• 2022-23 Annual
    Community Report
    Trillium Health Partners
  • 2022-23 Annual
    Community Report
    Trillium Health Partners
  • 2022-23 Annual
    Community Report
    Trillium Health Partners
  • 2022-23 Annual
    Community Report
    Trillium Health Partners
  • 2022-23 Annual
    Community Report
    Trillium Health Partners
  • 2022-23 Annual
    Community Report
    Trillium Health Partners
  • 2022-23 Annual
    Community Report
    Trillium Health Partners
  • 2022-23 Annual
    Community Report
    Trillium Health Partners

A Message from our Board Chairs and CEOs

We are pleased to share our Annual Community Report, highlighting a year of growth and progress at Trillium Health Partners (THP). While the emergency phase of the COVID-19 pandemic came to an end, the needs of people in our community continued to grow and change, resulting in THP providing more care than ever before. We are focused on working with our partners to make sure the community we serve has equitable access to high quality health care services today and in the future.

Despite increased demand for care, THP excelled in key indicators of quality of care. Our performance in measures of clinical practice excellence exceeded benchmarks and our own targets. These achievements were made possible because of the commitment and teamwork demonstrated by our people who deliver expert care. While health care continues to experience higher levels of employee turnover coming out of the pandemic, this year at THP, the number of permanent frontline staff has grown by approximately 6.0% over the course of the last fiscal year. Included in the programs introduced to attract and retain talented health care professionals, was the International Educated Nurses program to bridge highly skilled people already living in Ontario into our hospital.

As a quality organization, one of our most important priorities is becoming a safer and more inclusive environment. With that in mind, we reaffirmed our commitment to becoming an anti-racist organization by doing the important work of completing an Anti-Black Racism Climate Review to amplify and elevate the voices of Black-identifying staff, professional staff, volunteers and learners, and to understand their experiences at THP. This offered us the opportunity to listen, learn, and unlearn while taking accountability for real change. A report, informed by the Climate Review and authored by Dr. Denise O’Neil Green, created the guide we need for concrete action and effective change to dismantle anti-Black racism at THP, and to set the foundation for removing all forms of inequity inside our walls.

The changing and growing population we serve requires us to be at the forefront of innovation and embedding best practices into all we do. This year, THP was recognized for the first time as one of Canada’s Top 40 Research Hospitals and one of the top five Canadian hospitals in research funding growth, by Research Infosource Inc. This remarkable recognition is largely thanks to the work of THP’s research and innovation engine, the Institute for Better Health (IBH). By focussing on key areas, including population health, patient and family-centred care, and new digitally-enabled models of care, IBH is able to grow and share knowledge that can be applied to improve the health of people living in the communities of Mississauga and West Toronto, and beyond, to shape a healthier and more equitable tomorrow.

As we look ahead, we are excited to shape the future of health care for our community and beyond with Trillium HealthWorks, the largest health infrastructure renewal in Canada’s history. Through the development of The Peter Gilgan Mississauga Hospital, the expansion of the future home of The Gilgan Family Queensway Health Centre, and Wellbrook Place, two new long-term care homes, totalling 632 beds, which will be operated by an independent, not-for-profit, Partners Community Health, THP will be able to care for more people, including in high-demand areas such as mental health and seniors care.

This important work would not be possible without the support of generous donors, who gave a remarkable $119.8 million in gifts and commitments this past year. This total was made possible thanks to a record-breaking $75 million match gift from Orlando Corporation – the largest corporate donation to a hospital in Canadian history, which will double the impact of community donations to raise a combined $150 million. This gift, along with many others from community members, community organizations and THP staff, will help support our vision of a new kind of health care for a healthier community, by creating a more complete, efficient and equitable health system.

The Foundation in partnership with many community partners, also successfully hosted a number of community events to raise $2.5 million. Most notably, the late Hazel McCallion, THP’s Honorary Guardian, challenged the Foundation to create an event that would allow all community members to partake in fundraising and helped launch the first community fundraising walk, named after her. Hazel’s unwavering commitment to this city and the health of its people has left an immeasurable impact on THP. Her legacy will continue to inspire us and we are eternally grateful for Hazel’s dedication to health care.

To all the staff, professional staff, learners and volunteers at THP – thank you for all that you do for patients and their families. Your ongoing dedication to delivering high-quality care and an excellent patient experience during an unprecedented time is nothing short of inspiring.

To our community – your support and generosity are invaluable in helping strive towards our mission to create a new kind of health care for a healthier community. We are proud to serve you and we look forward to the year ahead.

Christine Magee
Board Chair,
Trillium Health Partners

Karli Farrow
President and CEO,
Trillium Health Partners

Shihab Zubair
Board Chair,
Trillium Health Partners Foundation

Caroline Riseboro
President and CEO,
Trillium Health Partners Foundation

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A Message from our Chief of Staff and Chief Nursing Executive

This has been a year of resilience and growth. While Trillium Health Partners (THP) has faced unique challenges, our point of care teams have risen to the occasion to show remarkable perseverance and a deep dedication to providing compassionate, high-quality, connected care to the community we serve.

As we return to more normal operations in the wake of the COVID-19 pandemic, we are seeing higher patient volumes with more acute needs than ever before, coupled with the need for more specialized care. To support this demand, one of THP’s top priorities this year has been building and strengthening our workforce by hiring new staff, while upskilling and training existing teams to broaden the spectrum of care they are able to provide. By investing in training programs and educational opportunities we are able to equip our teams with the knowledge and skills and judgement they need to address the complex needs of the patients we serve.

We are committed to supporting our existing workforce to achieve their full potential, which creates a more sustainable staffing model for some of our highest-demand programs, including critical care and surgery. This is accomplished through programs like Investing In Our People, which offers specialized training for registered THP nurses interested in advancing their skills in critical care and operating room nursing. Another initiative, the Invitation to Leadership program, supports highly motivated team members to build their leadership capabilities through targeted personal and professional development. To date, 16 course cohorts and over 375 frontline health care leaders have completed the Invitation to Leadership program and commenced their transformational leadership journey.

Through partnerships with the University of Toronto Mississauga Campus (UTM) and the Mississauga Academy of Medicine (MAM), we are helping to train the next generation of physicians, many of whom will stay working in Mississauga, caring for the community with excellence and compassion. At a time where Family Medicine has never been more important, MAM’s Family and Community Medicine MD program is providing students with innovative and integrated learning in a variety of settings so students experience a broad range of clinical learning experiences. Primary care providers play a key role in providing preventative care and helping patients manage chronic conditions, which in turn, alleviates pressure from Emergency Departments, and helps improve the overall health of the community.   

At THP, we recognize that to be able to provide the highest quality care, creating a safe, inclusive environment is essential for staff, professional staff, patients and their loved ones. We have prioritized diversity and inclusion in our hiring practices to ensure that we have a team that reflects the diverse community we serve. Through app-based language interpretation services, we are able to offer care in over 240 languages, ensuring that all members of the community are able to access care in their preferred language. As we look ahead, THP is dedicated to advancing our equity, diversity and inclusion work and we are committed to fostering a culture of respect and belonging for all patients, health care providers, and enabling staff.

Thank you to the staff, professional staff, volunteers and learners across the organization for your unwavering dedication to serving patients and their loved ones. Together we have accomplished some great achievements this past year. There is much to look forward to in the year ahead as we continue to provide high quality care close to home.

Dr. Joan Murphy
Chief of Staff,
Trillium Health Partners

Terri Irwin
Chief Nursing Executive,
Trillium Health Partners

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Total Support for Better Palliative and End-of-Life Care

Seamless care between a patient and their care providers, especially when a person is facing a life-limiting illness and death, is critical. We have heard from the community that while the current end-of-life care services being provided are skilled and compassionate, we have to focus on making sure that patients are able to access this type of care close to home and that the patients dignity and wellbeing are top of mind. In partnership with the Mississauga Health, our Ontario Health Team (OHT), and its community partners, Trillium Health Partners (THP) is redesigning how end-of-life care is delivered to meet these needs and improve patient care in a variety of settings.

Palliative and end-of-life care providers at THP and members of the palliative and end-of-life care community, including family and caregivers, have come together to develop a new model of care that will include five key elements:

  1. Early identification: Helping people to easily access care earlier in their illness, regardless of their diagnosis.
  2. Creating one integrated team: Using shared communication tools and processes in the hospital and the community to enable a connected palliative and end-of-life care team to help patients, families and caregivers throughout their illness, end-of-life and loss.
  3. Supports for an equitable approach across Mississauga Health: Removing barriers to care by implementing processes to support the quality and sustainability of exceptional care.
  4. Expanded grief and bereavement services: Creating consistent approaches and resource sharing across the OHT to make it easier for those experiencing loss to access grief and bereavement services.
  5. Provide broad caregiver support: Offering expanded educational, practical and emotional support for caregivers and family as they move throughout the care experience.

This model of care will be begin in 2023 providing patients, families and caregivers needing palliative, end-of-life care and grief support the compassionate care and support they need.

Cancer Screening: Collaborating with Community Partners to Deliver More Equitable Care

Providing equitable, high-quality care means thinking differently about how we are connecting with people about their health to ensure that we are leaving no one behind. The Mississauga Halton Central West (MHCW) Regional Cancer Program (RCP), housed at THP’s Credit Valley Hospital, has been working with regional partners to improve cancer screening rates across the region, to improve health outcomes for people in underserved communities. THP serves one of the most diverse populations in the world, some of whom experience additional barriers to getting the care they need. After seeing historically low screening rates, the RCP conducted a root-cause analysis that uncovered factors contributing to the low screening rates including health literacy, socio-economic factors, language barriers, access to primary care providers, transportation and more.

The RCP took these findings and used regional demographic data to identify priority population areas. In partnership with Ontario Health Teams (OHT), hospital partners across the region, and community organizations, including community health centres and newcomer services, the RCP was able to spread awareness of cancer screening and advance health equity. This work has shown that culturally relevant approaches are key to helping people understand the importance of cancer screening.

To help increase awareness about cancer prevention and the benefits of regular and proactive screening, a toolkit was developed by the RCP, and translated into nine languages prominent in the region, including Polish, Simplified Chinese, Punjabi, Hindi, Urdu, Spanish, Arabic, Somali, and French. The toolkit was shared with approximately 80 community health ambassadors across the region and was used to help educate people in priority populations about this important screening. This outreach was enhanced by a broad reaching public relations campaign driving awareness of the importance of cancer screening.

As a result of this community focused approach, cancer screening rates have returned to pre-pandemic levels and are higher than provincial rates in some areas. Colon cancer screening rates have increased by 21 per cent and cervical cancer screening rates have increased by 19 per cent when compared to the pre-pandemic averages. Work is continuing to improve and sustain increased rates, with a focus on health equity. Breast screening rates continue to fall behind provincial average and efforts continue to understand the barriers to improve these rates.

When screening results indicate that further testing is required, additional steps are taken to find a definitive diagnosis and provide the appropriate treatment to support patients along the entire cancer pathway, through to follow-up care.

One of the key partners the RCP works with is The Carlo Fidani Regional Cancer Centre (CFRCC), located at Credit Valley Hospital. The CFRCC is one of 13 regional cancer centres in Ontario that offers services for cancer screening, diagnosis, surgery, chemotherapy, other specialized treatment options, and radiation treatment. The CFRCC is the only facility in the region providing radiation services. The CFRCC offers treatment for people impacted by cancer, providing information and services along each part of the cancer pathway. From a patient’s very first appointment, to treatment and survivorship phases, clinical, emotional, and practical supports are offered as part of the equitable, high-quality cancer care THP provides.

Teams at the CFRCC develop treatment plans based on the specific needs of patients and incorporate their loved ones into the process. These plans include psychosocial, educational, nutritional, and spiritual supports, in addition to the diagnostic, treatment, and cancer drug navigation components. Patient feedback is incorporated before, during, and after treatment to help enhance patient experiences and ensure that they feel safe and comfortable. By providing cancer screening and treatment based on the diverse needs of the community we serve we are creating a new kind of health care for a healthier community.

A health care professional and a patient access Voyce, an app-based language interpretation service.

Enhancing the Patient Experience through Language Interpretation

Trillium Health Partners (THP) is proud to serve one of the most diverse communities in the world and we understand how important it is for a patient to be able to communicate with their health care provider during a time of need. In Mississauga, more than 33 per cent of the population speak a language other than English or French. That’s why THP has proudly partnered with Voyce Canada to provide an app-based language interpretation service, allowing patients and health care providers to be connected with a medically trained interpreter in the patient’s preferred language.

Providers are connected to a remote interpreter within seconds, allowing patients to speak through the interpreter about symptoms, concerns, questions, and more.

The Voyce app enables THP to provide care in more than 240 different languages and dialects, including Urdu, Mandarin, Arabic, American Sign Language (ASL) and Indigenous languages such as Cree and Ojibwe, providing many patients with an improved overall care experience.

Since launching Voyce in February, 2023, THP has logged over 311 hours of service.

Helping Patients Return Home Faster

Access to community-based home care can lead to better health outcomes for patients. With that in mind, Trillium Health Partners (THP) partnered with CANES Community Care to create a new program, THP@Home. Designed to support patients transitioning from hospital to home sooner, the program offers personalized support from community care providers, allowing patients to complete their recovery at home, or wait safely for longer-term community-based services.

Patients are paired with a dedicated Care Navigator to oversee the patient’s transition plan and recovery after discharge from hospital. Support is tailored to a patient’s unique needs, and can include connections with community support services, such as transportation and meal delivery, coordination with the patient’s primary physician, setting up safe and appropriate in-home care, and more.

Transitioning patients from hospital to home sooner allows patients to recover in the comfort of their homes, surrounded by loved ones, which can lead to improved outcomes and reduced stress and anxiety for patients. THP@Home allows for patients to receive the most appropriate level of care where and when they need it most.

Growing our Teams to Address the Demand for Care

The need for highly skilled health care professionals to address the growing demand for care in Mississauga and West Toronto has never been greater. Trillium Health Partners (THP) is taking proactive steps to build our workforce through programs like the Clinical Extern program, which enables students in the second, third, or fourth year of their post-secondary nursing or allied health programs to develop clinical expertise, specialty knowledge, and self-confidence in a hospital setting. The Clinical Extern program has created a unique opportunity for students to learn and start their careers at THP.

THP has also hired a number of Internationally Educated Nurses who have initiated registration with the College of Nurses of Ontario (CNO), as part of the Supervised Practice Experience Program (SPEP), which serves as a placement for these nurses to support their learning and experience in the Canadian health care system.

In order to deliver the best possible care, we are focused on fostering an inclusive, supportive environment for all our teams and believe that diversity and inclusion are critical to creating a workplace where everyone feels valued and respected.

As a result of these programs, from March 2022 to March 2023, we welcomed a total of 263 Clinical Externs and 71 Internationally Educated Nurses to THP. By investing in education, THP is able to shape the next generation of health care professionals to address the growing demand for services within the community.

Adding more qualified health professionals to our team helps patients to access timely treatment, leading to better health outcomes and faster recovery times.

Trillium HealthWorks: Building the Future of Health Care

In 2011, we came together to form Trillium Health Partners (THP), a single hospital system founded on the idea that together we can achieve what alone would not be possible. Since then, the community has undergone remarkable change with a growing population, greater diversity and more complex health care needs. Over the next 20 years, no hospital in Ontario will experience more demand for care than THP. To meet to the community’s future health care needs and build a stronger community together, THP launched Trillium HealthWorks.

Trillium HealthWorks is the largest health infrastructure renewal in Canada’s history. With the development of The Peter Gilgan Mississauga Hospital, the expansion of the future home of The Gilgan Family Queensway Health Centre, and two new long-term care homes on Speakman Drive, totalling 632 beds, which will be operated by an independent, not-for-profit called Partners Community Health. THP will significantly increase overall capacity across the health care system in Mississauga and West Toronto.

Over the past year, Trillium HealthWorks has seen a number of advancements in its construction. For The Peter Gilgan Mississauga Hospital, THP and Infrastructure Ontario (IO) signed a Development Phase Agreement (DPA) with ED+PCL Healthcare Partners in March 2023 following a Request for Proposal (RFP) process that began in April 2022. For the future home of The Gilgan Family Queensway Health Centre, THP and IO issued an RFP in October 2022. Both hospital sites have also seen significant progress in the construction of their parkades. The new long-term care home on Speakman Drive, whose construction is close to completion, was named Wellbrook Place by Partners Community Health.

In March 2023, THP was honoured to receive a monumental $75 million donation from Mississauga‐based Orlando Corporation, the largest corporate match in Canadian history. This gift will help fund construction of the future home of The Peter Gilgan Mississauga Hospital, including a two‐floor mental health inpatient unit.

Trillium HealthWorks is essential for THP to continue delivering much-needed services to the community and to ensure that compassionate, connected care is available where and when it’s needed most.

Committed to Providing Greener Health Care

Anesthetic gasses are used to keep a patient unconscious during surgery. They are also the largest contributor of greenhouse gas emissions from the operating room. Anesthesiologists at Trillium Health Partners (THP) have implemented several initiatives to help reduce their carbon footprint including eliminating a particularly polluting anesthetic gas, desflurane.

Removing just one hour of desflurane use from the operating room makes a huge impact by eliminating the equivalent CO2 emissions created by driving from Mississauga to Windsor. Additionally, THP’s anesthesia machines have been reprogrammed to deliver anesthetic gasses more efficiently, further reducing the environmental impact of anesthesia delivery. These interventions resulted in a decrease of the equivalent of over 800 tonnes of CO2, while seeing a modest cost savings of $125,000 from these greening interventions.

Anesthesiology staff have also initiated programs that reduce operating room waste by implementing a high yield recycling program for polyvinyl chloride, a synthetic polymer of plastic, and a program to recycle metals and parts from single use surgical instruments.

THP is committed to looking for more ways to further green our hospital, with additional sustainability initiatives to be put in place this year.

Creating a Leading Centre for Joint Replacement

During the pandemic, Trillium Health Partners (THP) created a centre at the Queensway Health Centre focused on delivering the highest quality of joint replacement care using cutting edge practices and creating a seamless journey from hospital to home. Our Queensway orthopaedic centre now provides care to 150 patients each month and is continuing to grow. Following their surgery, patients are able to return home with access to a bundle of specialized care and services.

This bundle of services provides patients with 24/7 phone access to health care providers, who can answer questions and address concerns, navigators who can provide health teaching and support patients pre-op and post discharge, and a dedicated home care provider who can provide some necessary post-op care within the patients’ home. This care model has helped 80% of orthopaedic surgery patients return home within 24 hours of surgery, with many going home the same day.

This centre has improved the overall patient experience, by enabling patients to access timely care, while also allowing patients to recover and access a number of services from the comfort of their own home. Reducing the overall length of stay for orthopaedic patients enabled THP to open 36 additional beds at QHC to care for orthopaedic patients from its other hospital sites.

Kai’s Story

In 2021, at 8 years old, Kai was diagnosed with an aggressive form of stage 4 cancer. He shared care between SickKids and Credit Valley Hospital’s POGO Clinic so he could have the majority of his chemo treatments closer to home. After two years of treatment, Kai went into remission, and his family wanted to celebrate his last chemo treatment, so they approached the care team to see what could be done. The team reached out to THP’s community partners in Emergency Support Services "Little Heroes" who, along with the care team, put together a surprise greater than anyone could have imagined, helping Kai and his family feel the love and support of the community as they marked such an incredible milestone.

Year-over-year data and comparative data to other hospitals »

Year-over-year comparison of our patient volumes »

The Community We Serve

Serving one of the communities most impacted by COVID-19 in Ontario, this past year was marked by a focus on both continued management of COVID-19 care in the region while also recovering services that have been impacted due to the provincial pandemic response. 

Through the prudent stewardship of resources Trillium Health Partners (THP) made important capital investments to support the health of the community. This included creating new inpatient capacity as well as key investments in tools and equipment to support quality, access and sustainability of services.  THP also made important progress on building capacity for tomorrow by advancing capital projects at Wellbrook Place, The Peter Gilgan Mississauga Hospital and Future Home of the Gilgan Family Queensway Health Centre.

The continued impacts of the COVID-19 pandemic has meant THP has continued to face unprecedented pressures, including the need to deliver additional service volumes to support the community and the management of increased costs of care delivery, such as costs associated with additional health and safety precautions and other inflationary cost pressures.  Throughout the year, THP focused on prudent financial management and stewardship of resources, active planning and forecasting, execution of our operational plan and work with government to address these ongoing pressures.

Through this work, THP finished the year (April 1 2022 - March 31 2023) with a modest surplus of $0.9 million, before subsequent adjustments for costs associated with Protecting a Sustainable Public Sector for Future Generations Act, 2019 also known as Bill 124.  

Bill 124 was introduced in 2019 and limited wage increases for bargaining and non-bargaining employees to 1.0% per year for a period of three years.  On November 29, 2022, the Ontario Superior Court declared Bill 124 void and of no effect, meaning it was struck down in its entirety in its application for both unionized and non-unionized employees to whom it applied. A number of arbitrations subsequent to March 31, 2023 awarded additional increases in wages for the period April 1, 2020 to March 31, 2023. As a result, THP has recorded additional salaries, wages and employee benefits expenses in the 2022/23 fiscal year related to the retroactive wage increases, without corresponding funding. This resulted in unplanned one-time additional expenses for the year in amount of $43.7 million.  As a result, THP finished the year (April 1, 2022 - March 31, 2023) with an excess of expenses over revenues of $42.8 million or -2.9% after adjusting for the costs associated with Bill 124.

THP is in a healthy working capital position due to a history of strong financial stewardship and is able to meet these one time retro-active salary and benefit obligations in the short term.  THP is working closely with partners to help support mitigations on the working capital impact of these extraordinary costs in order to continue supporting THP’s future capital needs for the benefit of our growing community.

Full audited financial statements are available at this link, or by calling Communications and Public Affairs at 905-848-7580 ext. 1636

For more information on Innovation and Research

The Institute for Better Health is a key enabler for shaping a new kind of health care for a healthier community through the application of scientific expertise, innovative thinking and partnerships.

Thanks to our Community and Donors

Working with our community and donors, Trillium Health Partners Foundation raises the critical funds needed to address the highest priority needs of Trillium Health Partners.