Flagship Clinical Programs
Primary in-patient and out-patient care at Mount Sinai Hospital, Joseph and Wolf Lebovic Complex is provided in over 80 clinical programs across 20 floors in four adjoining buildings on University Avenue. Mount Sinai’s clinical focus is anchored in six flagship programs that are growing in both national and international prominence through world-class clinical and research expertise.
Women’s and Infants’ Health
As the Hospital’s largest clinical program, Mount Sinai delivers approximately 7,000 babies each year, the highest volume of births in the province, and is one of the largest perinatal centres in North America. The Frances Bloomberg Centre for Women’s and Infants’ Health has an international reputation serving as a local, provincial, national and international centre for obstetrics, gynecology and neonatal care. Unique multidisciplinary programs in high risk pregnancy and maternal medicine serve as a provincial resource, with two-thirds of pregnancies cared for at the hospital considered high risk. The Centre provides a full range of services in Women’s Health, from reproductive and fertility care in our Centre for Fertility and Reproductive Health; to general obstetrics, prenatal screening, high risk pregnancy care and fetal therapy; to a mature women’s program include urogynecology and menopause.
The Newton Glassman Charitable Foundation Neonatal Intensive Care Unit (NICU) provides intensive care for approximately 1,000 of the most vulnerable infants in our care, with innovative family care programs and supporting intermediate and follow up care. Mount Sinai is home to the Rogers Hixon Donor Milk Bank, the only milk bank in Ontario that collects, processes and dispenses donated breast milk to NICU babies across the province. The Hospital opened its new David & Stacey Cynamon Mother & Baby Unit – a state-of-the-art facility for new families - in 2012.
Chronic Disease Management
The Daryl A. Katz Centre for Urgent and Critical Care is comprised of the Hospital’s core inpatient and ambulatory care programs: General Internal Medicine, Psychiatry, Family Medicine, and Emergency Medicine. It also includes Palliative Care, delivered through The Temmy Latner Centre for Palliative Care, which provides quality end-of-life care in hospital and at home. As one of the largest palliative care programs in Canada, it delivers 80% of its care in people’s homes.
The Centre for Inflammatory Bowel Disease (IBD) is an international leader in delivering excellence in patient care, education and research for patients with disorders of the gastrointestinal tract (esophagus, stomach, pancreas, liver, small intestine, and colon), in particular Crohn’s disease and ulcerative colitis. The Centre provides both outpatient care and inpatient services in a uniquely combined medical and surgical IBD unit to more than 4,700 patients annually, many who come from outside of Toronto and Ontario. The Centre serves as Ontario’s tertiary referral centre for all provincial patients with complex IBD requiring more advanced specialized consultations and ongoing care.
The Zane Cohen Centre at Mount Sinai Hospital is an internationally-recognized clinical research facility, linking a team of gastroenterologists, surgeons, psychiatrists, pathologists and radiologists and their research staff who are leading new research in areas such as IBD, gastrointestinal cancers, and genetic aspects of IBD into one common facility.
The Centre for Musculoskeletal Disease delivers excellence in patient care, education and research for patients with disorders of the bones, muscles, tendons, ligaments, joints, cartilage, and other connective tissue. The Centre focuses on chronic diseases such as arthritis and rheumatology, as well as health and wellness programs. Additionally, the Centre is unique in its focus on complex hip and knee reconstruction, through the Granovsky Gluskin Division of Orthopaedics, which includes joint replacement for patients with arthritis and severe deformity, previous surgery, infection or bone deficiency. Its Rebecca MacDonald Centre for Arthritis and Autoimmune Disease is the largest clinic in Canada for rheumatoid arthritis and other autoimmune disorders, treating more than 15,000 patients annually.
Mount Sinai’s internationally recognized physicians see over 20,000 diabetes patient visits each year at the Leadership Sinai Centre for Diabetes. It is Canada’s referral centre for the most difficult and complex diabetes cases. Mount Sinai clinician-researchers have contributed to the development of three of the four most prescribed diabetes drugs in the world.
Responding to an aging population and ethnic demographic shift, Mount Sinai has a recognized specialty in Psychiatry and works very closely with diverse and often underserviced populations. Patients with a range of clinical mental health concerns receive care in several ways – as in-patients, in one of our out-patient clinics and in community-based, ethno-cultural centres that cater to specific community needs. Mount Sinai is a leader in the health-care sector for its unique specialized geriatrics psychiatry consultation role within the system. Its perinatal psychiatric program, the largest in Canada, supports the Hospital's largest flagship clinical program – Women’s and Infants’ Health.
Healthy Aging and Geriatrics
Mount Sinai was the first acute care hospital in Canada to make Geriatrics a core priority and the first in Ontario to open a dedicated acute care unit specifically for elder care (ACE Unit). The Ben and Hilda Katz Acute Care for Elders (ACE) unit opened in 2011, offering hospitalized seniors care that is tailored specifically to their unique needs, and recently was recognized by Accreditation Canada as a leading practice in elder care. The unit promotes a strong interprofessional and collaborative approach to high-quality, safe, integrated elder care. Mount Sinai’s Acute Care for Elders (ACE) strategy is garnering national attention for delivering dramatically better outcomes to its older patients, including a reduction in length of stay by 17% and a Patient Satisfaction rate of 100%.
Mount Sinai has a leadership role in the health-care sector for its unique, specialized geriatrics psychiatry consultation role within the system. The Cyril & Dorothy, Joel & Jill Reitman Centre for Alzheimer's Support and Training is breaking new ground training people who are caring for loved ones with dementia.
Specialized Cancer Care
The Christopher Sharp Centre for Surgery and Oncology is at the forefront of clinical care and research in the areas of breast, urologic (bladder and prostate), sarcoma, head and neck, and gastrointestinal/colorectal/abdominal cancers. In partnership with Cancer Care Ontario, Mount Sinai Hospital is a non-regional cancer centre, providing a high volume of cancer surgeries for residents of Toronto, and tertiary services for residents of Ontario and Canada.
As a designated provincial treatment centre for sarcoma and the Ontario centre for peritoneal malignancy, approximately 85% of patients come from outside Toronto. Mount Sinai surgical volumes have increased 18% (over the past two years) with the Hospital now recognized as the third largest surgical cancer centre in the Toronto Central region. Approximately 2,000 patients a year undergo cancer surgery through Mount Sinai’s Christopher Sharp Cancer Centre and 4,000 patients receive chemotherapy treatment. The Marvelle Koffler Breast Centre was the first dedicated breast centre in Canada to integrate all aspects of breast care: detection, diagnosis, counselling and treatment, and sees 33,000 patients visits each year.
With a 98% patient satisfaction rate, Mount Sinai Hospital is a provincial leader in many aspects of emergency medicine. Over 56,000 patients a year visit the Schwartz-Reisman Emergency Centre. Mount Sinai clinicians continue to develop innovative, evidence-based ways to ensure that patients receive the very best care in a timely fashion. Mount Sinai Hospital leads the way in reducing wait times with the best combined wait time scores of any academic hospital emergency department in Ontario, despite increases in patient visits and complexity. In 2013, Mount Sinai launched the Schwartz/Reisman Emergency Medicine Institute, the first of its kind in North America, which propels research, education and policy development in the field of emergency medicine.
Lunenfeld-Tanenbaum Research Institute
The Lunenfeld-Tanenbaum Research Institute located at Mount Sinai Hospital ranks as one of the top ten biomedical research facilities in the world. Created in 1985, the Institute is profoundly advancing the understanding of human biology in health and disease. The Institute consistently places in the very top tier of biomedical research institutes worldwide on multiple metrics, including citations and percentage of publications in the top 1% of research journals. The research budget is approximately $100 million per year, of which 90% is attracted via competitive research grants and the remainder through philanthropic donations. LTRI has the highest level of per capita funding per researcher in Canada.
The Lunenfeld-Tanenbaum Research Institute’s reputation serves as a magnet for recruiting world-class clinicians and clinician-scientists who aspire to be part of a culture of discovery, inquiry and innovation. Close to 40 internationally-recognized principal investigators work in contemporary fields of investigation that are aligned with the Hospital’s flagship clinical programs, and continue to make leading-edge discoveries in the prevention, detection and treatment of diabetes, rheumatoid arthritis, breast/prostate/ovarian cancer, sarcoma, pre-eclampsia and complications of pregnancy, neurodegenerative and mental health disorders.