Renewing UHN Renewing UHN Renewing UHN Renewing UHN Renewing UHN

Transforming operations with sustainable solutions:

  • Developing a UHN-wide Overcapacity Protocol action plan to ensure the right patient receives the right care, in the right location for the right amount of time
  • Streamlining the discharge planning process by implementing a new admission and discharge letter to reinforce UHN’s “home first” philosophy and provide smoother transitions from hospital to home
  • Working with government and community partners on the development of a Transitional Care Space to support patients transitioning to their next care destination
  • Enhancing a culture of shared accountability and delivering continuous quality, cost-improvement and sustainable solutions to the organization through the Office of Stewardship and Sustainability (OSS)
  • Mobilize the Office of Stewardship and Sustainability (OSS) to ensure we are using our resources in the best possible way to deliver safe and quality care to our patients
  • Care for patients in the right place, at the right time, and drive a “home first” philosophy
  • Implement the Overcapacity Protocol (OCP) and further refine other access and flow strategies
  • Establish the Office of Stewardship and Sustainability
  • Assess Business Intelligence needs and begin to implement a solution that allows us to forecast utilization and gather utilization data
  • Operationalize Transitional Care Space and implement new UHN bed map
  • Complete the high-priority work streams that emerged from the Operational Review

This quarter, we experienced a surge in clinical activity across UHN’s inpatient units, clinics and emergency departments. To help manage this pressure, we are working on the Overcapacity Protocol (OCP) to improve safety, build capacity on our inpatient units, and move patients out of the emergency department. We have also finalized our plans to open the Hillcrest Reactivation Centre, a transitional care space that will allow UHN to better support patients after their acute length of stay at our hospitals.

From an organizational perspective, we spent this quarter looking at the state of project management at UHN. Part of this work included hosting two sessions with project managers across the organization to discuss their insights on this. What we have learned from these valuable conversations will allow us to streamline how resources are allocated across all our sites.

Finally, as part of UHN’s strategic planning process, we completed a three-year roadmap for Operational Excellence which was approved by the Board of Trustees in September 2017.


  • Implemented the Overcapacity Protocol to help address UHN’s increasing surge in clinical activity
  • Planned for the Hillcrest Reactivation Centre to better support alternate level of care (ALC) patients
  • Began testing a business intelligence solution that will allow us to analyze and streamline how hospital resources are used
  • Further developed the Office of Stewardship & Sustainability

Attention Needed

  • Continual rigor needed to operationalize the Overcapacity Protocol
  • Continue process to procure community service workers for the Hillcrest Reactivation Centre
  • Introduce the proposed business intelligence solution to project managers for further testing and refining
  • Continue building the OSS team and develop a UHN project management resource kit (including templates and tools)

Past Reports:

Mike Nader (Lead)

Executive Vice President and Chief Operating Officer

Charlie Chan

Interim President and CEO

Larry Baldachin

Executive Vice President and Chief Business Officer

  • Marnie Escaf
  • Scott McIntaggart
  • Sue Jewell
  • Joy Richards
  • Darlene Dasent
  • Brenda Kenefick
  • Brad Davis
  • Catherine Wang
  • Janet Newton
  • Jan Lackstrom
  • Dina D’Agostino-Rose
  • Silvie Groe
  • Nizar Mohamed
  • Barry Rubin
  • Larry White
  • Mary Gospodarowicz
  • Vera Bril
  • Runjan Chetty
  • Atul Humar
  • Gaetan Tardif
  • Mary Kay McCarthy
  • Mary Ann Neary
  • Sandra Grgas
  • Linda Flockhart
  • Terry Stuart-McEwan
  • Judy Costello
  • Joanne Zee
  • Natalie Cournoyea
  • Paula Cripps-McMartin
  • Ed Cole
  • Shav Keshavjee

*names are still being added/confirmed