Clinical Services Plan

What is the Clinical Services Plan

The MHA Clinical Services Plan was created through a rigorous and consultative process and provides a critical road map to strengthen and enhance clinical programs and services at Starthroy Middlesex General Hospital and Four Counties Health Services.  The Clinical Services Plan promotes key priority program areas of Medicine, Surgery, Obstetrics, Emergency, Ambulatory Care, Diagnostic Imaging and Laboratory Services. 

clinical services plan


Medical Program

Vision:  Collaborate with our patients, families, community and academic partners to provide coordinated services to meet patients’ immediate and future health needs.

Key priorities

  • Strengthen hospitalist program
  • Provide better access to mental health resources
  • Develop a standardized approach to palliative  

Obstetrics Program

Vision:  Ensure high quality obstetrical care for low-risk deliveries is available 24/7/365 for women who would like to have care closer to home.

Key priorities

  • Expand obstetrics team to include full time obstetrician, and midwives
  • Ensure 24/7 C-section coverage

Emergency Care

Vision:  Increase patient satisfaction by striving for exceptional patient care through respectful service and reduced wait times.

Key priorities

  • Maintain 24/7 ER coverage
  • Improve patient experience through access, patient flow and length of stay
  • Develop collaborative care strategies

Surgical Program

Vision:  Provide quality care that is customer focused in a timely manner in order to provide relief from pain and suffering.

Key priorities

  • Maintain six surgical specialties
  • Expand general surgery at the SMGH site as resources permit
  • Provide additional day procedures at the FCHS site
  • Pursue surgical innovation and excellence

Ambulatory Care

Vision:  Increase patient access and care closer to home for non-urgent patients best seen in an ambulatory care setting.

Key priorities

  • Provide rapid follow up for urgent and semi-urgent patients
  • Ensure greater use of telemedicine
  • Review and reconfigure ambulatory care model
  • Add new outpatient clinics to better support the community
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