We met and interviewed Walter Rojenko at our National Forum for Patient Experience. Walter is Executive Director of Service Excellence for William Osler, two hospitals ‘ramped’ in Etobicoke of about 900 beds, about a million touch-points of patients, and probably the busiest emergency department in Canada, numbering about 180,000 visits a year! They also deliver the most babies in Canada, about 8,000 delivered between Brampton and Etobicoke.
As if this wasn’t enough Walter and his colleagues are building Peel Memorial a third site, which will be health wellness ambulatory to meet the needs of their diverse community. They’ve received a number of awards and documentaries have been made about how they’re infusing diversity in their care as well as recent articles in the Globe and Mail about their unique approach to the needs of their community.
Strategy Institute: Would you mind telling us a little about your role and your approach to patient experience?
Walter: My portfolio is pretty cool because I have patient relations, I have a post-discharge call centre, so we call our patients two days after discharge, I have the volunteers and I have diversity and equity services. What’s core is happy employees, happy patients, happy families, happy outcomes, that’s where I come from, from that notion. It’s all around staff satisfaction, physician satisfaction, volunteer satisfaction, and patient satisfaction. So, how do we get everybody engaged and partnering with each other to deliver the best outcomes possible?
Strategy Institute: Because you’re working with so many facilities I can’t even ask what the main challenge is about because I’d imagine it is the scale? Or is that ‘bind’, is it that culture shift? What do you think?
Walter: Well, we have Etobicoke, it’s been around about 41 years now, so you have that cultural shift of, “Oh, geez, we’re kind of old, but we’re doing a lot of redevelopment, we’re going to build a new building, which will be finished by 2018…” So, they have this maturity and a notion of ‘return to glory’, right?
And then you have Brampton, which is very infantile. It’s about 7 years old as a hospital, 6-7 years old, and trying to get its identity, and at 1.3 million square feet it’s a huge hospital so how do you make it warm, cuddly, and build its identity?
This Peel Memorial, which is the new site, is 82 years old, so it had identity, it had that notion of pedigree, the respect, the dignity that was built from people and it was built from a memorial, right, so it was very mature.
So when you look at our system of sites, it’s very multi-generational we have one who was starting and one who is older and now we’re going to be starting again with Peel Memorial and evolving within all that. So, our system is really linked on traditional value and beliefs but we’ve got to be modern thinking because we’ve got to evolve, within these patients and families going forward, and merging and forging those relationships with the community which is there.
Strategy Institute: Absolutely! And we’ve heard a lot about that cultural shift here today and about factors that physician buy-in to, are these all things that you’re dealing with at your hospital?
Walter: For sure, it’s all pretty universal, I think how we approach it is probably more interesting and I think we all know the ‘what’. Our tool box, we probably have a hundred tools in there, it’s the ‘how’. And it’s the how that when in your different cultures, (because I think the hospitals do have their own cultures, they’re unique,) is a reflection of the community, they’re also reflective of the staff, and it’s the ‘how’, so that’s what you pick up at conferences like this is ‘How’d you get to that point?’ and ‘How’d you overcome some of the barriers and challenges?’ and that’s kind of my note-taking going “Oh my God, that’s brilliant!” And usually, it’s simple, it’s ‘sharing’ you know for example when Leslie talked about the movement and being careful of that movement and the passion. What I’ve learned, and I’ve only been in the health business about a year and a half, is that you have to have practical passion. Because if it’s not practical, you lose people. And you lose the clinical side. And we have got to bridge that gap between the clinical side and clinicians and the administration side going forward saying “Hey, if we’re going to be in this together, it’s going to be very powerful when we get this right, and it’s not when it’s…it’s not ‘if’ when we get it, it’s ‘when’ we get it right.” This is all about the patient and the family…
The clinical side gets it like we can’t sometimes, we can’t laugh at the physicians because at one time they owned hospitals, they were ‘it’. And now it’s, ‘we’ve evolved’ and now maybe we’ve evolved too much to the administration controlling it, somewhere we have got to put that in the middle as we’re putting in the patients, right? So, we’ve got to give physicians some of their due and the nurses, around, how do we get, how do we solve this together? ‘Cause, like I said, being new to healthcare…everybody wants a return to glory!’
People came in to care about people, and somewhere in there, when you look how it works, I look how divided between task and relationship and we seem to have piled in all of these tasks and forgot about the relationship part, so, somewhere we’ve got to balance it and when you talk to the clinical side, you almost say “Yeah, my work is 80% task and 20% relationship”. Can we get a happy medium somewhere? And that’s where we have to help each other going forward, and that’s where forums like these help.
You can meet top professionals in the industry like Walter at our next Patient Experience conference where we will be gathering to meet and learn from those organisations successfully driving patient experience strategies. See the types of organisations you will meet at our next meeting.