Transcript: Hospitals of the Future | Jan 31, 2018

Jeyan Jeganathan stands in the set of "The Agenda."

Jeyan is in his thirties, with short curly brown hair and a stubble. He wears a gray blue suit, a white shirt and a silver blue tie.

He says NORTH YORK'S HUMBER
RIVER HOSPITAL IS PRIME EXAMPLE
OF HOW TECHNOLOGY IS SHAPING
HEALTHCARE.
THE FULLY DIGITAL HOSPITAL
RECENTLY BUILT A COMMAND CENTRE
WHICH WORKS LIKE AIR TRAFFIC
CONTROL - KEEPING ONE OF THE
PROVINCE'S BUSIEST HOSPITALS
MOVING.

A slate appears with the caption "Ontario Hubs."

(music plays)

Jeyan says THIS IS HUMBER RIVER HOSPITAL'S
COMMAND CENTRE.

A woman in her forties says IF YOU THINK YOU'RE IN NASA,
YOU ARE.
IT'S BASED ON MISSION CONTROL.

A woman on the phone says THE ADMISSION WILL BE 8:26.

Jeyan says IT'S THE
FIRST OF ITS KIND IN CANADA AND
IT'S HELPING REDUCE WAIT TIMES
IN ONE OF THE BUSIEST HOSPITALS
IN THE PROVINCE.
SITUATED IN HUMBER RIVER
HOSPITAL, STAFF USE 22 MONITORS
TO FOLLOW PATIENTS FROM THE TIME
THEY COME IN TO THE TIME THEY'RE
DISCHARGED.

A woman with long straight brown hair says WE HAVE THE WHOLE PICTURE
HERE VIA ONE LENS.

Jeyan says THE 4500
SQUARE FOOT COMMAND CENTRE IS
MONITORED AROUND THE CLOCK AND
STAFFED BY TEAMS FROM THE
HOSPITAL'S VARIOUS DEPARTMENTS,
FROM THE EMERGENCY ROOM TO THE
CLEANING STAFF.
THE MONITORS GIVE THEM
UP-TO-THE-MINUTE INFORMATION ON
WHEN A BED IS AVAILABLE, WHAT
TYPE OF TESTS PATIENTS ARE
WAITING FOR, AND WHAT ROOMS NEED
TO BE CLEANED.

A caption reads "Susan Tory. Medical director, Command Centre."

Susan is in her thirties, with long straight brown hair. She wears a black top, a black blazer and a couple of gold necklaces.

She says HOSPITALS ARE INCREDIBLY
COMPLEX IN TERMS OF ALL THE
MOVING PARTS AND FEATURES AND,
YOU KNOW, HAVING IT CENTRALIZED
WHERE ALL THE REPRESENTATIVES
FROM EACH AREA ARE NOT SILOED IN
OFFICES SCATTERED AROUND THE
BUILDING BUT HERE IN ONE
CENTRALIZED PLACE.
BUT MORE THAN THAT, IT'S USING
TECHNOLOGY IN A NEW WAY TO HELP
IMPROVE EFFICIENCY AND MONITOR
FOR QUALITY OF CARE WITH OUR
PATIENTS THAT IS WHAT'S SO
INTERESTING ABOUT THIS.

A satellite map shows the location of Humber River Hospital, in Toronto.

Jeyan says HUMBER
RIVER HOSPITAL IS LOCATED IN
TORONTO'S NORTHWEST END AND IS
THE FIRST FULLY DIGITAL HOSPITAL
IN NORTH AMERICA.
WITH 656 BEDS, THE
STATE-OF-THE-ART HOSPITAL SERVES
A COMMUNITY OF MORE THAN 850,000
PEOPLE.
BUT WITHIN MONTHS OF OPENING,
THE HOSPITAL HAD REACHED
CAPACITY.
THE IDEA OF A CENTRALIZED
COMMAND CENTRE WAS BORN SOON
AFTER IN HOPES OF IMPROVING THE
FLOW OF PATIENTS.

The caption changes to "Jane Casey. Director, Command Centre."

Jane is in her forties, with shoulder length straight brown hair in a side part and wears a white top, a black blazer and a necklace.

She stands next to an information board and says SO EACH OF THESE PICTURES
TELLS ME WHAT NEEDS TO HAPPEN
WITH THE PATIENT BEFORE THEY CAN
GO HOME.
SO THIS PATIENT NEEDS OXYGEN.
AND SO WE KNOW THAT WE NEED TO
MAKE SURE THAT THAT OXYGEN IS
SET UP SO THAT THEY CAN GO HOME.
HERE WE ARE IN 2018 AND WE'RE
OVER CAPACITY.
AND SO OUR EXPECTATION IS THAT,
WITH ALL THIS TECHNOLOGY AND
THIS CHANGE THAT WE'LL HAVE 40
ADDITIONAL BEDS AVAILABLE FOR
OUR PATIENTS TO COME.

The caption changes to "Paula Mcfee-Grant. Clinical Expediter, Command Centre."

Paula is in her thirties, with long straight brown hair and wears an orange and blue top and a black blazer.

On the phone she says DO YOU HAVE A BOOK-IN TIME
FOR 12:43.

Jeyan says PAULA
McFEE-GRANT IS THE EXPEDITER.
HER JOB IS TO MAKE SURE THE FLOW
OF PATIENTS IN AND OUT OF THE
HOSPITAL GOES AS SMOOTHLY AS
POSSIBLE.
ALERTS LET HER KNOW WHEN A
PATIENT IS WAITING LONGER THAN
TWO HOURS FOR TREATMENT.
AND WITH A SIMPLE CALL TO A
NURSE, EVERYTHING IS SET IN
MOTION.

Paula says I HAVE A PATIENT THAT IS FOR
DISCHARGE TODAY.
HOWEVER, THEY HAVE AN MRI TO BE
DONE.
AND AFTER MRI, REASSESSMENT,
THAT PATIENT LIKELY WILL BE
GOING HOME.
SO I'LL TOUCH BASE WITH MY
DIAGNOSTIC IMAGING COORDINATOR
AND I SAY, HEY, I HAVE MR. SO
AND SO ON THIS SPECIFIC UNIT.
CAN YOU LOOK ON THIS ONE AND TRY
TO GET THIS PATIENT DONE AS SOON
AS POSSIBLE?

Susan says ONE OF THE AREAS THAT HAS
BEEN NOTABLY DIFFERENT HAS BEEN
WITH MEDICAL IMAGING OR GETTING
SCANS DONE FOR A PATIENT.
SO PREVIOUSLY, BEFORE THE
COMMAND CENTRE EXISTED, IT WAS
VERY CONFUSING FOR A DOCTOR TO
HAVE TO CALL AROUND TO DIFFERENT
EXTENSIONS TO TRY AND FIND WHO
THEY CAN SPEAK TO TO ADVOCATE,
TO GET SOMETHING DONE SOONER,
BUT IT'S FAR MORE STREAMLINED
NOW, HAVING THE PEOPLE THAT YOU
NEED WHO HELP THE DIFFERENT
OPERATING CAPACITIES WITHIN THE
HOSPITAL IN ONE ROOM WORKING
SIDE BY SIDE.

Jeyan says AS A
RESULT, THE HOSPITAL HAS BEEN
ABLE TO MOVE TESTS AND
PROCEDURES UP BY DAYS.
AND WITH UP-TO-THE-MINUTE
INFORMATION, THEY'RE ABLE TO
PINPOINT THE BIGGEST
BOTTLENECKS.

Jane says IT'S HOUSEKEEPING, IT'S
PORTERING.
THAT WOULD BE THE BIGGEST BACKUP
THAT WE HAVE.
THE HOUSEKEEPER HAS ONE OF THESE
PHONES.
WHAT THEY WOULD DO IS THEY WOULD
JUST WALK INTO THE ROOM AND THEY
WOULD PRESS THE BUTTON,
ACKNOWLEDGING THAT I'M IN THE
ROOM CLEANING.
AND THEN AS SOON AS THE ROOM'S
CLEANED, IT WOULD GO ON A BOARD
WITH AN ALERT TO THE NURSE
SAYING, "ROOM CLEAN."

Jeyan says THE
HOSPITAL IS AT THE FOREFRONT OF
INCORPORATING TECHNOLOGY INTO
PATIENT CARE AND HOPES TO GO A
STEP FURTHER.
IT PLANS ON USING A HOME
MONITORING SYSTEM IN THE FUTURE
SO THEY CAN OBSERVE A PATIENT
REMOTELY FROM THE COMMAND
CENTRE.

Jane says YOU COULD BE IN THE HOSPITAL
FOR TWO DAYS WHERE YOU'RE
GETTING ACUTE CARE.
AND THEN YOU'RE AT HOME.
AND WE HAVE STAFF THAT ARE
MONITORING YOUR VITAL SIGNS,
YOUR WEIGHT, YOUR OXYGEN
SATURATION, AND WE'RE CALLING
YOU AND WE'RE SAYING, "HOW ARE
YOU DOING?"

Jeyan says WITH
DIGITAL ADVANCES LIKE THE
COMMAND CENTRE, HUMBER RIVER
HOSPITAL EXPECTS A 20 percent INCREASE
IN EFFICIENCY, AND ITS SUCCESS
COULD SHAPE THE FUTURE OF
HOSPITAL CARE THROUGHOUT THE
PROVINCE.

(music plays)

The end credits roll.

Ontario Hubs Field Producer, Jeyan Jeganathan. @JeyanTVO.

Editor, David Erwin.

A slate appears with the caption "Ontario Hubs are made possible by: The Barry and Laurie Green Family Charitable Trust and Goldie Feldman."

Watch: Hospitals of the Future