Tuesday, March 28, 2017

---SO ARE OUR TAX DOLLARS BEING WELL SPENT?-----Arnold Kilby added 2 new photos. 1 hr · Apparently the Ontario Patient Ombudsman’s Office cannot deal with any issues of care by either nurses and/or the surgeon as these should be address by their respective Colleges. What a farce! And apparently, the hospital has no responsibility to ensure their patients received the appropriate care by their employees and/or the surgeons/doctors who have been granted hospital/surgical privileges. Again, what a farce!---Arnold Kilby PLEASE SHARE TO AS MANY FACEBOOK USERS AS POSSIBLE.--------NOW WHAT THE PATIENT OMBUDSMAN CAN DO! 8. Patient meal should not be removed without patient knowledge or prior to ensuring that patient doesn’t want it.--- Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes.----Humber River Hospital not responsible to ensure this is done. Changes needed in Ontario’s Health Care Act. 10. Ensure proper discharge papers given to patient including a brief description of the operation and instructions Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes. 17. Ensure doctors are aware of the fact that it takes 24 hours before a change of diet occurs. Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes. 18. Investigate the effectiveness of the Hospital’s Patient Representative System and Part 2-- to recommend that Patient Safety Representatives be employed, paid by and be responsible to the Ministry of Health and Long Term Care. Then, they would not be in a conflicting position trying to represent patients’ or families’ concerns versus their obligations towards & pressure from the hospital. Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes. Second part = Apparently not in the Patient Ombudsman’s investigative mandate Humber River Hospital not responsible to ensure this is done. Changes needed in Ontario’s Health Care Act. 19. Encourage and recommend that correspondence from the hospital to patients or to the family of patients who have died be done so in a timely manner and the hospital take the initiative and not leave it to the grieving family. Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes. 23. To bring to a satisfactory conclusion a frustrating, and at times disrespectful, treatment, and a lengthy period of time trying to find answers and thus help the family’s grieving process. Outcome of discussion on Jan 11 This can be investigated. And especially with regard to the internal death investigation withheld by HRH and not allowing Mr. Kilby to obtain a copy. — Cannot enact changes.-------

Arnold Kilby added 2 new photos.
1 hr · 
Apparently the Ontario Patient Ombudsman’s Office cannot deal with any issues of care by either nurses and/or the surgeon as these should be address by their respective Colleges. What a farce!
And apparently, the hospital has no responsibility to ensure their patients received the appropriate care by their employees and/or the surgeons/doctors who have been granted hospital/surgical privileges. Again, what a farce!
THE INVESTIGATIVE FINDINGS ARE NOT MADE PUBLIC!
SO REALLY HOW EFFECTIVE CAN THIS NEWLY CREATED INSTITUTION BE WITH REGARD TO IMPROVING PATIENT SAFETY AND ADDRESSING CONCERNS PRESENTED TO THEM BY ONTARIO CITIZENS? They are not independent and autonomous but under the Ministry of Health.
AK Recommendations/goals from 2 emails sent on Oct 6, 2016—compiled by the Patient Ombudsman Investigator
ALL OFTHE FOLLOWING CAN NOT BE INVESTIGATED. TO SEE WHAT THEY CAN DO SCROLL MUCH FURTHER DOWN.
Outcome of discussion on Jan 11 Apparently not in the Patient Ombudsman’s investigative mandate---Humber River Hospital not responsible to ensure this is done. Changes needed in Ontario’s Health Care Act.
1. Doctor in charge must see patient on day of discharge
2. Doctor to provide adequate visitation time, start and end time to be recorded on patient’s chart
3. Doctor’s surgery schedule should not be too busy to curtail adequate post-operative care i.e. visit time with patient
4. Doctor should review nurses notes to chart and results of lab tests, sign off with date and time reviewed---Consider other patient needs (i.e. nutritional)in view of this information
5. Doctor to ensure that patient with colon resection surgery pass solid stools 2-3 times prior to discharge
6. Patient with colon resection surgery should stay a min of 11 days prior to discharge to ensure no leaking
7. Patient diet progression should include blended diet before regular meals are introduced
9. Doctor’s notes to chart should be detailed enough for others to understand the situation.
11. Ensure that the surgeon/doctor is not overly busy, so time is available for communication between the patient's nurses and the patient's doctor.
12. Ensure that a member of the family is present when the surgeon/doctor speaks to the patient about the patient's personal care.
13. Ensure that a surgeon's/doctor's visit to the patient occurs when the patient is awake so that the patient can communicate to the doctor.
15. Encourage and recommend that the Canadian Patient Safety Institute document entitled "Disclosure of Adverse Affects" is in use by the hospital.
16. Recommend Bill 89 be made law to allow an Ontario Ombudsman to step in to assist families of patients who have been unable to have easy, transparent communication with hospitals and other medical facilities and health care professionals.
20. Ensure steps are made to educate the cleaning staff to which patients' toilets are not to be flushed until the nurse has check the bowel or bladder movement.
21. To investigate all aspects of Terra Dawn Kilby’s surgery and post-operative care by all who were responsible for her overall well being during her hospital stay
22. To establish an inquiry, so that its findings and recommendations would be a precedent for future patient care inquiries/investigations so that Health Care Institutions will learn from it and avoid similar situations
24. To improve overall transparency within the health care system. This would in turn improve Ontario citizens’ confidence and restore their faith, especially in post-operative care.
25. To remind the professionals engaged in health care of their prime responsibility, which is to their patients.
26. To allow other members of the public to see that their concerns, which may have never been address before, for a variety of reasons, have now been brought forth.
27. To allow members of the public to be better aware of patient rights and family rights prior to hospitalization and what should be expected from their health care providers during hospitalization.
28. To improve Humber River Regional Hospital's patient care by having them assess their policies, practices and procedures and improve upon them when it comes to the overall care of patients from the day of admission, throughout their hospitalization to their discharge from hospital
BUT may question what procedures were in place at the time and what changes may have taken place since Terra’s death—Cannot enact changes.
29. To discover any other inadequacies, inefficiencies, deficiencies etc., with respect to patient care and improve patient/doctor/hospital/family interactions.
30. To provide a "Wake-Up" call to HRRH with regard to their overall practices, procedures and treatment of patients and their families.
31. To encourage the implementation of the Canadian Patient Safety Institute’s “National Guidelines For The Disclosure of Adverse Events”
32. To speak for Terra to protect the living.
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NOW WHAT THE PATIENT OMBUDSMAN CAN DO!
8. Patient meal should not be removed without patient knowledge or prior to ensuring that patient doesn’t want it.---
Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes.----Humber River Hospital not responsible to ensure this is done. Changes needed in Ontario’s Health Care Act.
10. Ensure proper discharge papers given to patient including a brief description of the operation and instructions
Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes.
17. Ensure doctors are aware of the fact that it takes 24 hours before a change of diet occurs.
Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes.
18. Investigate the effectiveness of the Hospital’s Patient Representative System and Part 2-- to recommend that Patient Safety Representatives be employed, paid by and be responsible to the Ministry of Health and Long Term Care. Then, they would not be in a conflicting position trying to represent patients’ or families’ concerns versus their obligations towards & pressure from the hospital.
Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes.
Second part = Apparently not in the Patient Ombudsman’s investigative mandate
Humber River Hospital not responsible to ensure this is done. Changes needed in Ontario’s Health Care Act.
19. Encourage and recommend that correspondence from the hospital to patients or to the family of patients who have died be done so in a timely manner and the hospital take the initiative and not leave it to the grieving family.
Outcome of discussion on Jan 11 This can be investigated. —Cannot enact changes.
23. To bring to a satisfactory conclusion a frustrating, and at times disrespectful, treatment, and a lengthy period of time trying to find answers and thus help the family’s grieving process.
Outcome of discussion on Jan 11 This can be investigated.
And especially with regard to the internal death investigation withheld by HRH and not allowing Mr. Kilby to obtain a copy. — Cannot enact changes.

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SO ARE OUR TAX DOLLARS BEING WELL SPENT?
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Arnold Kilby
Arnold Kilby PLEASE SHARE TO AS MANY FACEBOOK USERS AS POSSIBLE.
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Julie Ali
Julie Ali This is a true life case of the fact that the government does not work in the public interest.

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