Frequently Asked Questions

Morbidity and mortality patterns are changing. Hospitals, like ours, have implemented a range of initiatives to reduce mortality and improve patient care. As a result, HSMR results across the country have been progressively improving. So, this year, CIHI updated the methodology used to calculate HSMR results. For example, Quebec is now included, more diagnoses are added and a new approach to logistic regression modeling is used.

Morbidity and mortality patterns are changing. Hospitals, like ours, have implemented a range of initiatives to reduce mortality and improve patient care. As a result, HSMR results across the country have been progressively improving. So, this year, CIHI updated the methodology used to calculate HSMR results. For example, Quebec is now included, more diagnoses are added and a new approach to logistic regression modeling is used.

Yes, referrals are required for both the non-urgent and urgent Adult Mental Health Program streams.

• The non-urgent stream requires a referral from a medical doctor or nurse practitioner. If you do not have a family physician, we accept referrals from walk-in clinics.

• Referrals from the urgent stream are ONLY accepted internally from the KGH Emergency Department, HDH Urgent Care Centre, Inpatient Mental Health & Addiction Program, and the Consult/Liaison Psychiatry Team.

Once a non-urgent referral is received, the referring practitioner will receive correspondence either accepting the referral and advising of the current wait time or recommending alternate services that may better fit your needs.

Once we have accepted your referral, you will be placed on a waitlist for a telephone call from an intake nurse, which could take up to a year, dependant on the current referral volume.  At the time of intake call, you will either be given an appointment, or be placed on our waitlist for the next available appointment.

Once an urgent referral is received, you will be contacted by an intake nurse. We aim to contact patients referred from the Emergency Department or Inpatient Mental Health Unit within 72 hours, however this may take longer depending on when the referral was received, and whether we need to obtain collateral information.

At the time of intake call, you will either be given an appointment, be placed on our waitlist for the next available appointment or be advised that your case will be discussed during interdisciplinary rounds with an outcome to follow.

You can expect various outcomes, based on your referral and the intake information gathered:

• You may be booked with psychiatry
• You may be placed on a waitlist for a future appointment
• You may be enrolled in group psychotherapy
• We may recommend services that better meet your needs
• Your referral may be closed owing to adequate services already in place for you

The Adult Mental Health Program is unable to provide the following services:

• Disability follow-up appointments as part of employment Insurance

• Canada Pension Plan

• Workplace Safety & insurance Board

• Ontario Disability Support Program requirements

• Independent Medical Evaluations for Court & Child Welfare Assessments

• Forensics or Capacity Assessments.

The non-urgent stream does not offer counseling services, crisis services, or urgent appointments.

Length of treatment is patient-specific. Some patients have just one consult visit and some may have short-term follow-up. It is not within the program’s mandate or capacity to follow patients for a significant length of time. Our model always anticipates patient care will be resumed by a primary care provider.

The urgent stream is a brief intervention service.

The AMHP sees patients in the Kingston, Frontenac, Lennox & Addington area. If you reside outside of that area and have questions about what mental health agency is in your area, please contact our clinical intake coordinator at 613-544-3400 ext. 3700 or search the Connex Ontario website.

If your psychiatrist starts you on a medication, they may prescribe it themselves or they may recommend your referring practitioner initiate the medication. Once you have been discharged from the AMHP, it will be the responsibility of your referring practitioner to continue prescribing the medication. Should you not have a family physician, we recommend attending a walk-in clinic to access refills.

We are unable to book patients for a psychiatric assessment solely for the purpose of providing medication refills.

As part of KHSC, and in collaboration with Queen’s University, St. Lawrence College and other educational institutions we often have students and learners from across many disciplines participate in our various clinics.

• Psychiatry residents (licensed medical doctor that is undergoing their psychiatry training)

• Clinical fellows (a licensed psychiatrist who is training in a specialized psychiatric field)

In the Adult Mental Health program we have both international and Canadian doctors training in sub-specialty streams.

• Clerk/Medical student present for your assessment. All psychiatric care will be provided under the supervision of AMHP Staff Psychiatrist, who you may or may not see in-person.

• Allied Health care providers - Many of our allied health care providers also provide field placements or internships for several disciplines including nursing, occupational therapy, and social work which may involve learners working in the services being provided to you by our provided.

We have very high referral volume and a lengthy waitlist; therefore, it is important that you attend your appointments. However, if you must cancel, please notify us at least 24 hours prior, so that we can fill the vacant spot. If you cancel in advance, we will gladly rebook you, however, please be advised that you may have to wait several months.

A no-show for a new patient assessment will result in an automatic file closure, and a re-referral will be required to be seen again.

A group session allows people to learn new skills and hear from others who may have similar experiences dealing with mental health concerns. Participants may share their thoughts and feelings with others if they are comfortable.

Your appointment may occur in person or virtually.  This will be discussed during your telephone intake when your email address is collected by the intake nurse.  You will be provided an appointment notice letter with this information.

For a virtual appointment, the secretary will email you a link to attend. This link may not be sent until the day before your scheduled appointment and will provide clear instructions on how to proceed. Please note that you must use the internet browser Chrome for the virtual visit to be effective. 

Other resources can be found on the Community Resources page. 

No. Although there may be noise emitted from the MRI scanner during your test, there is no pain involved during the procedure.

We remain committed to honouring the unique missions and cultures of both sites as we move forward. The Hotel Dieu site will retain its Catholic identity and mission, and KGH will remain a secular site.

We remain committed to honouring the unique missions and cultures of both sites as we move forward. The Hotel Dieu site will retain its Catholic identity and mission, and KGH will remain a secular site.

We remain committed to honouring the unique missions and cultures of both sites as we move forward. The Hotel Dieu site will retain its Catholic identity and mission, and KGH will remain a secular site.

If you undergo a surgery at Kingston General Hospital, you can expect that the surgical safety checklist will be used as part of the procedure. As a patient, you will be asked questions by a surgical team member so that they can complete a portion of the checklist with you.  It will then be used by your surgical team members before, during and after your surgery to help the surgical team members familiarize themselves with your medical history and any special requirements that may be needed for your individual case. 

Patient safety is a number one priority for all KGH. There are numerous checks and balances in place to ensure the safety of our hospital but hospital care is complicated and depends on many factors. The public reporting of hospitals’ checklist compliance rates is not intended to serve as a measure for hospitals to compare themselves against other organizations, or for the public to use as a measure of where to seek care. Like other patient safety indicators, it is important to look at checklist compliance rates in a broader context. The rates must be examined in order to get a sense of how hospitals are performing – where they excel and where improvements could be made. It is important to look at all of these indicators in combination.

The public reporting of our surgical checklist percentage compliance allows us to establish a baseline from which we can track over time. We will closely monitor our rates and should they decrease, we will look closely at our operating room processes and target areas for improvement. The checklist percentage compliance measures the degree to which all three phases (i.e., a briefing, a time out, and a debriefing) of the checklist were performed correctly and appropriately for each surgical patient. We are always striving for 100 per cent compliance. 

Hospitals will post their bi-annual percentage compliance at the end of July and January.

KGH implemented the checklist in one surgical specialty in November 2009. The checklist was implemented in all surgeries in April 2010.

As part of the Ministry of Health and Long-Term Care’s public reporting of patient safety indicators initiative, eligible hospitals are legally required to post their checklist compliance percentages. KGH strongly supports the provincial government’s strategy to publicly report patient safety Indicators because we believe it will enhance patient safety and strengthen the public’s confidence in our hospitals.

The Canadian Patient Safety Institute has a checklist template that has mandatory requirements for Ontario hospitals to use. KGH then adds additional items to this template that allows us to customize items to fit the type of surgeries performed here and have been declared to be important to the KGH patient population. 

If you undergo a surgery at Kingston General Hospital, you can expect that the surgical safety checklist will be used as part of the procedure. As a patient, you will be asked questions by a surgical team member so that they can complete a portion of the checklist with you.  It will then be used by your surgical team members before, during and after your surgery to help the surgical team members familiarize themselves with your medical history and any special requirements that may be needed for your individual case. 

Operating room teams have many important steps to follow in order to ensure a safe and effective surgery for every patient. The checklist is a useful tool that helps promote good communication and teamwork among the health care team to help ensure the best outcomes for patients.

The checklist is used at three distinct stages or phases during surgery:

• pre-induction (before the patient is put to sleep)
• time out (just before the first incision)
• and debriefing (during or after surgical closure)

Some examples of items contained in the checklist include:

The briefing phase:

• Verify with patient name and procedure to be done
• Allergy check
• Medications check
• Operation site, side and procedure
• Lab tests, X-rays

The “time out” phase:

• Patient position
• Operation site and side and procedure
• Antibiotics check

The debriefing phase:

• Surgeon reviews important items
• Anesthesiologist reviews important items
• Nurse reviews correct counts 

A surgical safety checklist is a patient safety communication tool that is used by a team of operating room professionals (nurses, surgeons, anesthesiologists, and others) to discuss important details about each surgical case. In many ways, the surgical checklist is similar to an airline pilot’s checklist used just before take-off. It is a final check prior to surgery used to make sure everyone knows the important medical information they need to know about the patient, all equipment is available and in working order, and everyone is ready to proceed. 

If you undergo a surgery at Kingston General Hospital, you can expect that the surgical safety checklist will be used as part of the procedure. As a patient, you will be asked questions by a surgical team member so that they can complete a portion of the checklist with you.  It will then be used by your surgical team members before, during and after your surgery to help the surgical team members familiarize themselves with your medical history and any special requirements that may be needed for your individual case. 

If you undergo a surgery at Kingston General Hospital, you can expect that the surgical safety checklist will be used as part of the procedure. As a patient, you will be asked questions by a surgical team member so that they can complete a portion of the checklist with you.  It will then be used by your surgical team members before, during and after your surgery to help the surgical team members familiarize themselves with your medical history and any special requirements that may be needed for your individual case. 

Please speak with your manager to discuss the options available to you to complete any courses that remain in your My Learning tab after orientation.

Please speak with your manager to discuss the options available to you to complete any courses that remain in your My Learning tab after orientation.

Please speak with your manager to discuss the options available to you to complete any courses that remain in your My Learning tab after orientation.

Yes, referrals are required for both the non-urgent and urgent Adult Mental Health Program streams.

• The non-urgent stream requires a referral from a medical doctor or nurse practitioner. If you do not have a family physician, we accept referrals from walk-in clinics.

• Referrals from the urgent stream are ONLY accepted internally from the KGH Emergency Department, HDH Urgent Care Centre, Inpatient Mental Health & Addiction Program, and the Consult/Liaison Psychiatry Team.

Once a non-urgent referral is received, the referring practitioner will receive correspondence either accepting the referral and advising of the current wait time or recommending alternate services that may better fit your needs.

Once we have accepted your referral, you will be placed on a waitlist for a telephone call from an intake nurse, which could take up to a year, dependant on the current referral volume.  At the time of intake call, you will either be given an appointment, or be placed on our waitlist for the next available appointment.

Once an urgent referral is received, you will be contacted by an intake nurse. We aim to contact patients referred from the Emergency Department or Inpatient Mental Health Unit within 72 hours, however this may take longer depending on when the referral was received, and whether we need to obtain collateral information.

At the time of intake call, you will either be given an appointment, be placed on our waitlist for the next available appointment or be advised that your case will be discussed during interdisciplinary rounds with an outcome to follow.

You can expect various outcomes, based on your referral and the intake information gathered:

• You may be booked with psychiatry
• You may be placed on a waitlist for a future appointment
• You may be enrolled in group psychotherapy
• We may recommend services that better meet your needs
• Your referral may be closed owing to adequate services already in place for you

The Adult Mental Health Program is unable to provide the following services:

• Disability follow-up appointments as part of employment Insurance

• Canada Pension Plan

• Workplace Safety & insurance Board

• Ontario Disability Support Program requirements

• Independent Medical Evaluations for Court & Child Welfare Assessments

• Forensics or Capacity Assessments.

The non-urgent stream does not offer counseling services, crisis services, or urgent appointments.

Length of treatment is patient-specific. Some patients have just one consult visit and some may have short-term follow-up. It is not within the program’s mandate or capacity to follow patients for a significant length of time. Our model always anticipates patient care will be resumed by a primary care provider.

The urgent stream is a brief intervention service.

The AMHP sees patients in the Kingston, Frontenac, Lennox & Addington area. If you reside outside of that area and have questions about what mental health agency is in your area, please contact our clinical intake coordinator at 613-544-3400 ext. 3700 or search the Connex Ontario website.

If your psychiatrist starts you on a medication, they may prescribe it themselves or they may recommend your referring practitioner initiate the medication. Once you have been discharged from the AMHP, it will be the responsibility of your referring practitioner to continue prescribing the medication. Should you not have a family physician, we recommend attending a walk-in clinic to access refills.

We are unable to book patients for a psychiatric assessment solely for the purpose of providing medication refills.

As part of KHSC, and in collaboration with Queen’s University, St. Lawrence College and other educational institutions we often have students and learners from across many disciplines participate in our various clinics.

• Psychiatry residents (licensed medical doctor that is undergoing their psychiatry training)

• Clinical fellows (a licensed psychiatrist who is training in a specialized psychiatric field)

In the Adult Mental Health program we have both international and Canadian doctors training in sub-specialty streams.

• Clerk/Medical student present for your assessment. All psychiatric care will be provided under the supervision of AMHP Staff Psychiatrist, who you may or may not see in-person.

• Allied Health care providers - Many of our allied health care providers also provide field placements or internships for several disciplines including nursing, occupational therapy, and social work which may involve learners working in the services being provided to you by our provided.

We have very high referral volume and a lengthy waitlist; therefore, it is important that you attend your appointments. However, if you must cancel, please notify us at least 24 hours prior, so that we can fill the vacant spot. If you cancel in advance, we will gladly rebook you, however, please be advised that you may have to wait several months.

A no-show for a new patient assessment will result in an automatic file closure, and a re-referral will be required to be seen again.

A group session allows people to learn new skills and hear from others who may have similar experiences dealing with mental health concerns. Participants may share their thoughts and feelings with others if they are comfortable.

Your appointment may occur in person or virtually.  This will be discussed during your telephone intake when your email address is collected by the intake nurse.  You will be provided an appointment notice letter with this information.

For a virtual appointment, the secretary will email you a link to attend. This link may not be sent until the day before your scheduled appointment and will provide clear instructions on how to proceed. Please note that you must use the internet browser Chrome for the virtual visit to be effective. 

Other resources can be found on the Community Resources page. 

There are no plans to reduce the services offered on either site. Under the new entity, each site will continue to fulfill its unique role with the KGH site providing complex-acute and specialty care and the HDH site providing acute-ambulatory care. The services currently offered by KGH and HDH will continue to be offered by the new academic health science centre and we will continue to preserve, respect and honour the unique missions and cultures of both sites as we work more closely together.

There are no plans to reduce the services offered on either site. Under the new entity, each site will continue to fulfill its unique role with the KGH site providing complex-acute and specialty care and the HDH site providing acute-ambulatory care. The services currently offered by KGH and HDH will continue to be offered by the new academic health science centre and we will continue to preserve, respect and honour the unique missions and cultures of both sites as we work more closely together.

There are no plans to reduce the services offered on either site. Under the new entity, each site will continue to fulfill its unique role with the KGH site providing complex-acute and specialty care and the HDH site providing acute-ambulatory care. The services currently offered by KGH and HDH will continue to be offered by the new academic health science centre and we will continue to preserve, respect and honour the unique missions and cultures of both sites as we work more closely together.

It is too early to know if there will be any specific impact on jobs, however we do know that we will continue to deliver all of the services we currently offer to patients and families. That means we will continue to need the individuals who currently provide this care. We do anticipate there will be a reorganization of the management structure within the new academic health sciences centre.

As this process unfolds we will regularly provide updates to our staff, unions and all our stakeholders to ensure that they are aware of changes that are taking place. We are also committed to providing them with the opportunity to ask questions and share ideas with us as the process unfolds.

It is too early to know if there will be any specific impact on jobs, however we do know that we will continue to deliver all of the services we currently offer to patients and families. That means we will continue to need the individuals who currently provide this care. We do anticipate there will be a reorganization of the management structure within the new academic health sciences centre.

As this process unfolds we will regularly provide updates to our staff, unions and all our stakeholders to ensure that they are aware of changes that are taking place. We are also committed to providing them with the opportunity to ask questions and share ideas with us as the process unfolds.