A message from Dr. David Matear, chief executive officer, Interlake-Eastern RHA
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Winter 2021 Click to subscribe A message from Dr. David Matear, chief executive officer, Interlake-Eastern RHA We’ve recently received media coverage about our need to transfer hospital patients to appropriate care elsewhere within the health system. As of November, every patient admitted to a hospital in Interlake-Eastern RHA is advised they will be evaluated as a candidate for transfer to appropriate care. Transfer will occur if care teams determine that a patient no longer requires hospital care, if we’ve been unable to align care they require with options available in the region and the patient is medically stable for transfer. To date, we have transferred 25 patients to appropriate care outside of the region. I have been asked repeatedly “how can we do this?” While these decisions have always led to difficult conversations with patients and family members, the reason we do this is quite simple. It’s for the voices of patients in the health-care system that we don’t hear. For every hospital bed required by a patient with COVID-19, a bed is removed from the health system for non-COVID patients who require hospital care. The voices of those awaiting care that is postponed or cancelled as a result of bed and/or staff shortages are the ones that we’re not hearing. These include people waiting for hip, knee and heart surgeries. They are keenly aware that waiting for care can significantly affect their mental health and general health outcomes. We also don’t hear the voices of Interlake-Eastern residents who were transported to Winnipeg as a result of a stroke, heart attack or other specialized health-care need not available in region. They are transferred back to hospital care in the region as soon as their recovery allows so that specialized care can be available to the next Manitoban who requires it.
For those people waiting and those who don’t yet know they will need a hospital bed, it is essential that hospital beds remain available to those who need them. Chief executive officers across all regional health authorities in Manitoba have committed to keeping the flow of patients moving in Manitoba. Patient flow is all about matching the right level of care to people’s care needs. This means health-care staff across the province are working together to ensure the care Manitobans need is available to them when they need it. If an Interlake-Eastern RHA patient no longer needs hospital care and if we’re unable to find appropriate care in the region at the time, our care teams are connected with those elsewhere in the province where appropriate care is available. These facilities are primarily in Prairie Mountain Regional Health Authority or Southern Health-Santé Sud. They are staffed but they typically aren’t operating at the same capacity as Interlake-Eastern RHA facilities. People will be returned to appropriate care in the region as it becomes available to them. Indeed, some of the people transferred out of the region have already returned. It is our responsibility as health-care providers to act in the best interests of all Manitobans and to treat everyone equitably and without favoritism. You should expect nothing less from your health-care providers and your health-care system. In this way, and by matching appropriate care to people’s needs, we are doing our best to ensure the care you need will be available when you need it. We need you to do your part by securing your COVID-19 and flu vaccinations and securing your third COVID-19 vaccination as soon as you are eligible. If you have concerns regarding our patient transfer procedure, please use our Tell Us process outlined in this issue. If you’d like to share a comment with me, I’d be interested in hearing from you at CEOstrategy@ierha.ca. Selkirk Regional Health Centre set to expand
From left to right: Dr. Ian Alexander; Dr. Myron Thiessen, regional lead medical services and chief medical officer; Glen West, IERHA board chair; Minister Wayne Ewasko, Lac du Bonnet MLA; Dr. David Matear, IERHA CEO; Dr. Tony Herd, site medical lead for Selkirk Regional Health Centre; Premier Heather Stefanson; Health and Seniors Care Minister Audrey Gordon; Minister Derek Johnson, Interlake-Gimli MLA; and Minister Jeff Wharton, Red River North MLA The Manitoba government is investing $31.6 million to expand the Selkirk Regional Health Centre. This positions the facility to play an increased role in the provincial surgery program while continuing to serve the emergency and urgent care needs of patients in the Interlake- Eastern Regional Health Authority, Premier Heather Stefanson and Health and Seniors Care Minister Audrey Gordon announced on Dec. 3. The $31.6-million investment will fund a significant expansion of the facility, increasing acute care inpatient beds by 30 and enhancing Selkirk’s ability to treat and monitor higher acuity patients. The site will be further established with more specialized services, including surgical and inpatient care. The new beds will allow care to be delivered locally for an increased number of in-patients and a higher volume of surgical and endoscopy patients. Surgeries performed at the site — which include general procedures, gynecology, urology, plastics and endoscopy — will be increased when the renovations are complete. Construction on the project is slated to begin next year. “This new investment in Selkirk Regional Health Centre will allow us to increase the number of people we can care for at any given time and it will allow us to provide regional residents with access to surgical services closer to home,” said Dr. David Matear, CEO of IERHA. “It further establishes the value of this facility over the long-term as our regional hub for health- care service delivery and its integral role in the continuum of hospital-based care across the region and within the province.” Read more. This year, there will be holiday memory trees in facilities, public places and even a virtual option for people to mark the loss of a loved one. Tammie-Lee Rogowski, clinical team manager home care and allied health, says memory trees are a significant way for people to grieve their loved ones. “Throughout the pandemic, we have all
experienced loss and grief to some degree. Some have experienced the death of a loved one and are bereaved. The pandemic has prevented some of us from being able to say goodbye, being physically present at time of death, or being able to honour loved ones through rituals of commemoration and celebration,” says Rogowski. “All of these factors compound grief. Support systems and ways to honour are more important than ever.” This year, Interlake-Eastern RHA’s palliative care program is providing a number of ways to honour people who have passed away. Submit a virtual memory tree submission here. Messages submitted will be posted on the virtual memory tree webpage. Interlake-Eastern RHA facilities will have memory trees for patients and residents to add to. Due to the fourth wave of the pandemic, visitors are not allowed into facilities for the purpose of adding to the memory trees. Read more. This holiday season, everyone can access online mental health support at anytime on www.ierha.ca under “Care in your Community” and “Mental Health." The RHA also has a 24- hour crisis line at 1-866-427-8628. Here are a few more grief resources to check out: MyGrief.ca What's your grief? Centre for Addiction and Mental Health Welcome aboard to our new doctors!
Dr. Klayton Kaleta is a second-year Dr. Eason Wu is a second-year residency student. residency student. Welcome aboard to physicians who joined Interlake-Eastern RHA this year! Please note not all of physicians listed are accepting new patients. If you are seeking a primary health care provider, please contact Family Doctor Finder: Toll-free at 1-866-690-8260; TTY/TDD call 774-8618 or Manitoba Relay Services toll-free 1-800-855-0511. Ashern Dr. Mollie Atainyang, family practice/ER Dr. Tarwinder Chumber, family practice/ER Beausejour Dr. Jacqueline Hebert, family practice/ER/obstetrics (leaving December 2021) Eriksdale Dr. Jade Young, family practice/ER Gimli Dr. Hartley Krulicki, physical medicine and rehab Lac du Bonnet Dr. Cody Clovechok, family practice/ER Oakbank Dr. Jacqueline Hebert, family practice/ER/obstetrics (starting January 2022) Pine Falls Dr. Autherine Kerr-Ramsay, family practice/ER (Sagkeeng Health Centre) Dr. Vivian Gendy, family practice/ER Selkirk Dr. James Lytwyn, anesthesia Dr. Oluwafemi Shoewu, family practice/ER Dr. Leanne Van Amstel, radiologist Dr. Nicole Vosters, family practice Dr. Alexandra Wood, family practice Teulon Dr. Costa Danakas, family practice/ER
IERHA Mental Health Program - Regional Dr. Antonio Paletta, psychiatrist We’d also like to welcome University of Manitoba medical residents who are completing their residency at Selkirk Regional Health Centre and Selkirk Medical Clinic. Dr. Anita Gray and Dr. Matthew Genung are first-year residency students, and Dr. Klayton Kaleta and Dr. Eason Wu are second-year residency students. Dr. Anita Gray is a first-year residency Dr. Matthew Genung is a first-year student. residency student. Need a care provider? Click here for the Family Doctor Finder Blue lights: Community demonstrations of thanks Thousands of Manitoba health-care workers continue to show up and answer every call for help. They have done their part and have been treated to the kindness of Manitobans along the way. But as patience with precautions, long wait times and “following the fundamentals” wears thin — and as vaccination becomes an increasingly polarizing topic — health-care workers are too often bearing the brunt. We need our health-care heroes, and we know Manitobans are grateful for their hard work and sacrifice.
It’s our turn to show up for them Manitoba. So let’s show them how we really feel through the Blue Light Campaign. Organizations, businesses and individuals can once again light our province blue for health-care heroes. Join us this December in shining a (blue) light on their effort. As the days get shorter and we turn our lights on earlier (and off later), the simple flick of a switch can be a sign of thanks to a tired health-care worker on their way to or from work. Throughout the month of December, let's recognize the hard work, dedication and compassion of our health-care workers — and all essential workers — who have become the unassuming heroes of the pandemic. Pot lights, porch lights, holidays lights — each is a shining example of our shared gratitude. Flick the switch. Shine a Light. Let’s turn Manitoba Blue. Our Shared Gratitude Share your blue light display and add to the gallery below by sending your photos to communications@sharedhealthmb.ca. Here are a couple more resources: Shine a Blue Light poster Shine a Blue Light safety tips Celebrating our physician assistants We recently celebrated National Physician Assistant Day on Nov. 27, with gratitude for these professionals and their important contributions to health care. Working alongside physicians and other health professionals, physician assistants are having a positive impact on many aspects of health care from emergency room wait times, access to primary care, the quality of seniors care and access to health care in rural communities. Jana Charlo has been a physician assistant for just over a year, mainly working on medicine wards with the hospitalist team at Selkirk hospital. In addition, she works in surgery and assists in the operating room. “In general, physician assistants are medically trained professionals who collaborate with physicians/surgeons and medical teams,” she explained. “We diagnose, prescribe and treat and work in interdisciplinary teams to provide quality patient care.” In IERHA, physician assistants currently work in Beausejour, Selkirk, Teulon and Gimli hospitals. “I really enjoy working in the operating room, as there are new things to learn every day!” she said.
“It’s also been great to work alongside the excellent nursing staff, physicians and support staff here at Selkirk hospital.” Jana identifies most with the Interlake-Eastern Regional Health Authority strategic plan value of collaboration. “I, and physician assistants in general, strive to fill in the gaps. I work alongside my team and try to provide the most efficient and effective patient care,” she said. “Being a team player and collaborating with colleagues is a key role of a physician assistant.” Give your thanks to health-care staff! The holiday season is upon us, and we wish you and your loved ones health, happiness and peace throughout the season and beyond. We don't need a holiday to thank health-care workers, but as 2021 comes to a close, it's the perfect time to reflect on the incredible efforts and contributions of staff this past year. In these challenging times, our health-care teams have risen to the occasion, providing exceptional care for patients and their families. If there’s a health-care professional in your life, you know they could use some love and appreciation, now more than ever. Simply fill out our online form with your messages of gratitude and well wishes for individuals or entire units. We will post them online, and we will send them along so they will know how much you care. You can also share your message on Twitter. If you tag our profile at @IERHA_MB, we will make sure to spread the word! Regional strategic planning update
Interlake-Eastern’s Regional Health Advisory Council met for the first time on Oct. 26. This council along with the six strategic steering committees are new guiding bodies for Interlake- Eastern RHA. They were established to support the advancement and ongoing evaluation of the region's progress in meeting the goals of the strategic plan. The council meeting, chaired by CEO Dr. David Matear, saw the RHA’s senior leadership team and other staff members join with elected municipal representatives and community members to comprise the council. Its purpose is to collaboratively lead the development, implementation and review of the IERHA strategic plan for the health-care delivery system in the Interlake-Eastern Region. To orient participants, David walked through the steps that brought the organization to this point starting with the establishment of the strategic planning working group in April this year. Clinical change lead Jeremy Buchner and implementation lead for the clinical and preventive services plan, Jo-Ann Welham, discussed the provincial clinical network and efforts to deliver more services locally. They highlighted home and community care modernization as well as targeted practice improvement, meaning finding and fixing the clinical areas where we must improve the quality of care and patient outcomes. Council members were then updated on the creation of the six strategic steering committees’ progress. In November, the region hosted its first annual review of the strategic plan. More than 50 representatives from communities, staff and the health system transformation office attended the virtual meeting, along with IERHA board members. The annual review provides an opportunity to highlight successes, and identify the barriers encountered in rolling out priorities. Each of the six strategic steering committees presented on the steps they identified to achieve each of the region’s six strategic goals. “We barely got started and it’s great to see all of the work we are getting done. We all know how important health care is in this province and we know change is needed – we are on the right path to making those changes to improve health care service delivery to the residents of this region,” said Glen West, chair, Interlake-Eastern RHA's board of directors.
Next November, the progress reports will be more fulsome, with data showing progress "This was an excellent first meeting, as evidenced by participants who, when polled, identified the meeting was a good investment of their time," David said. "We do have objectives we need to address as part of the plan. These objectives are included in our balanced scorecard, and they have metrics associated with them so we can quantify our success. We look forward to the next annual review in November 2022." Linking the regional plan with provincial priorities The clinical and preventive services plan (CPSP) is Manitoba’s first plan to guide the delivery of health care across the province. Its goals are to reconfigure all health services in a provincial context, lead in equitable care and innovate care delivery. Interlake-Eastern RHA and its community partners worked to proactively align its five-year strategic plan with the CPSP as well as the goals of health system transformation that include: improving access; improving health service experience; improving safety; and maintaining a sustainable system. Boost your spirits this holiday season The holidays can be a rollercoaster of emotions combined with a whirlwind of obligations and traditions. Mental Health Commission of Canada offers a few tips to give back — or reach out — this holiday season.
1. Manage expectations — Take the time to consider what your capacity is before making commitments, regardless of what you’ve done in years past. 2. Get creative about giving back — Activities like volunteering, especially when done for altruistic reasons, can be a great way to boost your mental and physical health. And don’t discount small actions since giving back doesn’t have to involve a major time commitment or hefty price tag. Small acts of kindness can yield big results, especially at the end of a difficult year. 3. Reach out and accept help — There’s no shame in being on the receiving end of someone else’s kindness, even if you’re not up to giving. Just as you can’t pour from an empty cup, you can’t give to others when you’re feeling depleted. Don’t hesitate to ask for the help you need, when you need it. 4. Set boundaries — Clear boundaries can protect your mental wellness. Let those who may be expecting things from you know where you’re drawing the line this year. 5. Monitor your mental health — Take the pulse of your mental well-being periodically. While it’s normal to experience emotional peaks and valleys during times of uncertainty, it’s also important to check in regularly to ensure you’re getting the support you need. Read more. Click here to learn about mental health resources in our region. IERHA 24-Hour Crisis Line Klinic Crisis Line Kids Help Line 1-866-427-8628 1-888-322-3019 1-800-668-6868 204-482-5419 204-786-8686 www.kidshelphone.ca Website revamp underway We are working to make our website more user-friendly and easier for you to find the info you’re looking for. Please take this three-minute survey to provide your feedback about our website. The survey can be accessed here . Paramedics receive St. John Ambulance Award
Congratulations to Arborg-based paramedics Kim Dubek and Brayden Harder for being recognized with a prestigious St. John Ambulance Gold Life-saving Award. They received their award at the St. John Ambulance’s Investiture and Lifesaving Award ceremony on Oct. 19 at Government House. Lt.-Gov. Janice Filmon wasn’t able to attend the ceremony, so the Honourable Gary Filmon presented the award in her absence. In the spring, Kim and Brayden acted quickly when they noticed smoke in the Poplarfield area. They discovered a grass fire had encroached on a yard and house. The full ceremony, which was live-streamed by Red Rover Entertainment, can be on the St. John Ambulance Manitoba Facebook page. Read the full good news story here. Paramedics Kim Dubek and Brayden Harder with their life-saving awards. Meet our board of directors! Introducing Interlake-Eastern RHA's 2021 board of directors! Click here to read their profiles. Glen West (Selkirk) - Chair Judith Cameron (Gimli) Ruth Ann Furgala (Riverton) - Vice-chair Keith Poulson (Winnipeg) David Oakley (Teulon) - Treasurer Penny-Anne Wainwright (Eriksdale) Michele Polinuk (Selkirk) - Secretary Lynette McDonald (Selkirk) Charlene Rocke (Winnipeg) Debbie Fiebelkorn (East Selkirk) Amanda Stevenson (Lundar) Congrats to Chair's Award winners! Board chair Glen West recently announced the winners of this year's Chair's Awards for Excellence in Customer Service.
These awards provide the board of directors with an opportunity to publicly recognize staff members who consistently go above and beyond in their interactions with our clients and with fellow staff members to reflect the region's "person-first" approach to care delivery. With 15 outstanding nominations, it was a tall task to narrow it down to five recipients. "Thank you to this year’s winners, nominators and nominees," Glen said. "Your approach to your work and how you interact with others is an inspiration to us all." Cassandra Hnatishin and Drew Peacock Cassandra Hnatishin and Drew Peacock are part of the primary care team in Powerview- Pine Falls. They also provide outreach in Seymourville and Grand Marais. Cassandra is a nurse practitioner who has been with IERHA for just over a year and Drew has been working with us for over five years providing clerical support. Cassandra was nominated by Melissa Fuerst, who is clinical team manager in our primary care program, and Drew was nominated by regional co-ordinator of primary care, Shirley Murray. They went over and above the call of duty when they checked on their patient who didn't show up for an appointment at a clinic. During their lunch break, they went to this person's house and heard a voice calling for help. Drew called the RCMP, who advised it was OK for them to enter the house. They found the person lying on the floor where they had fallen a few days earlier. Cassandra cared for the individual while Drew called 911 for an ambulance. They stayed with the patient until EMS arrived. Brittany Klassen Brittany Klassen is an LPN in Stonewall and District Health Centre, and she has been with IERHA for about six years. Her coworker Lisa Taplin, a registered nurse, nominated Brittany for her exemplary skills, kind manner and hard work. Lisa says Brittany leads by example and goes the extra mile, even foregoing her breaks because she's promised a patient an extra walk in the hall or she'll stay late to comfort a grieving family. Devon Ungurain Devon Ungurain is one of two FASD diagnostic co-ordinators in the region, and she's held this position for 11 years. She works in partnership with the Manitoba FASD Centre, screening referrals of children and youth to ensure diagnostic criteria are met. She also provides support and information to families on the journey through FASD assessment. She was nominated by Kristy Magnusson, an FASD key worker in the public health program, for her dedication and compassion, particularly when welcoming residents from northern fly-in communities.
Kate Hodgson Kate Hodgson is director of acute care at Selkirk Regional Health Centre. She was nominated by Victoria Wilgosh, the clinical team manager of surgery and the family birthing unit at the health centre. Victoria says Kate has been paramount in keeping all patients and staff safe during the pandemic. She always reverts back to core values of being family- and patient-centred . RRC Polytech blends deep, knowledge-based learning with applied, hands-on experience, while also highlighting the important role graduates play in supporting the Interlake and Peguis-Fisher River communities. Here are a couple opportunities at RRC Polytech: Business Information Technology Full-time (28-month) diploma program Prepares graduates to work in careers such as team leader, project manager and senior programmer/analyst Starts Jan. 4, 2022 Online for full duration of program Learn more about the program Health-Care Aide Full-time (20-week) certificate program Prepares graduates to work as health care aides in hospitals, care homes and agencies Starts Jan. 24, 2022 Selkirk and Arborg Learn more about the program Holiday hours
Holiday and celebration information Manitobans continue to have a significant role to play in working together to support public health measures and reduce the spread of COVID-19. Learn how to enjoy holidays and celebrate while reducing the potential spread of COVID-19. Read more. Omicron variant Public health is reporting that the B.1.1.529 (omicron) variant has been detected in Manitoba and they are conducting aggressive case and contact management. If additional public health risks are assessed and it is deemed necessary to protect the health of others, more information will be released. Read more. Travel restrictions Federal travel restrictions and measures can be found here. Vaccinations Eligibility for first and second doses of the COVID-19 vaccine includes anyone ages five or older. Anyone aged 60 or older or those aged 18 or older who live in a First Nations community who received their second dose on or before July 10 are now strongly encouraged to receive their
third dose. A six-month timeframe between second and third doses continues to be recommended for most other eligible Manitobans. Read more. We have vaccine clinics in our region for five-year-olds and older listed on our website. Here is a vaccine Q&A sheet for kids and vaccine tips for parents and caregivers . Consider applying for a job with IERHA! Do you know someone who might be interested in working in a housekeeping or dietary position? We've got plenty of job postings right now across the region in Interlake-Eastern RHA's support services, including casual, part-time and full-time opportunities. We're also hiring for homecare attendants and uncertified recreation facilitators in various communities. To view these job postings, click here.
Keep in touch, stay hydrated and get your flu shot! To protect yourself as well as those around you from getting influenza (the flu), Manitoba Health and Seniors Care is encouraging all Manitobans to get their free seasonal influenza (flu) vaccine in the early fall and every fall. Updated information and resources for the 2021-22 season will be posted as they are available. An annual flu vaccine is especially important for those at increased risk of serious illness from the flu, their caregivers and close contacts. Manitobans six months of age and older who are registered with Manitoba Health and Seniors Care are eligible for the influenza vaccine free-of-charge. Manitobans over the age of 65 should also get a pneumococcal (Pneu-P-23) vaccine at the same time as the flu vaccine. Both the flu and the Pneu-P-23 vaccine are offered at no charge for people aged 65 and older as well as to some people two years of age and older who are at increased risk of pneumococcal infection. For more information, click here. Stay tuned for more information about upcoming community flu clinics or go to the Manitoba Flu Shot Finder where you can search locations that offer the flu vaccine in your area. For a list of vaccine clinics in our region for five-year-olds and up, visit our website. Season’s greetings to you Joyeuses fêtes de fin and your family! d’année à vous et à votre famille! On behalf of the board of directors, we’d like to wish Au nom du conseil you the very best during this d’administration, nous festive time. It’s now our désirons vous exprimer nos second holiday season meilleurs vœux durant ce during the pandemic, and we deuxième temps des fêtes hope you can find ways to placé sous le signe de la safely celebrate with your pandémie. Nous espérons loved ones. que vous trouverez des façons de célébrer en toute Glen West As we approach the end of sécurité en compagnie de 2021, we send the warmest Chair of Interlake-Eastern vos proches. wishes for health and RHA's board of directors happiness this holiday Alors que 2021 tire à sa fin,
season and throughout the nous vous souhaitons, du new year! Président, Office régional fond du cœur, la santé et le d’Entre-les-Lacs et de l’Es bonheur pendant les fêtes et tout au long de la nouvelle année! Tell Us! We'd like to hear your compliments and concerns any time of year, not just during the holiday season. At Interlake-Eastern RHA, we are committed to serving you with respect, care and compassion. We are here to listen and respond to your needs. We offer a number of ways to communicate with us: Complete this electronic Feedback Form. Printed forms are also available at all Interlake- Eastern RHA facilities. Compliment or concern? Call us toll free at 1-855-999-4742 General inquiries? Call us toll free at 1-855-347-8500 Thank you very much for your comments and your efforts to make us a better RHA for you and your family. Learn more in our strategic plan
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