Mrs. Katrina Engel

BKin, RRT, BKin, RRT

Affiliations: Markham Stouffville Hospital, Clinical Project Lead

Clinical Project Lead, Registered Respiratory Therapist, Clinical Project Lead, Registered Respiratory Therapist

Research Interests:

My research interests are; patient navigation, virtual care, chronic disease management and community care.

Brief Bio:

I earned my diploma in Respiratory Therapy from The Michener Institute for Applied Health Sciences in 2012 after graduating from McMaster University with an honors degree in Kinesiology. I started my career as a respiratory therapist at The Toronto Western Hospital (UHN) in adult acute care and at Sunnybrook Hospital in the Neonatal Intensive Care Unit (NICU). In 2014 I began working at Markham Stouffville Hospital with all patient populations in both the acute care and inpatient areas. In 2018 I transitioned to my current position as Clinical Project Lead for the Breath Better at Home program in the outpatient COPD clinic where I was responsible for leading an innovative new approach to patient virtual home monitoring, furthering Markham Stouffville Hospital’s (MSH) strategic vision to create a hospital without walls. I am now expanding the program other outpatient clinics including the community medicine clinic, the heart failure clinic, and the general internal medicine clinic to treat patients with various chronic conditions. The overall objective is to create an overarching hospital-wide virtual monitoring service for patients. In my spare time, I like to be outdoors with my golden retriever Dahli at the dog park, hiking in the woods, or on backcountry portaging adventures. I also enjoy sci-fi/fantasy novels and television programs including but not limited to The Sword of Truth, The Wheel of Time, The Golden Compass, and Firefly. I am excited for the next two years, I hope to learn a lot from all of you!

Capstone Project:

The Centre for Addiction and Mental Health (CAMH) Bridging Clinic provides essential mental health services to patients newly discharged from the CAMH ED or in-patient units (Building a Bridge to Emergency Care, n.d.). To provide low barrier access to these services, the clinic offers drop-in appointments to patients on a first-come, first-serve basis (The CAMH Bridging Service, 2019). Due to the nature of this model, the amount of time a patient spends waiting to see a clinician can vary greatly. A current state analysis conducted by our team revealed that patients can wait from as little as five minutes up to eight hours. Inefficiencies related to wait times can negatively impact clinicians' satisfaction with the care they provide and is reported to be an issue by both Bridging Clinic patients and staff. Our project aims to reduce the number of inefficiencies clinicians experience related to wait times to improve their satisfaction with the care they provide. Utilizing the principles of Quality Improvement (QI), we will identify, implement, and evaluate specific change ideas or interventions, that address the root causes of inefficiencies related to wait times.

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