Michael Garron Hospital (MGH) is home to both the Provincial Prolonged-Ventilation Weaning Centre of Excellence (PWC) and the Long-Term Ventilation (LTV) Program within the hospital’s Complex Continuing Care Services.
MGH is working with the Ministry of Health and several other hospitals on a three-year pilot to improve the quality of life for patients who require ventilation. This Pilot will:
- Help keep ICU beds available for those who need them the most.
- Improve the quality of life for people requiring long-term ventilation by allowing these individuals to receive specialized care closer to home.
- Reduce unnecessary emergency department visits.
- Coordinate long-term vent expertise from across the province and make it available for all Ontarians closer to where they live.
- Coordinate existing resources from across the province to support better patient care.
The pilot builds on the expertise of four hospitals that specialize in the support and care of people requiring long-term ventilation and those with complex respiratory needs. These hospitals will support specialized providers that exist within their geographies to form three hub and spoke structures.
More information about the hub and spoke model and participating specialized providers can be found below.
Provincial Prolonged-Ventilation Weaning Centre of Excellence (PWC)
Michael Garron Hospital’s Provincial Prolonged-Ventilation Weaning Centre of Excellence (PWC) holds a mandate from the Ministry of Health as a Provincial Weaning Centre of Excellence.
For many years, MGH’s PWC and Long-term Ventilation Program beds have been part of an informal network in Ontario that actively seeks to improve the care of prolonged and long-term ventilation patients through our clinical research program, partnerships and advocacy at all levels of the healthcare system.
MGH’s PWC is a specialized program for adult Intensive Care Unit (ICU) patients who have stabilized from their acute ICU illness, but remain on a mechanical ventilator for more than 14 days and wish to try to breathe on their own. We are an eight bed inpatient acute care program comprised of a medical, nursing and inter-professional team that specializes in the care of patients with prolonged ventilation and persistent/chronic critical illness.
Our inter-professional team includes respirologists, nurse practitioners, nurses, personal care workers, respiratory therapists, physiotherapists, occupational therapists, speech language pathologists, dietitians, pharmacists, social workers, psychiatrist, inter-faith chaplains, bioethicist and volunteers.
RM&R application is now available.For more information about the PWC for patients and families and for healthcare providers, please see the buttons below.
PWC: Information for Patients and Families
PWC: Information for Healthcare Providers
Long-Term Ventilation (LTV) Program
Michael Garron Hospital’s Long-Term Ventilation (LTV) Program is a part of the hospital’s Complex Care Unit located on the 5th floor.
This LTV program provides a stimulating environment that enhances quality of life for ventilator-dependent patients. An interdisciplinary team of care professionals work collaboratively to support the care of individuals admitted to this program who require mechanical ventilation for all or part of a 24-hour period.
Hub and Spoke Model
As a part of the Ministry pilot, MGH is part of a hub and spoke model acting as one of two Central hubs.
A hub and spoke model works like a wheel with the hub being the central point – in this case a hospital leading the pilot project regionally, and the spokes, being the community hospitals delivering the services. This structure will enable patients who previously required ventilation support in a select hospital to safely transition to a hospital or an alternate care setting within their community.
Below is a list of hospitals currently linked to a hub site. Additional hospitals will be added as the strategy expands.
- WEST HUB | London Health Sciences Centre
-
Spokes:
Region:
Alexandra Hospital
West
Alexandra Marine and General Hospital
West
Cambridge Memorial Hospital
West
Grey Bruce Health Services – Owen Sound Site
West
Guelph General Hospital
West
London Health Sciences Centre – University Hospital
West
London Health Sciences Centre – Victoria Hospital
West
North Bay Regional Health Centre – North Bay Site
North
St. Thomas-Elgin General Hospital
West
Stratford General Hospital
West
Strathroy Middlesex General Hospital
West
Tillsonburg District Memorial Hospital
West
Windsor Regional Hospital – Metropolitan Campus
West
Windsor Regional Hospital – Ouellette Campus
West
Woodstock General Hospital
West
- CENTRAL HUB | West Park Healthcare Centre & Michael Garron Hospital
-
Spokes:
Region:
Grand River Hospital Corporation – Kitchener Waterloo Hospital
West
Hamilton Health Sciences Corporation – West Lincoln Memorial Hospital
West
Hamilton Health Sciences Corporation – General Hospital
West
Hamilton Health Sciences Corporation – Juravinski Hospital and Cancer Centre
West
Hamilton Health Sciences Corporation – McMaster University Medical Centre
West
Humber River Hospital – Wilson Site
Central
Lakeridge Health – Bowmanville
East
Lakeridge Health – Oshawa
East
Lakeridge Health – Ajax
East
Mackenzie Health – Mackenzie Richmond Hill Hospital
Central
Mackenzie Health – Cortellucci Vaughan Hospital
Central
North York General Hospital – General Site
Central
Oak Valley Health – Markham Stouffville Site
Central
Scarborough Health Network – Centenary Site
East
Scarborough Health Network – Birchmount Site
East
Sinai Health System – Mount Sinai Hospital
Toronto
Southlake Regional Health Centre
Central
Thunder Bay Regional Health Sciences Centre
North
Trillium Health Partners – Credit Valley Hospital
Central
Trillium Health Partners – Mississauga Hospital
Central
William Osler Health System – Brampton Civic Hospital
Central
William Osler Health System – Etobicoke General
Central
- EAST HUB | The Ottawa Hospital
-
Region:
Blanche River Health – Kirkland
North
Brockville General Hospital – Charles St. Site
East
Hawkesbury and District General Hospital
East
Hopital Montfort
East
Kingston Health Sciences Centre – Kingston General
East
Lennox and Addington County General Hospital
East
Pembroke Regional Hospital
East
Queensway – Carleton Hospital
East
Quinte Healthcare Corporation – Belleville
East
St. Joseph’s General Hospital
North
The Ottawa Hospital – Civic Site
East