1. January 6, 2005Clinical Restructuring Plan Clinical Restructuring Plan Leadership Update January 6, 2005

2. January 6, 2005Clinical Restructuring Plan Overview What’s been happening in December What to anticipate in January/February Staging M1 moves ER/UCC Plans M1 Communication Plan

3. January 6, 2005Clinical Restructuring Plan What’s Been Happening Staffing update: 154 SJHC staff transferring in first ½ of 2005 (64%) Still waiting to hear from 77 SJHC staff ~ 75 SSC union staff transferring to UC in April 2005 Recruitment SJHC recruiting Resource RN positions LHSC recruiting 90 – 100 RNs LHSC recruiting PSA, unit clerk & Tech positions Surplus LHSC not expecting to see surplus based on what we know today Surplus staff likely at SJHC related to the General Surgery Partial Program Transfer A few SJHC staff are exploring bumping opportunities as a result of electing not to transfer to LHSC

4. January 6, 2005Clinical Restructuring Plan What’s Been Happening Staging the M1 moves Preliminary consultation and critical path development Learning from experience in other jurisdictions

5. January 6, 2005Clinical Restructuring Plan

6. January 6, 2005Clinical Restructuring Plan Plan for January Formulate detailed staging plans for each move Align recruitment, orientation and training schedules Align EPR schedule Determine clinical utilization targets pre and post transfer Identify open/close dates and times Develop detailed logistical plans Prepare for ER move in February Implement next phase of Communication Plan

7. January 6, 2005Clinical Restructuring Plan Staging Process Initial consultation with clinical directors, surgeons Next steps: Consider Human resources plans and capability (recruitment, training, staffing) Clinical utilization capability Proceed to formulate detailed critical path Present draft plan to Leadership mid January

8. January 6, 2005Clinical Restructuring Plan ER: What to Expect ER closure at SJHC February 15 th LHSC prepared to receive additional patients UC opening 3 rd Pod SSC opening satellite unit UCC opens at SJHC February 16 th at 0800 SJHC Access at Night - February 16 th Patient Transport – in and out of SJH Comprehensive communication strategy proceeding targeted at both internal and external stakeholders and public at large

9. January 6, 2005Clinical Restructuring Plan Communication Plan January – Information Sharing Staff forums – Milestone I vision of LHSC/SJHC presentation, Vision Newsletter distributed, displays Meetings with LHSC/SJHC leadership, staff & physicians – Presentations of ER Communication Plan Engaging media reps, City of London, hospital partners – Overview of MI, Presentation of ER Communication Plan, share advertising campaign creative

10. January 6, 2005Clinical Restructuring Plan Communication Plan February – Implementation Launch of ER Communication Strategy (7 days prior to Feb. 15) – Countdown to change, advertising, web site, information line, media features Conduct research to gage penetration of market – Tool to help guide our communication Key Principle: Getting patients to the right place for the right care delivery Key Driver: Maintaining patient saftey Update newsletter – Information on MI planning, program transfer, sequencing updates, successes to date

11. January 6, 2005Clinical Restructuring Plan Communication Plan We need your help to communicate the upcoming changes to our staff & physicians. To request a presentation on the ER communication strategy at your next staff meeting, please contact: James Bullbrook, Communication Consultant, at ext. 75532 or, Eva Kohout, Communication Consultant, at ext. 77622 Please help us to keep everyone informed!

12. January 6, 2005Clinical Restructuring Plan Questions???