The Caesarean Section rate is now reaching the provincial norm with an increase in vaginal deliveries after previous sections. Without our team approach, we could not have accomplished the care of over 13,700 inpatients and 210,000 outpatients during 1992â€"93, and in this area specifically, physicians and employees deserve praise. many improvements without sacrificing quality or safety of patient care. We reduced the average length of stay for inpatient care to 6.41 days. This figure is well within provincial guidelines. By working as a team, we have made Many stress areas exist within our Hospital for our staff. This, in particular, includes the nursing staff in emergency, obstetrics and in the operating room. There is no lessening of care despite pressures exerted on staff. These staff members as well as those who work in diagnostic imaging, physiotherapy, the laboratory and admitting are well deserving of special mention. The team approach is apparent now that construction is fully in evidence. We are presented with the opportunity to sit back and review our medical staff. OTMH now has 160 physicians on active staff and 13 on associate staff who are awaiting promotion to active staff. In addition, we have 114 physicians on courtesy and affiliate staff, as represents a commitment to assuming more responsibility for the "health" of its community. As strange as this may sound, it represents a dramatic shift in emphasis from the traditional mandate of an acute care facility to that of a community health resource. The Hospital is no longer a place just for those who are ill or infirm. By supporting an active health promotion campaign, the Hospital is providing people with the knowledge to stay healthy. Chiet of Staff (Chair): Dr. G. K. Phillips . Deputy Chief of Staff: Dr. S. Manchester Chief, Ophthalmology: Dr. J. Alexander Chief, Psychiatry: Dr. E. Busse . Chief Emergency Services: Dr. L. Martin is quickly moving towards becoming a centre _ break. dedicated to keeping people healthy.This represents a commitment to assuming Oakvilleâ€"TrafaIgar Memorial Hospital (OTMH) Many : In the past, health promotion activities at OTMH have always received an important focus. An employee Wellness Committee has been responsible for planning and organizing numerous health promotion activities ie. fitness classes, nutrition and stress management programs. Numerous patient health promotion activities are undertaken by hospital staff. Some initiatives have included members of the community, ie. Annual Wellness Fair in June. In 1990, the Board of Governors embraced a document entitled "From Visio to Action". The publication, which was produced by the Ontario Premier‘s Council for Health Strategy, provides a blueprint for the building of improved health for the residents of Ontario. To promote its future vision as a health and wellness resource, OTMH established a Vision 2000 Plus committee. This committee set up a health promotion hoc‘ committee with the goal of developing a proposal to expand OTMH from a hospital The Board was so committed to the concept of health promotion that the Mission Statement was modified to reflect this new interest. The following definition of health was adopted: Health is a resource for everyday life to optimize individual capabilities. Report of the Chief of Medical Staff Promoting good health and wellness well as 11 honorary members. Four physicians will receive 25 year service awards this year. This makes a total of 29 physicians at OTMH who have been on staff for 25 years. New physicians are assessed not only on the basis of expertise, but also on their impact on Hospital resources. Stringent fiscal constraints make the addition of new programs such as dialysis, oncology and cardiac angiography too costly. It has been our commitment to provide top grade medical care in all areas except open heart surgery, neurosurgery and oncology. We still ask the Board to supply us with the necessary equipment to diagnose all diseases, even though transfer to a tertiary care centre may be required for some patients. OTMH looks forward to the opportunity to developing a community long term care program. Our goal will continue to be directed towards being the best hospital within our peer group. Our sincere appreciation is extended towards various chiefs of staff and to Dr. Stewart Manchester, our Deputy Chief of Staff. EDICAL ADVISORY COMMITTEE 1992â€"1993 Chief, Paediatrics: Dr. J. Krejcova Chief, Laboratory: Dr. P. Garrod Chief, Anaesthesia: Dr. C. Hindmarsh Chief, Diagnostic Imaging: Dr. J. Kyes Chief, Surgery: Dr. M. Gatoor _ Chiet, Family Medicine: Dr. L. Martm In early 1993, a Board subâ€"committee, with both hospital and community representatives, was struck to develop and implement a long term plan for health promotion for the Hospital. Anna Hobbs, member of the Board, was appointed as chairman. Lorraine Farrow, Coordinator of the Home Emergency Lifeline Program, was seconded as Health Promotion Coordinator to assist with this process. to a community health resource by 1995. In the Fall of 1992 a document entitled "Health Promotion at OTMH" was approved by the Board. It provided a strategy for the future. To assist with planning future programs, an inventory of existing health promotion activities within G. Keith Phillips, M.D. Chief of Medical Staff iVJOe-Presudent Medncai sgaï¬:.g_ M'Gafoor"v' 3. Secretaryâ€"Treasurer, Medical Staff: Dr. D. Over the Hospital and the community was developed. Many possible future directions were identified. For example, "we learned was that there wasn‘t one place where the general public could go to collect information on health promotion activities within the community," said Mrs. Farrow. "Basic, userâ€"friendly, written literature that deals with health promotion is available in many locations but a central resource is lacking." The committee will continue to narrow its focus on possible future directions for health promotion initiatives for staff, patients and the community.