Top performer for lifesaving stroke treatment

Hamilton Health Sciences (HHS) continues to be a provincial leader in providing lifesaving treatment for patients with severe stroke, according to a report released Tuesday by the Ontario Stroke Network.

The annual Ontario Stroke Evaluation Report illustrates the progress being made in stroke care across the province. While performance indicators focus primarily on Local Health Integration Network (LHIN) data, HHS and the Hamilton Outer Core Sub-LHIN, for which HHS’ Hamilton General Hospital is the designated stroke centre, are highlighted as top performers on two key indicators:

1. Timely access to tPA for eligible patients suffering from a severe stroke.
2. Proportion of ischemic stroke patients who receive tPA.

“tPA is crucial for patients to have a chance at a good recovery.”

Acute thrombolytic therapy (tPA) is a drug given intravenously that helps to break up stroke-causing clots, reducing brain damage. The 2015-16 provincial benchmark time for patients to receive tPA from when they arrive at hospital is 33 minutes. Hamilton Health Sciences’ median “door-to-needle” time is 31 minutes, the lowest of all Ontario centres.

“Two million brain cells die with every minute that you delay giving treatment post-stroke, so quick access to tPA is crucial for patients to have a chance at a good recovery,” says Dr. Wes Oczkowski, stroke neurologist at Hamilton General Hospital and medical director for the Central South Regional Stroke Network. “We’re very proud to be a leader in ensuring patients in our region receive this lifesaving therapy.”

Last year, HHS also began offering a new program to provide patients suffering from severe stroke with enhanced treatment to optimize their outcomes. Endovascular therapy, or “EVT”, is a procedure during which doctors physically remove the blood clot using a catheter inserted through the groin. Since June 2016, HHS has performed 68 EVT procedures.

Click here to watch the story of one patient who benefitted from both tPA and EVT treatments at Hamilton General Hospital.

June is Stroke Month. To learn more about stroke prevention, signs and symptoms, visit csnstroke.ca.

HHS experts tackling global issue of complications after heart surgery

A ground-breaking project is underway at Hamilton Health Sciences’ Population Health Research Institute (PHRI) to address a major medical shortcoming in Canada and around the world: too many patients develop complications after having cardiac and vascular surgery, and many are re-admitted to hospital after they’re discharged home.

The SMarTVIEW project uses specially-designed software for patients who have had serious cardiac and vascular surgery to receive continuous vital sign monitoring in the hospital and at home. The technology aims to prevent serious complications post-surgery, including infections and blood clots, and to reduce post-surgical emergency room visits and readmissions to hospital.

“As many as eight per cent of patients will have complications after cardiac or vascular surgery,” says Dr. PJ Devereaux, cardiologist at Hamilton Health Sciences, perioperative research lead at PHRI, and scientific lead for SMarTVIEW. “The rate of complications post-op far exceed those in the OR, where patients are being closely monitored and the surgical team can act quickly if problems arise.”

SMarTVIEW extends this monitoring beyond the OR to the hospital ward and then to the patient’s home for about one week after they’ve been discharged. The remote monitoring software is designed to detect subtle declines in a patient’s condition and alert the healthcare team to intervene. At home, monitoring is further enhanced by virtual visits with a nurse, who patients can see on a tablet computer they receive when they leave the hospital.

The project will launch in Fall 2017 with the first patient cohort, including about 600 patients from HHS as well as the Liverpool Heart and Chest Hospital in the UK. Hamilton Health Sciences has also partnered with Coventry University, where researchers have devised tools for support patient self-management during recovery, which will be incorporated in to the SMarTVIEW software.

When a first responder needs help

In his 33 years as a firefighter, Rich Dykes has been the first on scene to thousands of calls. From house fires to car accidents to medical incidents, he’s knelt at the side of many patients in their greatest times of need.

He never thought he’d be one of them.

On New Year’s Eve 2016 Rich was at home in Dundas, On. with his wife, Anne when he noticed unusual pain in his neck and arm. Having just spent the day playing football with his friends, he chalked it up to a rough day on the field and drew himself a bath to help soothe what he thought were tired muscles.

It wasn’t until Rich was standing in his kitchen – just an hour or so later – that he realized he was experiencing more than just muscle pain. Dizziness struck him unexpectedly. He had odd sensations in his ear. But it was when he lost control over his right arm that Rich was fairly certain he knew what was happening to him. He’d seen the signs time and time again on the job.

“I think I’m having a stroke,” he said to Anne, who immediately called 9-1-1 and unlocked the front door. Within minutes, Hamilton firefighters and paramedics were kneeling beside Rich – now without feeling in his legs or the ability to speak – on his living room floor.

“It was frustrating not being able to talk and describe my symptoms,” said Rich. “But once they loaded me up in to the ambulance and the paramedic gestured ‘five minutes to Hamilton General’, I felt relieved.”

“They saved my life that day.”

At Hamilton General Hospital (HGH), the regional stroke centre, emergency stroke and interventional teams worked quickly to give Rich two life-saving treatments. First, he received a drug called “tPA” which works to dissolve or break down the blood clot causing the stroke. Second, he went through a new procedure called endovascular therapy – or “EVT” – where doctors remove the clot from the brain by feeding a catheter up to the blood clot through an artery in the leg In Rich’s case, a clot had formed at the back of his neck and was affecting the flow of blood to his brain.

Within an hour, the effects of the stroke began to reverse. With Anne by his side, Rich “silently celebrated” every time he regained a sensation or movement he had so suddenly lost just hours before. He could wiggle his toes. He had feeling back in his arms. Finally, he could speak again.

“When that happened, I knew I wasn’t going to be in a wheelchair, and that was a great feeling.”

Rich spent two days in the neurosurgical stepdown unit and two more on the stroke unit at HGH. By his fifth day in hospital, Rich’s care team cleared him to go home. By April 2017 – just three months later – he was back to work at Burlington Fire Department.

Had he not recognized his symptoms when they first arrived – that dizzy moment standing on his kitchen floor – Rich may have had a very different outcome. His quick action made him eligible for the brain-saving treatments that he may not have received if he had waited to call for help.

But, in true first responder fashion, Rich is humble. He has others to thank for his incredible recovery.

“I can’t express enough gratitude to the hospital staff, paramedics, firemen, and my wife Anne.

They saved my life that day.”

If you think you or someone around you is having a stroke, call 9-1-1 immediately. Click here to watch a video about recognizing the signs of stroke.

 

Nursing since 1966

It takes some time to get used to shift work. As a registered nurse, Barb Linkert knows this, but luckily, she’s had plenty of experience. At 74-years old, she’s celebrating 50 years of service at Hamilton Health Sciences (HHS).

“It’s crazy sometimes on the floor, but when I go home at night after a twelve hour shift, I tell myself this is what I’m meant to be doing,” Linkert says.

She started nursing at Hamilton General Hospital in October 1966 after completing her training at the Hamilton General Hospital School of Nursing. Back in those days, student nurses lived on site. She’s been there ever since and presently works on 4 West, the Cardiology Inpatient Unit, where she’s spent the majority of her career.

“I love the staff and I love the patients. I love caring for them. To me, that’s what it’s all about.”

“this is what I’m meant to be doing.”

Linkert currently works one twelve hour shift each week. She tried to retire in 2008 after 42 full-time years, but her manager, Leslie Gillies, called her back the next week offering a part-time placement and she couldn’t say no.


“People ask me if I’d choose the same career again,” Linkert remarks. “I think I can honestly say yes. Nursing is what I feel I was meant to do.”

She received recognition at the HHS Long Service Awards Reception yesterday at Michelangelo’s Event and Conference Centre along with 468 other employees and volunteers who were being recognized for between 25-45 years of service.

Whether you are a nurse or a porter, in administration or the emergency department, each and every one of you help make us who we are today,” noted president and CEO, Rob MacIsaac during his remarks at the event. “I am very proud of our talented and skilled workforce and you should be too.”

He made special mention of Linkert’s unique milestone. She’s believed to be the first HHS employee to reach 50 years of service.

Linkert says she’s honoured to be acknowledged and doesn’t anticipate retiring any time soon.

Ten years, countless contributions

Ten years ago when Pauline Trahan was asked to help manage a clothing closet for patients in need at Hamilton General Hospital (HGH), she jumped at the chance. She had been volunteering at the hospital for 13 years and was ready for a new challenge. Since then, she has been the sole volunteer devoted to organizing the closet that serves more than 400 patients each year.

“It’s my baby,” Trahan says. “There are so many people who need this clothing. I don’t meet them, but I know the need is there and that has kept me going all this time.”

When ‘Clothes City’ began a decade ago, it was merely a collection of clothing in the Emergency Department’s social work office. Since then it has relocated three times and now occupies a mid-sized storage room down one of the hospital’s few quiet hallways. Its shelves are stacked floor to ceiling with various sizes and styles, ready to clothe a patient in need. Sometimes patients need a change of clothes because theirs were damaged in an accident, or had to be cut off for an emergency procedure. Other people arrive at the hospital wearing the only clothing they own. Clothes City provides them comfort and dignity. And it couldn’t operate without Trahan.

“I know the need is there and that has kept me going all this time.”

“She has been with us from the beginning, and we’re so grateful,” says HGH volunteer resources coordinator, Nancy Hayes. “This is such an important service that we offer to patients and it wouldn’t be possible without a dedicated volunteer like Pauline.”

Trahan organizes the donations that come to Clothes City through social worker, Fraser Hall. Clean, suitable items are catalogued and sorted so they can be doled out as needed. For many patients, receiving a change of clothes means a more comfortable stay at the hospital, or a dignified discharge home. Knowing that makes Trahan proud of her contributions as a volunteer.

“When I meet with Fraser, and hear how the clothes have helped a patient, and get a big thank you, it makes me feel wonderful. They appreciate it so much.”

Nurse pushing patient in wheelchair

We Live CQI: Danielle Jerome, Integrated Stroke Program

We’re introducing a new series – We Live CQI – to shine the spotlight on our growing list of people making improvements to their unit, and to HHS as a whole, after implementing CQI.

Since January 2016, there have been 426 improvements from active units.

Here are 5 things to know about Danielle Jerome and the improvement she brought to her unit.

Nurse pushing a wheelchair on hospital unit

Who

Danielle has worked with patients for almost three years. She’s a registered nurse on 7 South in the Integrated Stroke Program at General Hospital.

The problem

The program’s physical layout sometimes creates challenging situations when it comes to patient transfers. Patients were not being transferred from acute to rehab in their assigned wheelchair.

With a time lag in acquiring a wheelchair in rehab, Danielle’s team had to find a way to improve this flow.

Though some patients are more mobile, patients in the rehab unit needed their mobility device to access the dining area, which is further away from their beds.

CQI gave me an opportunity to help empower our staff to address these problems.

Wide shot of patient dining room in hospital

The components

After an A3 was developed, the root cause identified a need for standard work to ensure all patients who required a wheelchair were transferred properly.

Some process observation was also used to make sure the solution was sustainable.

“This was an issue that had been percolating for some time,” said Danielle. “CQI gave us the opportunity to find a good solution.”

The impact

The overall patient experience has improved – transfers from acute to rehab are quicker. Staff are not hunting down wheelchairs as frequently giving them more time to deliver quality care.

Many in the unit embraced this needed improvement.

“No matter how small, our people notice this level of change and become hopeful positive changes will continue,” said Danielle.

“CQI has helped me develop as a charge nurse. When I first stepped into the role, I thought it was my responsibility to solve all the problems that came to me. CQI gave me an opportunity to help empower our staff to address these problems.”

Close-up shot of wheelchair with "7S" stamp

Takeaway

“Try the simple solution first. Don’t get too wrapped up in the details and challenges.”

CardiO Cycle: Not up, but moving

A change of pace

Ten years ago, hospitals around the world considered bed rest to be the best option for patients recovering from heart surgery.

“It wasn’t typical to get patients moving early in their recovery up until fairly recently,” says Anastasia Newman, a physiotherapist on ICU-West at Hamilton General Hospital (HGH). “Now, we are seeing the benefit of early movement across the health care sector, even in very ill patients.”

In healthy young adults, muscle loss can occur after only 24 hours of bed rest.

In healthy young adults, muscle loss can occur after only 24 hours of bed rest. Patients can lose between three to five per cent of muscle strength per day, and that risk increases in patients who are older or critically ill. Thanks to research, we now understand the risks of strict bed rest and the benefits of early movement, even in patients with serious complications.


Investigating early movement

Using an ergometer—a device that allows people to pedal while they’re lying in bed—is one of the simplest and safest ways to facilitate movement. As part of an overall shift to early mobility, Newman and the ICU-West team have launched a study on how this device works for patients who’ve undergone heart surgery.

“We want to study how this specific type of movement benefits our patients.”

CardiO Cycle uses an in-bed cycle ergometer, brought directly to the patient’s bedside. The footboard of the bed is removed and the bike is positioned at their legs. Patients begin the therapy immediately after surgery, when they still have a tube in their airway to help them breath.

“Evaluating mobility status is part of my assessment,” says Brian Geerts, a registered nurse on ICU-West. “By working as a team, we’re able to identify when patients are ready for the ergometer and start the intervention as soon as possible.” While physiotherapists manage the sessions, nurses and respiratory therapists assist with set-up and patient monitoring.

It helps initiate lower body exercises much earlier in a patient’s stay.

One of the greatest advantages of in-bed cycling is that it allows even the sickest patients to start moving very early in their recovery. The ergometer is significantly different from other forms of exercise in that it allows for both active and passive movement. The bike can “sense” when a patient is actively exercising and will turn off its motor and allow the patient to do the work. When the patient stops actively cycling, the ergometer will start pedaling on its own, so the lower body is moving, even though the patient isn’t initiating the movement.


“If these patients can’t get out of bed, the bike allows the team to provide range of motion, strength and endurance training at the bedside,” Newman says. “It helps initiate lower body exercises much earlier in a patient’s stay.”

Expanding on findings

The ergometer has been studied in ICU patients by Dr. Michelle Kho, a clinician-scientist at St. Joseph’s Healthcare Hamilton, with positive results. Newman hopes to echo her findings in post-cardiac surgery patients, a population that hasn’t been studied in connection with this device before.

“Our hospital performs over 1800 cardiac surgeries every year—up to 40 surgeries each week. Many of our patients have the potential to fully recover, which means optimizing their quality of life post ICU stay is critically important,” says Newman.

CardiO Cycle has been designed as a pilot safety and feasibility study to see whether this type of therapy can safely be implemented in the post-cardiac ICU. If the results are positive, Newman plans to conduct a randomized controlled trial to look at long-term outcomes of using the bike.

BLOG: Government commitment brings hospital redevelopment one step closer

By Rob MacIsaac

Last week our community received some very good news in the provincial budget. The government’s capital spending plan for hospitals over the next 10 years now includes the major redevelopment of Hamilton Health Sciences.

We’ll be one of five hospital systems in Ontario to share in a newly-pledged $9 billion for renewal and rebuilding, and our proposal is the largest of the bunch. Hamilton Health Sciences is recommending changes that will transform the way we provide care – and although there is still much planning and discussion ahead, this early commitment by the government is a tremendous vote of confidence in the direction we’re pursuing

Two years ago, Hamilton Health Sciences began developing a 20-year vision for the future of our organization. Late in 2016, with the input of patients and families, service partners, our staff and physicians, as well as the public at large, we made a series of bold recommendations to the provincial government.

This includes redeveloping existing facilities and designing new ones to improve our reach in the communities we serve. We are also thinking long-term about the growing significance of our many specialty programs, in terms of local economic stimulus, provincial health care planning and global research impact.

This includes redeveloping existing facilities and designing new ones to improve our reach in the communities we serve.

Hamilton Health Sciences’ specialty programs are among the highest  quality, and highest volume in Ontario. People travel province-wide to Hamilton to receive the care we provide for cancer, pediatrics, neurosurgery, rehabilitation, burns, stroke, trauma, cardiology and vascular. 

We foresee a need to cluster these programs at our Hamilton General and Juravinski campuses, in order to maintain the best patient experience and to ensure fast access to emerging, high-cost medical technologies. We propose to build a new Children’s and Women’s Hospital at the General campus and to relocate programs at St. Peter’s Hospital to new, custom-built space at the Juravinski campus. The West Lincoln Memorial Hospital in Grimsby would also be rebuilt on its existing site, with a focus community medicine and day surgery.

These changes would create a new platform for our hospital care, designed for the next generation of patients and families, health care needs and medical technologies.

we’re going to need 50 per cent more hospital space than we occupy today

This plan does mean major change – positive change that will allow us to increase the number of beds we have and the number of people we can serve. We know we’re going to need 50 per cent more hospital space than we occupy today because of population growth and the need to enhance privacy, accessibility and infection control standards. This investment will be significant and that’s why we’re so grateful to know that Hamilton Health Sciences is in the Government of Ontario’s queue for capital funding to support our redevelopment.

Hamilton Health Sciences is also working hard with community partners to design ways  to prevent people from needing hospital care in the first place.

However, robust hospital services are only part of our vision. Hamilton Health Sciences is also working hard with community partners to design ways  to prevent people from needing hospital care in the first place.

Today, many of our patients come to the hospital for care not because of medical issues, but as a result of social circumstances. If you don’t have a roof over your head, nutritious food to eat or a family member to catch you when you fall, you are very likely to become a frequent user of hospital services. This is a particular problem in Hamilton’s urban core, where hospital usage is the highest of any city area in Ontario.

Hamilton’s unique health determinants, combined with the impact across Canada of aging and an accompanying rise in the incidence of chronic disease, means that business as usual will not be good enough to meet the needs of this community. Hamilton Health Sciences’ plan is a careful balance between reimagined facilities and community-based services that will create the best health services for the people we serve.

I am tremendously proud of our teams at Hamilton Health Sciences, and the care we provide to people and families from our local communities and from across Ontario. Last week’s announcement brings us one step closer to securing that care for generations to come.

Becoming a patient at my own hospital

by Nicole Rakowski

 

As a member of the Public Relations & Communications team at Hamilton Health Sciences, I help tell stories of patients who have experienced life-changing injuries or illnesses. I hear about how their bodies turned against them, and the physical and emotional challenges that come with that. I try to put myself in their shoes, but it’s always hard to imagine what they’re going through. It became a bit easier recently, because I now know what it’s like to be on their side of the equation.

It became a bit easier recently, because I now know what it’s like to be on their side of the equation.

In February, I travelled to Iceland for a five day trip with two close friends. On the second last day, we decided to drive to a “hot river” located in the beautiful Reykjadalur Valley in south Iceland. The name “Reykjadalur” literally means Steam Valley, which was quite apparent on our hike to the top of the mountain. The valley was filled with hot springs, mud pools and even a hot river where tourists and locals can bathe. It was a sight out of a fairy tale. We changed into our bathing suits, and I was the first to head down to the river. As I stepped down onto what looked like a hard mud surface, I quickly fell through. Right away I knew something wasn’t right. My feet were burning! No matter how hard I tried, I could not get out and could feel the hot bubbling and acidic mud burning through my skin. It felt like a million knives were stabbing my feet and lower legs, and my nerve receptors were on fire. I started screaming and was pulled out by my two friends.

My two friends starting frantically searching for help. People around us volunteered to help bring me water, and were desperately searching to see if there was a doctor nearby. As I lay there waiting, I fell out of consciousness from pain and shock. This was more serious than we had initially thought. Nobody could get any cell phone reception and there was no emergency help nearby. Four brave men volunteered to take turns carrying me down the mountain while a few ran ahead to try and get cell service.

After less than 24 hours, I was determined to fly home and was admitted to the Burn Trauma Unit at the Hamilton General Hospital.

After what had seemed like hours, Paramedics met us partway up the mountain.. I continued to fall in and out of consciousness, and woke up in the hospital in Reykjavik and was initially treated by the plastic surgeon. While I was under anesthesia the medical team removed the burned skin and treated the exposed areas. After less than 24 hours, I was determined to fly home and was admitted to the Burn Trauma Unit at the Hamilton General Hospital (HGH). Right away, I felt safe knowing I was not only close to home, but in a place I trusted for its expertise and clinical knowledge.

You don’t realize the extent of what they do until they are helping you shower or put your pants on.

Working on the administrative side for Hamilton Health Sciences, you don’t always get to see the extent of what front line workers do for their patients. Although I knew the care we have here is great, it wasn’t until I was admitted that I realized it is much more than that. It’s exceptional. Every single person, from physiotherapists to environmental aides did more than I could have asked for. They didn’t just come in and complete their duties to earn a living . They worked endlessly to make sure I was comfortable and cared for and even met odd requests that brightened each patient’s mood. You don’t realize the extent of what they do until they are helping you shower or put your pants on. When I worried that my pain would never go away, they soothed my fears, and made feel better both physically and emotionally.

What seemed like a harmless excursion turned out to be a terrifying nightmare. I have had several procedures to remove damaged skin from my feet, and they will likely never look the same. For the next two years I cannot expose my feet to the sun. The experience was horrifying, and it has left me with life-long scars, but I truly have no regrets. I was fortunate to receive the best care possible and have become much stronger as a result.

I look at my HHS colleagues differently now. I always thought of them as heroes when I heard stories about what they had done for our patients. But they’re not just heroes now. They’re my heroes.

How to make an accurate list of your current medications

Having an accurate and detailed list of the medications you take is very important.

When you visit the doctor or pharmacist, they need to know what medications you’re taking so they can ensure any new medications they give you don’t cause problems with your current ones. Knowing the name and dose of your medications, as well as how often and when you take them helps to avoid medication error, which can be very serious. Negative interactions between two medications, or an accidental overdose can be very harmful, and may even result in death

At Hamilton Health Sciences, pharmacists and pharmacy technicians play an important role in preventing medication errors by completing a ‘best possible medication history’ with patients. This is part of a process called medication reconciliation.

You can help by bringing an up-to-date list of the medications you’re taking. Learn how in this quick video with clinical pharmacist, Ivana Jankovic.

To enhance your list, you may also include information like who prescribed the medication, the date it was prescribed and how long your doctor told you to take it for.

In addition to keeping track of your current medications, it’s important to ask questions about them, and any new medications you’re being prescribed.

During an appointment with a clinical pharmacist or doctor, have these five questions handy:

1. Have any medications been added, stopped or changed? Why?
2. What medications do I need to continue taking and why?
3. How do I take my medications and for how long?
4. How will I know if my medication is working and what do I watch for?
5. Do I need any tests and when do I book my next visit?

By coming prepared to appointments, and playing an active role in your health care, you can reduce the risk of medication errors and potential harm.

Click here to learn more about an app that can help you track your medications.

Click here to download a printable form where you can track your medications.

BLOG: Our fast-growing Children’s Hospital will need a new home

McMaster Children’s Hospital, emergency department, childrens healthcare, mcmaster university medical centre, hamilton ontario, community, hamilton general hospital, our healthy future, dr. peter fitzgerald

Imagining a new hospital in a new location

By Dr. Peter Fitzgerald, President, McMaster Children’s Hospital

As any parent knows, kids grow up fast. One  minute you’re snapping them into a onesie and the next, they’re asking for the car keys.

I often get the same feeling about our McMaster Children’s Hospital. It seems like yesterday we were celebrating an official designation as Ontario’s newest children’s hospital; now, our 30th anniversary is only a year away. And talk about growing before your eyes: We are the fastest-growing of any children’s hospital in the province and are now second only to the Hospital for Sick Children in size (for number of patients and level of acuity).

During the last five years at our Children’s Hospital, we’ve seen an overall 25 per cent growth in inpatient activity, with a particular growth spurt in the Emergency Department (ED), where the number of visits ballooned by 120 per cent. The McMaster Children’s Hospital ED is now the busiest in our HHS family of hospitals.

As busy as we are today, we’re also thinking ahead to how we’ll serve the next generation of children and youth. Over the last two years we’ve been working on a long-range plan for all of Hamilton Health Sciences, called Our Healthy Future. The plan forecasts the services we’ll provide, and the facilities we’ll need, over the next 20 years.

“It seems like yesterday we were celebrating an official designation as Ontario’s newest children’s hospital; now, our 30th anniversary is only a year away.”

We have a bold and exciting vision for McMaster Children’s Hospital. Over the next 20 years we will see an increase of 1.2 million children in Canada, which equals the current population of Manitoba! So we know the growth we’ve seen will continue as the population of Hamilton and surrounding areas continues to rise. Although our services are by no means limited to inpatient care, let’s look at our projected bed counts as a simple example of predicted growth: today we have 161 Children’s Hospital beds and in 20 years we expect to need 231.

So, when we look down the road, we envision a new facility that is designed specifically for the needs of children and their families, and including women’s health services such as our high-risk obstetrics program. We see this new facility being located adjacent to the Hamilton General Hospital campus.

McMaster Children’s Hospital, emergency department, childrens healthcare, mcmaster university medical centre, hamilton ontario, community, hamilton general hospital, our healthy future, dr. peter fitzgeraldThere are many reasons why this location would be ideal – expectant mothers who need acute care services will have them immediately at hand, while children and their parents will benefit from close proximity to our beautiful new Ron Joyce Children’s Health Centre, with its extensive list of outpatient programs for children and youth with special needs.

“Best of all, we’ll have room to grow and develop.”

Best of all, we’ll have room to grow and develop. Our current location at McMaster University Medical Centre, where we share space with the university, just can’t handle the long term needs we foresee. I’m excited about our vision for the future of our Children’s Hospital and I look forward to sharing more information as planning continues.

We envision a new Children’s Hospital to meet our community’s needs – one designed specifically for kids and their families.