Friday, 15 July 2022

#WheretoGetCareMuskoka – Help With Knowing Where and When to Go

This blog has been written by Dr. John Simpson, Director & Chief of Emergency Services at Muskoka Algonquin Healthcare

Physician sitting on stretcher

With pandemic restrictions easing, people are getting back to their regular lives and engaging in activity and adventure once again. In some cases, people are only now following up to get medical help for care they may have deferred during the pandemic.

We are seeing both scenarios in our Emergency Departments in Bracebridge and Huntsville where volumes are on the rise and wait times are getting longer. In May, Emergency Department visits across our two sites rose 17% year over year. And in June, there were more than 4,100 visits to the two departments. COVID-19 has had a profound impact on health human resources across the health care system. In addition to the toll that the pandemic has taken on health care workers dealing with the pressures of responding to COVID-19, our hospitals are also experiencing unprecedented hospital use and unrelenting high occupancy. For us, this is not just another summer in Muskoka. The hospitals are still in the midst of the pandemic, working in a fragile state with strained staffing.

We know that sometimes accidents happen and that’s why the Emergency Department is a 24/7 operation. We also know that how people access care has changed dramatically since the pandemic, and more than ever, different mental wellness services have come on line and virtual care is providing greater options.

We want to make sure people are informed about different options for care in Muskoka, so they can support their local hospital by knowing when it’s appropriate to go to the Emergency Department and when to access primary care or other community-based supports. It’s about knowing what is available for non-emergencies and the choosing the right care in the right place at the right time by the right provider. This helps to ensure that safe and high-quality emergency care is accessible close to home and the cottage for people when they need it most.

'Dr. Simpson’s five tips' for the summer:

  1. Make safety a priority by avoiding risky behaviour that can lead to illness or injury, and make a thoughtful plan to avoid an unnecessary trip to the Emergency Department.
  2. Consider what is available for care as you plan outings. Ask yourself… Are my prescriptions in order? Are my immunizations up to date? Does my current health support that trip to the cottage I was planning to take?
  3. If you are feeling unwell, your first call should be to your primary care provider for their advice or ability to see you, potentially virtually or even by phone.
  4. Consider making an appointment at the COVID-19 Clinical Assessment Centre in Bracebridge for any upper-respiratory issue. Any sniffles, cough, COVID-19 or influenza symptoms? You can be seen by a doctor quickly at this clinic – without a trip to the Emergency Department. 
  5. Visit www.mahc.ca/wheretogetcareMuskoka/ to educate yourself about the different options for care locally. Information is provided for people who have a local doctor and provides virtual care options to see a physician for those who do not. Resources are provided for mental health and additions. There is even information about when you should go to the Emergency Department and when a visit to your primary care provider is more appropriate. 

These tips will help you help us conserve the Emergency Departments for real emergencies and preserve reasonable wait times this summer. We appreciate your support! Be safe and well!

Thursday, 12 May 2022

Engaging a Patient and Family Voice at MAHC

The patient and family perspective has never been more important or influential in health care than it is today. Patients and their family members provide tremendous firsthand experience and feedback that is important to ensuring we are always providing care that is centred around those we serve. For the past five years, Muskoka Algonquin Healthcare (MAHC) has had a Patient and Family Advisory Council (PFAC) that provides the organization with advice and recommendations on matters where the patient perspective is vital to advancing person-centred care. The council is made up of Patient Experience Partners who bring patient and family input closer to the bedside through input on policies, procedures and processes by sharing their own ideas and points of view. There are different reasons why Patient Experience Partners volunteer to participate and shape patient care in Muskoka, but what they all have in common is their desire to positively influence other patient and family experiences. I am pleased to introduce a handful of our Patient Experience Partners to share what inspired them to join us in making the patient experience better.

head shot of Tammy Purvis
Tammy Purvis

Tammy Purvis was an inaugural member of our PFAC back in 2017 because she and her family have used the hospital over the years, and felt it was important to be part of a council that would hear her voice and learn from her experiences while fostering partnerships with health care professionals.

“Being with like-minded people who are sharing ideas and suggestions to make a difference in the quality of care that patients and families are receiving is the most rewarding part of being a Patient Experience Partner,” says Tammy. “It is so rewarding to know that you are part of something that is making a difference in our community’s health care.”


Emily Carty has been on our PFAC since 2019 and serves as the Patient Experience Partner on the Obstetrics Committee and the Workplace Violence Committee.

head shot of Emily Carty
Emily Carty
“As a child and youth care practitioner I have supported many youth who have accessed and received services from HDMH,” says Emily. More recently, Emily spent time as a patient at SMMH to give birth to her children and says the most rewarding part about being a Patient Experience Partner at MAHC is knowing that her generation has a patient voice in the mix. “With my children and parents needing care from the hospital I am experiencing services from both ends of the spectrum,” she says.

head shot of Jan Kindy
Jan Kindy
Jan Kindy is relatively new to our PFAC and says her decision to become a Patient Experience Partner came after her father’s lengthy hospital stay. “It was during this time I was able to see how important the patient, family and hospital connection was. I can imagine this being positive in many ways… working with others to add value to the patient experience,” she says.

head shot of John Lock
John Lock

John Lock had a 36-year career with Toronto Paramedic Services and was fortunate to serve on numerous hospital committees in the GTA, and around the province. He felt our PFAC would allow him to combine his own patient experience with his past professional and committee involvement to give back to his community.

“My wife and I have been patients of MAHC numerous times over the past couple of years, and we have both commented that we have never experienced the exceptional care that we have experienced at MAHC,” says John. “The compassion, the welcoming atmosphere and the exceptional care begins at the door of the hospital and continues through the experience. We are blessed and very fortunate to have such a great team at MAHC.”

As a member of our PFAC, John hopes that by sharing ideas and expectations of patients and families when they access hospital care that he can shape and influence the same exceptional experiences that he and his wife have had. 

MAHC is actively seeking applications from community members who have been a patient or a family member of a patient at either hospital and want to partner with us to improve the care experience. Might you be our next Patient Experience Partner? Please visit www.mahc.ca/PEPapplication/ to learn more about this opportunity.

Monday, 11 April 2022

Staying afloat through the pandemic’s ‘tidal wave’

April 1 marks the start of a new fiscal year for Muskoka Algonquin Healthcare and a new operating budget for 2022-2023. Through additional government financial support, the organization’s financial health has never been better. At the same time, hospital operations have never been more challenged from the human resources perspective.

As the COVID-19 virus continues to circulate in our communities even as we see restrictions and public health mandates being lifted, our staff are getting sick or must isolate at home because of a potential exposure. Members of our communities continue to require hospital care, and inpatient occupancy consistently remains above 100%. In addition, since March 29 we have been grappling with a COVID outbreak within one of our sites. This is not only concerning but also puts immense strain on our staff.

In life we are being encouraged to get back to the way things used to be in many ways, however the impact of the pandemic on the health care system has only grown more taxing and challenging with wave after wave fatiguing those on the front line of care. As COVID surges in the community, experts are calling this latest stage a “tidal wave” with estimates that Ontario is seeing 100,000 to 120,000 new daily cases.

Every day at MAHC we feel the impacts of the ongoing pandemic with staffing challenges in many areas where we are working through staffing absences on a day-to-day basis. Throughout departments and different care areas our people are stretched thin and are working short in both hospitals.

Over the past two years, we have seen health care workers leave MAHC – approximately 10% of our workforce has departed for different opportunities, for a total change of career or for well-deserved retirement. Recruitment of new team members to fill vacancies and much-needed new positions has been difficult to say the least, especially if positions are temporary or part time.

Today there are more than 80 career opportunities posted on our website, predominantly in nursing, but also in many allied health professions. The health care attrition is especially concerning as Muskoka gears up for cottage season when there is greater demand for hospital services with an influx of residents in the area. Summer staffing levels will be difficult to achieve with an already unstable workforce across two hospital facilities.

All of these hardships mean careful and prudent decision making with respect to the services we can provide safely to our communities. In extenuating circumstances of staffing shortages, operating changes have to be made, such as reducing surgical activity to be able to redeploy staff to care for admitted patients. We know how difficult this is for those awaiting a procedure and we apologize for the delay in your care.

As a last resort, and only in a very dire situation, service changes could require temporarily siting a program or service at only one hospital until normal staffing can be resumed. Should these measures be required, please be patient with us and remember these actions are necessary to provide safe, quality care and to be here when our community needs us.

We can all play a role in supporting the health care system and staying safe. We support public health advice to continue wearing a mask indoors, washing your hands frequently, avoiding large gatherings and getting vaccinated. We support minimizing risks to our staff and patients with COVID vaccine policies and screening practices. We want everyone to enjoy a safe and healthy summer. Please help us by doing your part.

Monday, 24 January 2022

Weathering the storm as the pandemic drags on

Having only just joined the Muskoka Algonquin Healthcare team less than a month ago, this is my first blog as Interim President & CEO. I don’t think anyone would have imagined back in March 2020 that we would still be consumed by an ongoing pandemic nearly two years later and that it would still be the subject of the CEO blog.  

The current COVID-19 landscape with Omicron is likely the biggest test of the hospitals’ response with rising case numbers in a relatively short period of time from a highly contagious variant amidst a shrinking workforce.

In addition to heavy inpatient occupancy from increasing admissions at both sites, we are also seeing our highest COVID hospitalization rates in two years – at one point topping double digits this month with 15 COVID-positive inpatients at one time.

Creating additional challenges is the significant absence of human resources across the entire health care industry. Every hospital is working through staffing shortages, especially as team members become sick or exposed to COVID-19 and isolate at home away from the workplace. And MAHC is no different.

In line with provincial direction, we have had to scale back scheduled care, including non-urgent surgeries, some diagnostic testing and clinic activity to redeploy our staff to maintain urgent and emergent services and look after our admitted patients. This directive, which is in place for a while longer, helps to bolster the workforce for a limited time. But postponing non-urgent care is very difficult for those who have been waiting for care. We are deeply sorry this measure has to be taken, and will do our best to resume those ramped down services as soon as we can.

Rest assured our hospitals across North Simcoe Muskoka are working closely together to maintain consistent access to urgent and emergent care. This may require transfers of patients to services further afield, and that means loved ones may not be as close to home.

To those who need the hospitals, we’re still here for you. Your patience and kindness is appreciated, recognizing that everyone is exhausted and frustrated.

Our staff and physicians are doing their best during extraordinary times. They also need the full support of the community and everyone’s help in slowing down the transmission of this virus and using our precious health care resources in the most effective way possible.

Please remember to be kind and follow all public health measures to protect yourself and those around you. Please get vaccinated, including the third vaccine dose as soon as you are able. Three doses of vaccine is very effective in reducing COVID spread and almost eliminates serious complications of COVID infection and even the chance of being hospitalized, which in turn helps keep hospital beds available.

We can only hope that this wave of the pandemic will soon peak and provide some relief on an immensely taxed system. We will get through this together.

Monday, 20 December 2021

Looking Back Fondly on a Decade with MAHC

Natalie Bubela head shot
After over a decade at Muskoka’s hospitals, I am writing my final blog as President & CEO at Muskoka Algonquin Healthcare before I retire on December 23, 2021. Taking the pen this last time before it is turned to a new writer is bittersweet to say the least. I look back fondly on so many special and meaningful moments, great advances in local health care, and a rewarding career that has been bolstered by the many people who work so hard to ensure we are providing the best patient care.

It has been my distinct privilege to work with so many intelligent, capable, caring and compassionate people who give their all every day to provide outstanding care for their communities. From the front line to the back office, physician colleagues to community partners, health care in a community takes a team – many players working together from many departments and many agencies. Hospital leadership is a tough job no doubt, but it is also so rewarding when you have been as blessed as I have to have led a great team.

During my tenure I have been fortunate to work with six Board Chairs who believed in me and supported me over the years, and countless Directors who volunteered their time and energy to work through both the good times and the more difficult times of financial challenges and future planning.

I am so proud to have championed a strong and effective management team that puts patient- and family-centred care at the forefront of everything they do. Our hospitals have truly evolved as a result of their efforts and leadership.

I am humbled to witness our hospitals benefit from the great work of two hospital foundations and two auxiliaries that have made our organization better through new equipment and technological advances, educational opportunities for staff, and dedicated volunteering.

I am grateful for the hundreds of MAHC staff and credentialed staff who work exceptionally hard and do what they do every day because they believe in what they do and how they can help others. I have always believed in you and I’m so proud of the team you are.

I would be remiss if I didn’t acknowledge my family’s support for the opportunity to spread my wings over Muskoka for the past 11 years and the sacrifices they made while encouraging me along.

What makes it hardest to leave is the people you leave behind.

I always wanted to work in an organization that achieved exemplary status from Accreditation Canada and now I can say that I have. There are more clinical services available to serve our communities today than only 10 years ago when I first started. And I’m so pleased to leave MAHC in a state of improved financial health.

It has been said that success is measured by what others achieve. I thank each and every person in the hospitals, in the community, and beyond Muskoka for the success you have fostered in what MAHC has been able to achieve. It has been my privilege to work in a community that is passionate about their hospitals. Until our paths cross again out and about in the region, take care of yourself and each other.

Yours in health,
Natalie

Thursday, 30 September 2021

COVID-19 Vaccine – An Added Layer of Protection

COVID-19 vaccination efforts continue across Ontario and throughout the world as a significant step forward to fight the COVID-19 virus and to one day ease the impacts of the global pandemic.

The vaccine is not a bulletproof vest against COVID, but is a scientifically-recognized layer of protection in addition to public health measures of masking, physical distancing and frequent handwashing to protect yourself and others.

Hospitals are where some of the most vulnerable patients receive care. In response, the Chief Medical Officer of Health issued Directive 6, mandating hospitals and other high-risk settings to develop and implement a COVID-19 vaccination policy by September 7, 2021.

Muskoka Algonquin Healthcare’s COVID-19 vaccination policy meets the requirements of Directive 6, which requires unvaccinated and partially vaccinated staff and credentialed staff to submit to weekly rapid antigen testing. All team members also continue to wear personal protective equipment and adhere to infection control guidelines to safeguard themselves and patients we care for.

We respect there is a public expectation for health care workers to roll up their sleeves for a vaccine and at MAHC we are actively encouraging staff our team members to get vaccinated. Vaccination is one of the most successful public health strategies to prevent the spread of infectious diseases.

It is important to remember that staff and physicians may not be vaccinated because of medical exemptions or exemptions-based grounds protected by the Ontario Human Rights Code (such as religion). It is not solely based on a personal decision to decline for reasons unrelated to medical or human rights exemptions.

At MAHC, more than 90% of our team is vaccinated and we know that 100% may never be achieved based on the allowed exemptions.

Nevertheless, we encourage the public to get vaccinated to increase a person’s immunity to the virus. While vaccinated people may still contract and transmit COVID, we know it has been scientifically proven that the effects of the virus are minimized.

Your community hospitals continue to work tirelessly to provide the highest quality health care in Muskoka. You too can all do your part to keep them safe by getting vaccinated.

Friday, 23 July 2021

Gearing up for Accreditation 2022 – our ‘Journey to Excellence’


We are on a ‘Journey to Excellence’ as our entire team starts to gear up for Accreditation 2022.

For years, Muskoka Algonquin Healthcare has voluntarily participated in the Accreditation Canada program to constantly improve the quality of care we provide to patients. “Qmentum Accreditation” is tool that ensures we are meeting the best standards of care while also identifying recommendations on how we can improve.

Every four years, independent surveyors with health care expertise complete a multi-day onsite survey to examine all aspects of the health care we deliver – from patient safety and ethics, to staff education and training, governance and partnering with the community. During this survey, both sites are measured against specific Required Organizational Practices (ROPs) associated with close to 2,500 national standards of excellence. An ROP is an essential practice that organizations must have in place to enhance patient safety and minimize risk. They are categorized into eight quality dimensions: accessibility, appropriateness, client-centred services, continuity, efficiency, population focus, safety and worklife; and six patient safety areas, each with its own goal, as follows:

Safety Culture: Create a culture of safety within the organization;

Communication: Promote effective information transfer with clients and team members across the continuum of care;

Medication Use: Ensure the safe use of high-risk medications;

Worklife/Workforce: Create a worklife and physical environment that supports the safe delivery of care and service;

Infection Control: Reduce the risk of health care-associated infections and their impact across the continuum of care; and

Risk Assessment: Identify and mitigate safety risks inherent in the client population.

Preparation for accreditation starts with self-assessments by core teams. The results of individual staff surveys also help to identify any gaps, supporting our preparation for the actual Accreditation Canada survey where surveyors evaluate our compliance with the ROPs and standards that contribute to high quality, safe, and effectively managed care.

To achieve an ‘Accredited’ decision, an organization must meet a minimum of 80% of all criteria, and a minimum of 70% of high-priority criteria and Required Organizational Practices in every standard set.

Our most recent survey in 2018 awarded us the highest possible rating: Accredited with Exemplary Standards, having met 95.8% of the 2,438 standards. Once again we are striving for the top award and to demonstrate we are committed to quality improvement, every day.

Our Accreditation 2022 theme ‘Journey to Excellence’ was chosen from a variety of suggestions generated through a staff naming contest. It is supported by strong branding that plays on our MAHC acronym with imagery of a person actively on the journey.

Year after year, with the accreditation process, we have continued to build on our commitment to work together to provide outstanding integrated health care to our communities and deliver best patient outcomes with exemplary standards and compassion.


MAHC acronym with the C in the shape of a stick person

MAHC's Accreditation 2022 logo