across the continuum of care - transition coordinators, rehab navigators, managers, social workers, Nurse Practitioners from acute care, Glenrose, and community and patient and family representatives - met to develop a poster that would describe target patients for Glenrose inpatient programs.

This simple one-stop reference tool helps any member of an interdisciplinary team from another site to easily identify a Glenrose patient. Staff also suggested the poster be made available in rooms where teams are doing rapid rounds so the information is always readily available

“There are often complex patients who require the interdisciplinary team to find the right fit,” says Sandra Tisi, patient care manager in the surgery program at the Royal Alexandra Hospital.

“Building a strong foundation of relationships across the continuum of care has helped mobilize those patients to receive the appropriate care they need.”

This work at the Glenrose did not go unnoticed.

The team was nominated for a President’s Excellence Award for Outstanding Achievement in Quality Improvement, validation that the Glenrose is stepping in the right direction towards better patient flow.

“We enjoy the work and we’re able to solve more complex problems,” says Purdon, “because we continuously work to build those trusting relationships.”’Reprinted n part from “Poster helps patients get to Glenrose quicker for their rehab” article by Vanessa Gomez, November 12, 2019 https://insite.albertahealthservices.ca/news/ins/2019/Page23990.aspx

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A GREAT PLACE TO WORK, TEACH & LEARN

AHS Named One of Canada’s Top 100 Employers for 2020On November 22, 2019 Dr. Verna Yiu shared that Alberta Health Services has been named one of Canada’s Top 100 Employers for 2020. This is the third year in a row that AHS has achieved this recognition.

Every year thousands of organizations compete for a spot in the top 100 which recognizes leading organizations who are offering exceptional workplaces for their employee. This award confirms AHS as a leading, innovative healthcare organization focused on supporting staff, physicians, volunteers and the patients and families we care for. Reaching this achievement would not be possible without the amazing work the staff, physicians and volunteers from across the province do every day, whether it is on the frontlines or support from behind the scenes.

Congratulations AHS!

Glenrose Physical Therapists Continue to Provide Education Regarding Specialty Services In partnership with various community partners the Glenrose Physical Therapists have been able to provide a number of educational opportunities regarding specialty services. Recent presentations include:

• “Congenital and Acquired Amputations in Children” webinar presented by Beth Watkins in partnership with Canadian Physiotherapy Association

• “Pediatric Physiotherapy Resources” webinar presented by Michelle Roy in partnership with the AHS Pediatric Physiotherapy Standing Committee

• “Osseointegration” fundraiser for the Festival of Trees interview on Global News with Serena Third. Link: https://globalnews.ca/video/6204575/festival-of-trees-at-the-edmonton-convention-centre

New Physician Joins the Glenrose Pediatric Rehabilitation TeamWe are pleased to announce that Dr. Kyle Sue has joined the Glenrose Pediatric Rehabilitation department along with the Stollery Children’s Hospital. Dr. Sue is a family physician and has extensive clinical experience working in B.C., Alberta, Saskatchewan, Ontario, Quebec, Nova Scotia, Newfoundland, NWT, Nunavut and New York. He also holds a Master ’s Degree in Health Management and has won numerous awards for his research, leadership and clinical work.

Dr. Sue will be working in a locum divided between Developmental Pediatrics and Pediatric Palliative Care. He will assist the FASD, SNAC and iPAS clinics at the Glenrose and the Learning & Behaviour Clinic at the East Edmonton Health Centre.

Please join us in welcoming Dr. Sue to the team!

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A LEADER IN RESEARCH & INNOVATION

Greater Edmonton Health Advisory Council Tours the Glenrose with a Focus on Technology & InnovationThe Greater Edmonton Health Advisory Council (HAC) toured the Glenrose Rehabilitation Hospital on Tuesday, November 12th. The tour was led by Dr. Gary Faulkner, Director or Rehabilitation Research, Innovation & Technology Development and Quentin Ranson, Acting Manager Occupational Therapy & Psychology Services. The focus of this tour was on technology and innovative approaches to rehabilitation, including the Dynamic Shoulder Brace Technology. The group visited the I CAN Centre for Assistive Learning, the Courage In Motion (CIM) Centre with the CAREN System, Prosthetic Orthotics and Seating, and the Building Trades of Alberta Courage Centre (BTACC).

The Greater Edmonton Heath Advisory Council is comprised of community volunteer members who connect with people in their communities to gather feedback about local health service delivery and bring that feedback forward to Alberta Health Services. In turn, AHS shares operational information with the Council so members can bring that information back to the community as needed. Council members come with a unique background and perspective and are keen to expand awareness of the HAC in the communities they serve and learn more about the health facilities and programs available in those communities. One of the ways the Council achieves this goal is by meeting five to six times per year at various locations in the Greater Edmonton Zone and tour the facilities available to residents.

Device Designed & Developed by Glenrose Engineering Team Now in Use The wheelchair trainer device originally designed and developed by the Glenrose Rehabilitation Research, Innovation & Technology (GRRIT) engineering team is currently being utilized at the Syncrude Centre for Motion and Balance. This device was developed to provide an adjustable and stationary wheeling environment for wheelchair users in which you can control the resistance on the wheels and analyze the shoulder mechanics. The device is designed to be portable to provide access for different units based on their needs.

For a wheelchair user wheeling consumes a major portion of their daily life and incorrect wheeling mechanics can result in secondary health complications such as muscle fatigue over the course of many years. Preventing such complications and improving the quality of patients’ lives was the drive behind this development.

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LOOKING BACK - CELEBRATING 55 YEARS OFBUILDING ABILITIES FOR LIFETM

This year marks the 55 Year Anniversary of the Glenrose Rehabilitation Hospital. Over the last few months we have looked back and celebrated our history. Below is our fifth edition with a look back at the year 2000 - 2009.

In the year 2000 the Pediatric Fetal Alcohol Spectrum Disorder (FASD) Clinic was established and staff were able to officially move into the new I CAN Centre space. Later in the year a bit of the Canadian Finals Rodeo was brought to the Glenrose when 11 contestants vying for the title of Miss Rodeo Canada visited Unit 4B.

Royal Highness Maha Chakri Sitindhorn of Thailand, the National Advocated for Rehabilitation Services in Thailand visited and toured the Glenrose in 2001. This was also the first year of the annual Glenrose Work on Wellness (WOW) Committee Golf Tournament, now known as the Mercedes Dizon Memorial Golf Tournament.

The Syncrude Centre for Motion and Balance opened it’s doors in 2002 - the first in Canada to incorporate motion and balance services with a combined mandate for clinical service evaluation, research and education.

In 2004 the Glenrose celebrated it’s 40 Year Anniversary - A Journey of Achievement and Excellence - with monthly events including an Evening at the Glenrose and a Staff & Alumni Patio Party. During this year the Glenrose was visited by Her Imperial Highness, Princess Hisako Takamado of Japan, the newly renovated Al Shamal Shriner’s Pediatric Unit 201 reopened, the Womens Auxiliary (now know as the Friends

of Glenrose) held a Grand Reopening of the Corner Store celebration after major renovations are done to the space and the Auditorium naming ceremony take place in honour of Dr. Bill Black.

The first Spotlight on Research Breakfast is held in 2005 with Pediatric Psychiatrist Dr. Alan Carroll as the keynote speaker. Also in 2005, GRH Physicians Dr. Charlene Robertson, Dr. Ehor Gauk and Dr. John Bradley are selected by the College of Physicians and Surgeons of Alberta to represent Alberta’s “Physicians of the Century”.

In 2006 with the arrival of Dr. Lonnie Zwaigenbaum, work began on the development of a new pan-Alberta “Autism Research Centre of Excellence”. Thirty-five overhead ceiling lifts were installed in patient rooms/treatment areas. A staff talent night, Glenroseapalooza, is held in the Dr. Bill Black Auditorium. Due to popular demand it is held over two nights. The Glenrose Quality Management Council received a Reach Award in the Quality & Safety - Team Work category and the first annual Award of Courage is held.

Mention of the Glenrose using the Nintendo Wii for therapy is published in 2007 in the Los Angeles Times, U.S. News and in other major print and electronic media world-wide. Nintendo also refers to the Glenrose in their press conference at the Electronic Entertainment Expo. Also in 2007, the Regional Interdisciplinary Spasticity & Tone Management Service, a one-of-kind service within Canada opens

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it doors. Glenrose physicians, staff, patients, teachers, students and volunteers joined fellow Albertans in a Challenge Attempt for the Largest Simultaneous Walk and Run. Participants walk the 1-kilometer route marked out by the GRH Healthy Active Living Committee and the event beats the Guinness World Record.

In 2008 the Women’s Auxiliary changes their name to Friends of Glenrose, wheelchair art is introduced and profiled in the Edmonton Journal, a new Adult Spina Bifida Clinic opens - the first in Canada, Lorna Reimer’s Garden of Hope is created and Easy Street bids farewell.

The Glenrose celebrates it’s 45 Year Anniversary in 2009 and Alberta Health Services comes into effect. The Living Garden for patients and staff is initiated, CTV profiles the Bistro as leading the way in an effort to offer up healthy hospital food, the Pediatric Rehabilitation wall mural is GlenEast is designed and painted by artist Barbara Hartmann, the Energy Centre expansion is completed and Phase 1 construction of the Building Trade of Alberta Courage Centre begins.

AWARDS & HONOURSGlenrose Physician Lead Author of Autism Spectrum Disorder Position StatementsCongratulations to Dr. Lonnie Zwaigenbaum on his remarkable leadership. Dr. Zwaigenbaum is the lead author on the Autism Spectrum Disorder Assessment and Treatment position statements that have been developed through a task force and brought forward through the Canadian Pediatric Society. For more information on the position statement please see the below links.

• https://www.cps.ca/en/media/paediatricians-launch-a-made-in-canada-ap-proach-to-autism-care

• https://www.cps.ca/en/documents/position/asd-early-detection• https://www.cps.ca/en/documents/position/asd-post-diagnostic-management• https://www.cps.ca/en/documents/position/asd-diagnostic-assessment

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Glenrose Special Advisor Receives Rare Papal Honour‘One of the privileges that comes with investiture into the Pontifical Order of Pope St. Sylvester is being allowed to wear a sword in the presence of His Holiness. Dr. Austin Mardon, an advocate for people with mental illness and disabilities - and a longtime member of an Alberta Health Services provincial advisory council - likes to joke that he left his sword back in Edmonton when he and his wife Catherine had an audience with Pope Francis on Nov. 6.

“I’m also allowed to ride a horse in St. Peter’s Square, but I didn’t have an opportunity to try that one, either,” he says.

Joking aside, Dr. Mardon and his wife, who has also been recognized by the Vatican for her work with disabled people, met with the Holy Father in an outdoor receiving line in St. Peter’s Square as part of their induction to the Order.

“It was a pretty wonderful experience,” Dr. Mardon says. “We asked him to pray for our disabled children and to pray for us to be allowed to help other disabled and mentally ill children and youth.”

He adds that he also presented the Pope with some children’s books that he and his wife have written that tackle issues like homelessness and disabilities, including one called Gandy and the Man in White, wherein the dog Gandy has adventures in the Vatican and also meets Pope Francis.

The couple received the rare investiture to the Order in late 2017 but at that time were unable to travel. In Edmonton, in December of that year, Archbishop Richard Smith presented them with Latin-inscribed parchment diplomas of membership to the Order. It is one of five Orders of Knighthood awarded directly by the Pope, intended to honour lay people involved in the church. It may also be given to non-Catholics. One famous inductee is the German industrialist Oskar Schindler, who saved hundreds of Jews during the Second World War.

Dr. Mardon was a promising young scientist when he was diagnosed with schizophrenia in 1992. Since then, he has worked to dispel the myths and misconceptions around the mental illness, delivering 600 speeches across Canada and abroad. He has served as a member of the AHS Addiction and Mental Health Provincial Advisory Council since 2012, as an adjunct professor of psychiatry at the University of Alberta and is a special advisor to the Glenrose Rehabilitation Hospital.

“Whenever I give a speech or an interview on schizophrenia, or youth mental health, I never want to end without saying that there is hope,” he says. “Back 100 years ago when my great grandmother got schizophrenia, there was no hope. But today, if you comply with treatments and work with the supports AHS provides, you can have a really decent life.”

Dr. Mardon adds that much work needs to be done around raising awareness and reducing the stigma associated with addiction and mental health. “This is a long-term effort. Trying to influence attitudinal change is like chipping away at a mountain.”

Catherine is a retired lawyer who became an advocate for the disabled after suffering an injury that left her with disabilities. She, too, is a volunteer advisor with the Glenrose and a public member of the council of the College of Dental Technologists of Alberta.

Through their charity, the Antarctic Institute of Canada, the Mardons mentor dozens of students a year. They also help teens and young adults with developmental disabilities to navigate social services and adulthood. As rare as it may be to have an audience with the Pope, Mardon also met with Pope John Paul II in 1996, when he presented the Pontiff with a papal flag he took with him to the Antarctic on a NASA expedition to recover meteorites. Dr. Mardon was named to the Order of Canada in 2007. His term on the AHS provincial advisory council ends in 2020.’Reprinted from “Member of AHS advisory council received rare papal honour” article by Greg Harris, December 4, 2019 | Photo courtesy of Servizio Fotografico Vaticano https://insite.albertahealthservices.ca/news/ins/2019/Page24071.aspx

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National Philanthropy DayEach year the Edmonton chapter of the Association of Fundraising Professionals hosts National Philanthropy Day, an event that recognizes generous philanthropists in our community. The Glenrose Foundation proudly nominated two individuals and one organization who have donated their time talent and resources to further the advancement of rehabilitative care. First, Wilson Quan is a passionate champion for PTSD research and treatment. Each year he hosts “First Response to Fashion,” a fundraising fashion show featuring first responders as models. Next, Isabel Henderson has a long history with the Glenrose Hospital and a passion for rehabilitative care. Her generosity in supporting

major projects and cutting edge technology has resulted in a lasting impact at the Glenrose. Finally, the Children’s Ability Fund made a significant donation to the I CAN Centre which was used to purchase assistive technology for children with disabilities. Their generosity has made a huge difference in the lives of these children, helping them to communicate, control their own environments, or be independently mobile. Congratulations to the three recipients and thank-you for all you do to help patients reimagine their futures.

U of A MSCPT Class of 2021/2022The students from the University of Alberta’s Faculty of Rehabilitation Medicine recently held a fundraising event for the Glenrose Foundation. They were inspired to give back to the Glenrose after many of them completed their internships here at the hospital. Thank you Class of 2021/2022!

14th Annual Courage AwardsOn November 6th we recognized four courageous Glenrose patients at the 14th annual Courage Awards, hosted by Su-Ling Goh. Adam, Guy, Jordan and Kendra were all nominated by members of their care team for the courage they demonstrated during their rehabilitation journeys. Their stories were featured on Global News in the weeks preceding the awards ceremony. A new award was added to the event this year, the IMPACT award. The inaugural recipient of this award is Global News reporter Su-Ling Goh for her work as an ambassador for the Glenrose, telling the stories of the patients and heightening the profile of the hospital and foundation.

The event was generously sponsored by Gino Ferri and the Ferri Family.

Glenrose Team Finalist in AHS Halloween ContestThe Prosthetics, Orthotics and Seating (POS) Team at the Glenrose were once again finalists in the AHS Halloween Costume contest. Picked out of over 200 entries the POS Team brought the Connect Care Bridge to life. Congratulations POS Team!

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Connect Care Launches at the Glenrose!After two years of planning, building, designing, testing and training, Connect Care – our shared provincial clinical information system – launched on November 4th. All of the Glenrose’s outpatient clinics, programs and services that had been using eCLINICIAN transitioned to Connect Care for referrals, scheduling and documentation. Other “wave 1” sites and programs included hundreds of services that also used eCLINICIAN, such as clinics at the Grey Nuns, Misericordia, Sturgeon and Royal Alexandra Hospitals, East Edmonton Health Centre, Addictions and Mental Health Services, the Northern Alberta Kidney Program, and many others. In addition, all outpatient and inpatient services at the Walter C. MacKenzie Centre made the transition (Kaye Edmonton Clinic, Mazankowski Heart Institute, Stollery Children’s Hospital, University of Alberta Hospital and the Zeidler Gastrointestinal Health Centre).

It was a tremendous challenge to prepare over 800 administrative support staff, clinicians, physicians and managers for this change, and as usual, we collectively rose to it with grace and fortitude. Many changes – both ones we expected and ones that we didn’t – came our way, and we are learning to incorporate new functions and workflows into our day to day work.

Our success would not have been possible without our over 70 Super Users – we owe them a tremendous “thank you” for stepping up to help their colleagues. They have received rave reviews! Super Users appreciated the gestures of support from the Glenrose Foundation, the Friends of the Glenrose and the Glenrose Work on Wellness (WOW) Committee.

We also wish to acknowledge our colleagues from around the province and the zone – their patience, persistence and support were invaluable. We look forward to continuing our work with them, and particularly our partners at the Royal Alexandra Hospital, as we look forward to implementing Connect Care in the rest of the Glenrose’s services in fall of 2020.

GLENROSE EVENTS

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Remembrance DayThe Glenrose observed Remembrance Day with reverence on November 8th with a special service at 10.45am. Nine members of Lord Strathcona’s Horse (Royal Canadian) regiment (Strats) participated along with the Padre/Captain Gordon Poley who delivered a Reflection Message. Also featured was a bagpiper who was very well received by patients, staff and guests present. Four patients who were veterans took part in the wreath laying ceremony. Wilson Miranda, Spiritual Health Practitioner/Chaplain organized the event along with the help of Strats, Glenrose staff and volunteers. A minute of silence was observed during the Service as well as on Nov 11th at 11am throughout the Glenrose. Thanks to all physicians and staff who helped and participated in making this event a successful and memorable one.

Patient and Family Centered Care (PFCC) Week PFCC Week was celebrated November 4 – 8, 2019 which coincided with Wave 1 Connect Care implementation at the Glenrose. As yellow shirt Connect Care superusers toured our corridors at the ready, the Friends of Glenrose Hospitality Cart volunteers made beverage rounds to outpatients and caregivers providing printed material about MyAccess Connect letting patients know how to create a MyAccess account enhancing access to their healthcare information and communication with their healthcare team. Glenrose Leadership also participated in Leader Rounding, visiting waiting rooms, conversing with patients and family members, inquiring about their health care experiences and asking if there was anything, we could do to build on our current level of PFCC. Finally, Patient and Family Resource Centre Newsletter covers, highlighting those PFCC moments that made a difference in patient and family healthcare experiences, were placed throughout the Bistro as inconspicuous reminders of those who are the focus of this week. For PFCC Week and every other week of 2019, a special “Thank You” goes out to our Hospitality Cart Volunteers who bring an extra dose of PFCC to the Glenrose each day.

MLA David Shepherd Tours the GlenroseOn November 1st the Glenrose Foundation and Glenrose Hospital welcomed MLA David Shepherd for a tour of the hospital. MLA Shepherd toured Unit 201 Pediatrics, the Building Trades of Alberta Courage Centre, the Prosthetics, Orthotics and Seating Services department and the Courage in Motion Centre. We are very grateful for MLA Shepherd’s attendance and for those who made the tour possible.

New Board Members Learn About the GlenroseOn November 22nd three new board members from the Glenrose Foundation Board of Trustees learned about the hospital through an interactive tour and presentation. Interim SOO Cathy Hill led the group through many of the areas of the hospital where they met patients and staff and discovered how the Glenrose is delivering state-of-the-art rehabilitative care in our community. Welcome to the board Adam, Katherine and Wendy!

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UPCOMING EVENTS

For more information contact:Cathy Hill

Interim Senior Operating Officer, GRHEmail: catherine.hill@ahs.ca

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