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ADMINISTRATOR'S REPORT Mr. Chairmon, Honored Guests, Ladies and Gentlemen: It is my privilege to report on the activities of the Oshawa Gen- eral Hospital for the Year ending December 31st, 1965. As in other years. 1965 marked another year of full occupancy with continued demand for hospital services. Waiting lists continue to grow for Medical and Surgical Patients although +2 have noted a trend. which is evident elsewhere on the Continent. showing a slight reduction in maternity admissions. Also our Paediatric admissions were down. no doubt related to the reduced maternity admissions. Whether or not decreased occupancy will continue in these areas remains to be seen. One of the offsetting factors of course is the in- creased population in this area which may overcome the present de- crease. Our average doy's stay has not increased in common with other hospitals in the Province and in fact was slightly less at an overall . average of nine days during 1965. Outpatient admissions however did inerease approximately 10% to 27,368. All departments were operating 100% during the year with minor shortages from time to time of trained technical staff. At the year end we had 807 full time employees and 165 part time and relief. In addition we had 125 students in our School of Nursing, nine in our Laboratory student course and four Radiological students. During 1965 we were reapproved for the training of Radio- logical Technicians and we were successful in obtaining the maxi- mum number of four students for this course. This is a two yeor course and we will have four students in each of the two years with four new ones coming in next yeor, Our Emergency Department has been very busy during the year and | am pleased to report that we have not had any particulor prob- lems in this area during the year. The call system for doctors has worked extremely well. The. pattern of treatment for emergencies is certainly changing not only in Oshawa but in Canada, and | can only state that the public's thinking with regard to emergency treatment would appear to be changing from the private physician's office to that of the hospital's emergency department. There is no doubt in my mind that this trend will continue, with increased use of hospital facilities for emergency patients. As and when facilities are designed to handle this way of life, no doubt changes will be made in the method of staffing these areas. However, at the present time, these departments were designed when care was given in the Doctor's Of- fice and emergencies were not all expected to turn up at the hospital ond therefore most existing hospital emergency departments do have a problem in coping with the demands placed upon them. The provi- sion of medical care is not a hospital service and many people fail to realize this. when faced with injury or distress. During the year more than $135,000.00 was spent on new equip- ment in trying to keep pace with the changes in medical treatment. We hove indeed been fortunate to have so many friends who hove made donations for the purchase of such equipment. With their con- tinued support we certainly hope to be able to keep pace with the demands placed upon us in this ever changing world of medical treot- ment. Our expenditures in 1965 reached the all time high of $5,176,000.00. Of this omount, over $3,750,000.00 wos paid to em- ployees in this area for salaries and/or employee benefits. We think it is importont that you are aware of the impact of.a large. hospital on the Community. When one considers that we are possibly the second lorgest employer of labor in the City, one must realize the importance of a hospital not only as a place of healing, but as @ major factor in the economy of the Community. During the year, 16,797 adults and children were admitted and they stayed 156,124 doys. 2.516 babies were admitted for 17,271 doys, and 114 chronic patients were admitted ond ii~ey remained 14,200 days. The number of admissions at 19,409 was slightly less thon the 1964 total of 20,166. This reduction is mainly accounted for by the reduced number of births and a corresponding reduction in paediatric admissions. The occupancy of medical and surgical beds was 91.2%. OBS beds 75.1%; Paediatric 73.1%, and Bassi- nets 62.3%. When one considers the occupancy should not be more then 80%, you can see that we are still overcrowded on our medicol ond surgical wards. The Oshawa General Hospital is fully opproved for the training of student nurses and we presently have 125 students in our three yeor course. At the present time we are looking into the possibility of converting to a two plus one course and more details will be announced at a later date. Student facilities for teaching at the Oshawa General are very limited ond for this reason we do not foresee any immediate increase in the number of students being trained. If and when new training facilities ore provided, we will be able to increase our numbers as we do have an adequate supply of clinical material. - Al Departments in the hospital are continually striving to im- prove their method of operation in an effort to reduce costs without sacrificing the quality of patient care. We are all conscious of in- creased costs and you can be sure that when new techniques ond procedures are available, they will be implemented ot the Oshawa General. While we realize you connot place a value on health, we do ap- preciate that high costs sometimes deter people from presenting themselves for treatment, ~ A REVIEW OF 1965 At the present time we nave 534 Adult ond Children's Beds set up and 76 Bassinets. We were indeed sorry thot Mrs. Telford found it necessary to retire. Mrs. Telford has done an excellent job as on eager ond con- scientious employee over the past twenty-five years, os Director of Nursing, Principal, School of Nursing, and for a period of time, as Superintendent of the Hospital. Our best wishes go to her ot this time for health ond happiness in her retirement. In closing, | would like to express my oppreciation to Mr. Storie and all members of the Board of Directors, to all Department Heads and Staff Members, to all Members of the Medical Staff and the Women's Hospital Auxiliary for their cooperation and assistance during the year. Respectfully Submitted, W. A. Holland Administrator PRESIDENT'S REPORT It is my privilege to report, on behalf of the Boord of Direc- tors, to this Annual Meeting covering the year 1965. It is the Directors' desire to keep the Public as well informed as possible and therefore copies of the Annual Report are available ot this meeting; a copy has also been forwarded to the Press and the local Radio Station. We feel that to a large extent the growth of this Hospital in the past has been made possible by the loyal support of a Public which has been well informed of hospital needs. It will cer- tainly be our endeovour to keep the Public well informed ond trust thot the Hospital will continue to merit your support. 1 am pleased to report that your Hospital agoin received full Accreditation standing as aworded by the Canadian Council on Hos- pital Accreditation. This group, representative of the major medical bodies, and the Canadion Hospital Association, conducts impartial surveys of hospitals requesting accreditation and give an unbiasted report on their findings. We ore indeed fortunate that the quolity of medical care in our hospital meets the stringent requirements of accreditation and we extend a sincere vote of thanks to the Medicol, Nursing and other Staff Members for developing and maintaining this high standard of patient care. While the quality of patient care is the Board's responsibility as laid down in the Public Hospitals Act, in practice this function of the hospital operation is delegated to the Medical Staff as repre- sented by their elected officers. The Board receives a high degree of co-operation from this group for which we ore most appreciative. Appreciation is expressed to all members of the stending Com- mittees of the Board who have functioned well during the year. It wos announced a year ago that plans were being prepared for ao New Wing containing additional beds as well as mony other auxiliary and supporting services. The Building Committee has been particularly busy finalizing the plans ond specificotions. It has now been decided -- that the general campaign for funds will be held early in 1967, Set- ting back this dote approximately one year from our original plons has been necessary due to the urgency of the Centennial Swimming Pool Project, which in order to take advantage of funds available from outside of the Community, must be proceeded with this yeor. It is anticipated then, thot a general campaign for funds will be held early in 1967 and that construction will start during the first half of 1967. In the meantime it is necessary for many desiring admittance to the hospital to go on a waiting list. At the present time urgent cases require two to three weeks to goin admission with elective cases waiting up to six months. Emergency cases as always, have 'been admitted when they present themselves ot the Hospital. On occasions. we have not had the type of accommodation desired patients but when oné Considers thet occuponcy nuns between 95 ond 100%, the fact that a particular type of accommodation is not always available is quite understandable. It is very pleasing to note thot the financial figures for the yeor show a slight operating surplus. Details are shown in the finoncial section of this report. The Oshawa General Hospital stands os a testimonial to the ' solid and generous type of Citizen living in this Community. This hospital has been put here by the people, for the people, | con testify to the fact thot your Board of Directors function with this thought ever foremost in their minds. Special mention should be made of the continuing excellent service to the Hospital rendered by the members of the Women's Hospital Auxiliory -- their work is invaluable. 1 would like to pay tribute to all the members of the Hospital Team, the Administrator and his assistonts, the Medical Staff, Nurs« ing Staff, for their devotion to duty during the year. Without their untiring efforts and support, we would not be oble to fill the role expected of us in the Community, Respectfully Submitted, E. G. Storie, President, Boord of Directors