COMMITTEE REPORTS TO THE BOARD
|
|
- Clifford Carter
- 6 years ago
- Views:
Transcription
1 Item # 9 F i COMMITTEE REPORTS TO THE BOARD To From South East LHIN Board Members Quality Committee Reviewed by Quality Committee Committee Members of the Committee were given the opportunity to review the report before submission to the Board. Date February 26, 2018 Report Summary for February 6, 2018 Quality Committee Meeting Topics of Discussion: Patient Story Complexity of Care Reports: Proposed Priorities & Targets 2018/19 Draft 2017/18 Progress Report Q3 Home and Community Care Report Client & Caregiver Experience Q1 Evaluation Survey (CCEE) BN Accreditation Opting Out Committee Progress and Highlights: Reports Received by Committee: QIP Priorities and Target 2018/19/QIP Progress Report 2017/18: Noted that Extending Care Coordination was no longer a focus. HCC working across regions with partners on enhancing coordination. Plan to continue what is being done through co-design projects. Need for a different approach to address team capacity. LHINs are not yet ready for an HSP collaborative QIP approach. Need for local indicator re strengthening care coordination, equity, and system perspective. Will be included in Narrative and will incorporate a review of these parameters into the Quarterly QIP review. A Briefing Note will be provided to the Board as a separate item for approval Submission documents will include: QIP In Progress report (last fiscal year progress report) QIP Narrative (provides context to the workplan) QIP Workplan (outline of change ideas, targets for improvements and monitoring status) Page 1 of 2
2 Item # 9 F i Q3 Home and Community Care Quality Report: No new risks identified at this time. (attached as Appendix 1) Mid-Year Client Caregiver Experience Evaluation Survey Results: Mid-year report. Numbers continue to look good, but still recognize staff concerns regarding lack of resources. Team is working on examples of tests of change to manage challenges.(attached as Appendix 2) MAID: Discussion from a quality perspective. There is no reporting mechanism or requirement at this time. From a Home & Community Care perspective, we can look at (current or past) Home and Community Care patient stats if needed. Policy Review: To be tabled at the May meeting for further review if required. Accreditation: Decision to defer due to new organizational entity and the need to reflect on current practices to enable achievement of the LHIN s new mandate. Will maintain practices that earned H&CC exemplary standing in LHIN will maintain access to Accreditation Canada s supporting materials and standards to enable ongoing improvement. There is no provincial requirement for accreditation. Committee Workplans Completed review of first draft of Priorities for 2018/19. Given timing of submission will go directly to the Board in February without further review by this Committee. Policy review to be tabled at May meeting. Workplan Deliverables NA Committee Engagement Risks Appendices NA High level of quality of care and service throughout SE LHIN key responsibility. Oversight essential to monitor achievement of quality accountabilities and avoid risk. Appendix 1: Q 3 Home and Community Care Quality Report Appendix 2: Mid-Year Client and Caregiver Experience Evaluation Report NOTES: This report is to provide a brief update on committee activities between meetings. Committee minutes will still be distributed to the Board after committee approval This report is NOT to replace Briefing Notes for Board Approvals and Decision making Page 2 of 2
3 Home & Community Care Quality Committee Report Prepared by: Gina Miller, Senior Manager, Quality and Performance Kelly Ostrander, Quality Coordinator 2017/18 Q3 report
4 Overview Purpose: The purpose of this report is to support effective governance of quality of Home and Community Care by providing: A summary of performance indicators related to the quality of home and community care services Information related to risks associated with home and community care services Progress on the Quality Improvement initiatives An update on adverse events Target Audiences: The Quality Committee of the Board, the South East LHIN Executive Team and the Home and Community Care Senior Leadership Team Alignment: The performance indicators contained in this report align with the South East LHIN Quality Improvement Plan Frequency: This report will be provided quarterly. 2
5 Home and Community Care Quality Indicators Quality Dimension Aim/Issue Indicator Target Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Trend Safety of patients in the % of adult long stay HC patients who record a fall on their follow up RAI HC 35.0% 36.4% 34.4% 31.2% 29.5% 32.3% 35.4% 32.7% 37.0% 36.7% 37.1% 31.9% 34.2% community assessment Patients with ERL codes 1 and 2 with contingency plan 55.4% 56.9% 61.2% 67.2% 73.9% 76.7% 85.9% 86.1% 87.5% 88.7% 95.8% 97.3% Safe % of patients who responded Agree to I was satisfied with the support received 92.5% 89.3% 91.5% from the care coordinator/agency to address safety concerns at home Healthcare associated harm Adverse events Effective Effective Transitions Overall Emergency Department visits % of HC patients with an unplanned, less urgent ED visit within the first 30 days 7.0% 8.4% of discharge from hospital % of HC patients presenting to ED within 30 days of discharge from hospital 30.0% 30.8% 29.5% 26.6% 31.9% 28.9% 30.1% 31.8% 32.5% 34.1% 25.8% 28.0% 30.0% % of HC patients who experienced an unplanned readmission to hospital within 30 days of hospital D/C 17.3% 16.8% % of HC patients presenting to ED 15.0% 18.7% 17.7% 18.5% 19.2% 18.9% 18.2% 19.2% 19.6% 19.3% 17.6% 18.5% 16.9% See Appendix for indicator definitions 3
6 Home and Community Care Quality Indicators Quality Dimension Aim/Issue Indicator Target Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Trend Timely access to % of patients who received their first nursing visit within 5 days of the service 95.0% 94.3% 94.8% 94.6% 93.7% 95.4% 95.3% 94.8% 94.1% 94.6% 94.9% 94.9% 94.6% care/services authorization date % of patients receiving their first nursing visit within 5 days of Patient Available 95.0% 96.0% 96.7% 96.4% 96.9% 97.1% 96.1% 96.6% 95.2% 96.2% 96.7% 96.2% 96.7% Timely Date % of complex patients who received their first personal support service within % 86.1% 84.6% 81.4% 95.3% 88.0% 78.9% 84.4% 79.7% 81.0% 85.7% 83.9% 87.2% days of the service auth date % of complex patients receiving their first personal support visit within 5 days of 95.0% 89.5% 92.7% 86.4% 95.6% 92.3% 87.5% 91.4% 85.2% 91.8% 92.5% 85.2% 88.1% Patient Available Date Person experience % of patients who responded Good/Very Good/Excellent for Overall rating of: 94.5% 94.3% 92.7% 93.3% CCAC services, mgmt/handling of care by CC & service provided by SP Patient - Patient/Caregiver complaints not resolved at the Care Coordination level Centred recorded in the QI Tool Palliative Care % of palliative/end of life patients who died in preferred place of death 76.7% 74.0% 74.3% 83.3% 75.0% 77.8% 80.4% 75.3% 74.7% 69.9% 72.8% 74.2% See Appendix for indicator definitions 4
7 Report Comments Where data is not provided, it is not yet available. There is significant data lag for ED Visit and Hospital Readmission provincial indicators. Targets, where available, have been carried forward from In cases where no target is in place, the indicator is developmental and we are monitoring to establish baseline. We have changed our definition for complaints for the current fiscal year. Current complaints are reported in alignment with submissions to the MOHLTC. The data published in this report is accurate on the day that it was extracted. Due to delayed event reporting and internal data quality control efforts, this information is subject to change, including addition, deletion and reclassification of any and all data. 5
8 Patient Safety Our rate of falls for long stay patients in the community continues to fluctuate. A standardized falls protocol was implemented as part of our QIP and we continue to monitor and reinforce uptake of applying the protocol. An evaluation of the protocol was completed in Q3. Our rate of completion of emergency plans for high risk patients continues to improve steadily. Safety questions for CCEE survey KPI9 appeared lower for Q1 but is back to expected performance levels in Q2. The CCEE results are cumulative for the fiscal year. There was 1 adverse event reported in Q3. 6
9 Adverse Events There was 1 adverse event reported in the third quarter related to a patient injury that has since healed. An event analysis was completed, and final disclosure with the patient has been completed. Learnings were shared in a Quality Alert with our internal staff and our contracted personal support service providers. 7
10 Effectiveness Our local measure for ED visits within 30 days returned to target levels in Q3. Overall rate of ED visits is above our local target. Engagement with Health Links and expanding the use of Coordinated Care Plan is expected to reduce ED visits although we may not see a significant shift within the next fiscal year. We are exploring whether improvements to wound care practice may improve ED visits within 30 days of discharge from hospital as part of our QIP for The latest available results for hospital readmission is close to the provincial average of 17.7%. We have developed a local proxy indicator and will begin to review baseline data in Q4. In the next fiscal year, we will be able to conduct analysis to better understand hospital readmission rates. 8
11 Timeliness Nursing wait time from authorization date was just below target (less than 1%) in Q2. The new provincial accountability metric will measure wait time from Patient Available Date. We are consistently above target for nursing wait time from Patient Available Date. Personal support service wait time from authorization date for complex patients affects a small number of patients. We did not reach the target in Q3. The new provincial accountability metric will measure wait time from Patient Available Date. Our results for wait from Patient Available Date appear to be better but are still below target. 9
12 Person Centered Our overall patient experience is stable; we were at target for fiscal 2016/17. Results are available from Q2 appear lower than last year, but the sample size is not representative as CCEE results are cumulative for the fiscal year. We will revisit when a full year of data is available. Palliative/end of life patients who die in their preferred place of death is an additional QIP indicator. A target has not been set for this fiscal year and we are collecting baseline data as input to quality improvement planning next year. 10
13 Other Risks/Issues Appeals, Litigation, Insurance Claims There are no active HSARB appeals, litigations or insurance claims currently open 11
14 Quality Improvement Highlights for Q3 2017/18 Home and Community Care have initiated the planning process for the QIP and completed a draft year end progress report for This is included as a separate document from this report. Additional QI Work underway: Continuing to work closely with Contracts to develop a number of strategies to address service quality issues including expanding the special conditions language in service provider contracts regarding minimum qualifications and training Agreement reached to develop a test regarding Personal Support Service prioritization to reschedule PSWs from lower to higher need patients Developing options for service standards in the Retirement Home environment that minimize time-specific visits and reduce inequities with care in homes 12
15 References Quality Improvement Plan Health Quality Ontario quality improvement QIP guidance document and indicator definition 13
16 Appendix Definitions CCEE: Client & Caregiver Experience Evaluation is a satisfaction survey of patients or their advocate conducted 4 times per year. It provides information about the patient s experience with receiving services from the LHIN and its contracted service providers. Patient Safety: is defined as the absence of preventable harm to a patient during the process of health care. Quality Care: Providing sustainable care that is safe, effective, timely, centered around the patient, respectful of the family, and results in a positive experience. 14
17 Definitions Quality Improvement Tool (QI Tool): An Automated reporting system to report, monitor and track events related to patient care/service provision. Events are tracked by established categories; Compliment, Patient/Caregiver Safety, Privacy & Security, Communication & Reporting, Complaint, LHIN/Service Provider Staff Safety, Service Delivery, and Placement. RAI- HC: Resident Assessment Instrument for Home Care: It s a Minimum Data Set (MDS) screening tool that enables a home care provider to assess multiple key domains of function, health, social support, and service use. InterRAI Patient and Caregiver complaints not resolved at the Care Coordinator level relate to: Quality of service, availability of service, business process. 15
18 Indicator Definitions % of adult long-stay HC patients who record a fall on their follow up RAI-HC assessment: Percentage of adult long stay home care patients who say they have fallen within the last 90 days or since last assessment during a follow-up RAI-HC assessment. Patients with ERL codes 1 and 2 with contingency plan: % of patients with Emergency Response Level of 1 or 2 with a contingency plan documented in CHRIS. % of patients responded Agree to I was satisfied with the support received from the care coordinator/agency to address safety concerns at home, CCEE: Client & Caregiver Experience Evaluation, % of respondents answered Somewhat Agree/Strongly Agree to I was satisfied with the support received from the care coordinator/agency to address safety concerns at home. Adverse Events recorded in QI Tool: # of adverse events recorded in the QI Tool. There are 3 definition criteria for an adverse event: 1. An unintended injury or complication, AND 2. Which results in disability, death or increased use of health care resources (i.e. additional attendance by health care professionals, prolonged home care stay, hospitalization), AND 2. Is caused by health care management*. (*Health care management is defined as: Any care or treatment provided as part of a formal care plan that is provided by healthcare workers, formal or informal caregivers or as self-care by the patient.) 16
19 % of HC patients with an unplanned, less-urgent ED visit within the first 30 days of discharge from hospital: Percentage of adult home care patients with an unplanned less urgent (triage level) emergency department visit with the first 30 days of hospital discharge. % of HC patients presenting to ED within 30 days of discharge from hospital: Percentage of home care patients who present to emergency department within the first 30 days of Hospital Discharge. (all triage levels). % of HC patients who experienced an unplanned readmission to hospital within 30 days of discharge from hospital: Percentage of adult home care patients who experienced an unplanned return to hospital with 30 days of hospital discharge. % of HC patients presenting to ED: Percentage of adult home care patients with an unplanned emergency department visit. 17
20 % of patients who received their first nursing visit within 5 days of the service authorization date: Percentage of adult home care patients who received their first nursing visit within 5 days of the service authorization date (includes RN, RRN, nursing clinics and NP palliative) % of patients who received their first nursing visit within 5 days of the patient available date: Percentage of adult home care patients who received their first nursing visit within 5 days of the patient available date (includes RN, RRN, nursing clinics and NP palliative) % of complex patients who received their first personal support service visit within 5 days of the service authorization date: Percentage of adult home care patients with CCM population of Complex who received their first personal support service within 5 days of the service authorization date % of complex patients who received their first personal support service visit within 5 days of the patient available date: Percentage of adult home care patients with CCM population of Complex who received their first personal support service within 5 days of the service patient available date 18
21 % of patients who responded Good/Very Good/Excellent for Overall rating of: LHIN services, mgmt/handling, of care by CC & service provider by SP: Client & Caregiver Experience Evaluation, Key Performance Indicator 1: Percentage of Good, Very Good & Excellent, responses on a 5 point scale (Poor to Excellent) to three client Experience survey questions: Overall rating of LHIN services Overall rating of management/handling of care by care coordinator Overall rating of service provided by service provider Patient/Caregiver complaints not resolved at the Care Coordinator level recorded in the QI Tool: A concern brought forward by a patient or caregiver concerning the services provided by home and community care services or any contracted service provider agency, that is not resolved at the level of the Care Coordinator, and is recorded in the QI Tool. A complaint can relate to any component of the services provided through home and community care (e.g., placement, in-home services, medical supplies and equipment). % of palliative/end of life patients who died in preferred place of death: The % of adult palliative/end of life patients with discharge disposition of death who died in their preferred place of death as indicated in the discharge disposition. Palliative/end of life patients are identified as those with CCM population of complex Palliative, chronic Palliative or End of Life (SRC 95) at time of discharge. 19
22 Item BRIEFING NOTE FOR EXECUTIVE MEETING Title Client and Caregiver Experience Evaluation (CCEE) Survey Results Q2 Update Date January 25, 2018 Description The Q1/Q2 results from the Client and Caregiver Experience Evaluation have been received for Home and Community Care services. The survey provides the Home and Community Care sector with statistically meaningful information about the patient s experience with Care Coordination services and services provided by contracted service providers. While the results can inform performance manangement for SPOs, the tool supports Home and Community Care in identifying strengths to leverage and opportunities for quality improvement initiatives. Moreover, the overall satisfaction rating from the CCEE survey is reported publicly HQO and included as a sector QIP indicator. The South East continues to perform very well across the 9 Key Performance Indicators (KPIs). The overall results are summarized below: (Q1/Q2) (Q1/Q2) FY KPI South East South East South East Provincial Average Overall 93.3% 94.3% 94.4%* 92.2% Experience Patient 89.5% 89.1% 89.6% 88.4% Centred Care Patient 93.6%* 94.8%* 94.4%* 91.1% Centred Care Appointments Quality of Care 95.1% 94.8% 94.9%* 93.6% Building 94.0%* 93.7%* 93.9%* 92.2% Relationships and Trust Linking to 78.3% 83.3% 82.9%* 77.8% Other Services Willingness to 96.7% 97.1% 97.3%* 96.4% Recommend Expectations 62.1% 63.9% 64.0%* 59.3% of Quality Safety 91.5%* 91.6%* 93.1% 92.2% *Significantly Higher than provincial results Page 1 of 4
23 Item BRIEFING NOTE FOR EXECUTIVE MEETING Overall, the results to date are consistent with past results, with all KPIs being within 2% of Q1/Q2 results with the exception of Linking to Other Services. To date, we are scoring statistically significantly higher than the provincial average (to date) in the KPIs of: Client Centered Cared Appointments Building Relationships and Trust Safety It should be noted that the due to low response rates within the set sampling period, the timeline was extended. The response rate captured is consistent with the plan submitted to NRC and it should not impact the sampling plan for the remainder of the year. Next Steps Background Further details on the CCEE, including sampling method and inclusion/exclusion criteria can be found in Appendix 1. The current results will be shared with the Home & Community Care Directors and will inform planning for the Quality Improvement Plan. The CCEE provides the Home and Community Care sector with statistically meaningful information about the patient s experience with Care Coordination services and services provided by contracted service providers. It also supports Home and Community Care in identifying strengths to leverage and opportunities for quality improvement initiatives. The overall satisfaction rating from the CCEE survey is reported publicly by Health Quality Ontario, and included as a sector QIP indicator. Moreover, it provides Home and Community Care programs with comparable data that can be used for public reporting and supports Service Provider performance management. All 14 LHINs participate in the CCEE core survey. NRC Health conducts the patient and caregiver experience surveys on behalf of the LHINs. This is a telephone survey conducted with a sample of our patients each quarter, with questions being asked on a 5-point rating scale. There is one open-ended question at the end "What is the most important thing the LHIN can do to improve the quality of care you received?" Sampling and surveying takes place in 4 waves over the course of one year. This is based off of the sampling plan set annually based on volumes for the previous year by service type and provider Page 2 of 4 Key Performance Indicators (KPIs) help LHINs define, measure, and track progress towards their organizational goals. Each KPI is based on a series of questions in the survey that were found to be highly correlated with each other, thus representing a definition of each respective KPI:
24 Item BRIEFING NOTE FOR EXECUTIVE MEETING Appendix 1: Sampling Plan Development Page 3 of 4 1. Overall Experience (reported publicly and is a priority QIP indicator for LHINs) 2. Patient Centred Care 3. Patient Centred Care Appointments 4. Quality of Care 5. Building Relationships and Trust 6. Linking to Other Services 7. Willingness to Recommend 8. Expectations of Quality 9. Safety Sampling Plan Development LHINs stratify the sample by service type, by service provider (and or geography) to allow for random sampling. A 10% annual Margin of Error by sample stratification is expected. The respondents to the surveys were selected to ensure sufficient numbers of responses according to service type, provider agency and/or geography. However, due to variation in response rates, the sample population are not a perfect random sample of the LHIN patient population and may not be perfectly representative of the patient population. Weights are applied to the survey responses to ensure that the reported survey results are representative of the actual population served by the LHIN and provider agencies. Inclusion Criteria All unique active or discharged patients receiving home and community care services for one of the following contracted services: Nursing, Personal Support, Occupational Therapy, Physiotherapy, Speech Therapy, Social Work, Nutrition/Dietetics Discharged patients to one of the following placement categories within the specified time period: Admission final Withdrawn, interim became final Withdrawn, placement by other LHIN Refused bed Exclusion Criteria Patients that received in-school service only. Respite Services Medical Supplies and Equipment End of life patients (SRC 95) Patients not yet categorized (SRC 99) Home and community care patients classified as out of region Convalescent care patients
25 Item BRIEFING NOTE FOR EXECUTIVE MEETING Patients who do not want to participate in any survey conducted on behalf of the LHIN patients with NO SURVEY risk code in CHRIS Page 4 of 4
Excellent Care for All Quality Improvement Plans (QIP): Progress Report for 2016/17 QIP
Excellent Care for All Quality Improvement Plans (QIP): Progress Report for QIP The Progress Report is a tool that will help organizations make linkages between change ide and improvement, and gain insight
More informationLHIN Quality Improvement Plans (QIPs) and Service Provider QIPs. Presentation to Service Provider Organizations April 2018
LHIN Quality Improvement Plans (QIPs) and Service Provider QIPs Presentation to Service Provider Organizations April 2018 Purpose To provide an overview of: LHIN Quality Improvement Plan (QIP), and Service
More informationQuality, Risk and Patient Safety Report Fiscal Year , Third Quarter Submitted to: Board of Directors March 3, 2017
Quality, Risk and Patient Safety Report Fiscal Year 20, Third Quarter Submitted to: Board of Directors March 3, 2017 Analysis and Ideas for Improvement Contributed by Staff of the North East CCAC Date
More informationQuality, Risk and Patient Safety Report Fiscal Year , Fourth Quarter
Quality, Risk and Patient Safety Report Fiscal Year 20, Fourth Quarter Submitted to: Board of Directors June 20, 2014 Contributed by Staff of the North East CCAC Date of Report: June 4, 2014 TABLE OF CONTENTS
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 12/23/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/30/2017 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationQuality, Risk and Patient Safety Report Fiscal Year , Fourth Quarter
Quality, Risk and Patient Safety Report Fiscal Year 2, Fourth Quarter Submitted to: Board of Directors June 26, 215 Contributed by Staff of the North East CCAC Date of Report: June 1, 215 TABLE OF CONTENTS
More informationQuality Management Report 2017 Q2
Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance
More informationLooking Back and Looking Forward. A Sneak Peek for the 2018/19 Home Care quality improvement plans (QIPs)
Looking Back and Looking Forward A Sneak Peek for the 2018/19 Home Care quality improvement plans (QIPs) DANYAL MARTIN LAURIE DUNN NOVEMBER 20, 2017 Learning Objectives Share learnings from the 2017/18
More informationHow the Quality Improvement Plan and the Service Accountability Agreement Can Transform the Health Care System
How the Quality Improvement Plan and the Service Accountability Agreement Can Transform the Health Care System Local Health Integration Network (LHIN) Health Quality Ontario (HQO) Quality Improvement Task
More informationLong Term Care Comparing Residents First and ECFAA QIP.
Long Term Care Comparing Residents First and ECFAA QIP Welcome and Introductions Presentation Team Lynn Dionne Manager, QIP and Capacity Building HQO Terri Donovan QIP and Capacity Building Specialist
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 4/1/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationWorkplace Violence Prevention indicator in hospital Quality Improvement Plans (QIPs)
Workplace Violence Prevention indicator in hospital Quality Improvement Plans (QIPs) S U D H A K U T T Y, HQO, DIRECTOR, QUALITY IMPROVEMENT STRATEGIES & ADOPTION D A N Y A L MA R T I N, H Q O, MA N A
More informationToronto Central LHIN 2016/2017 QIP Snapshot Report. Health Quality Ontario The provincial advisor on the quality of health care in Ontario
Toronto Central LHIN 2016/2017 QIP Snapshot Report Health Quality Ontario The provincial advisor on the quality of health care in Ontario INTRODUCTION Purpose To give each Local Health Integration Network
More informationWashington State LTSS System, History and Vision
Washington State LTSS System, History and Vision Bea Rector, Director, Home and Services Aging and Long Term Support Administration Washington State Department of Social and Health Services For Northwest
More informationTCLHIN Standardized Discharge Summary
TCLHIN Standardized Discharge Summary ehealth Conference June 4, 2014 Kara Kitts Quality Improvement Manager St. Michael s Hospital Ontario Healthcare System 14 Local Health Integration Networks (LHINs)
More informationQuality Improvement Program Evaluation
Quality Improvement Program Evaluation 2013 Care Wisconsin 2013 Quality Improvement Program Evaluation INTRODUCTION Care Wisconsin s Quality Management Program uses the Home and Community-Based Quality
More informationSeptember Sub-Region Collaborative Meeting: Bramalea. September 13, 2018
September Sub-Region Collaborative Meeting: Bramalea September 13, 2018 Agenda Item # Agenda Item Action Lead Time 1.0 Welcome Call to Order, Introductions, Objectives Co-Chairs 5 min 2.0 Integrated Health
More informationLEAN Community Care Coordination
LEAN Community Care Coordination May 2013 to December 2013 Waterloo Wellington CCAC Lynda van Dreumel, Project Manager Dana Khan, Director Client Services Patricia DiRuzza, Manager Client Services Why
More informationKey Performance Indicators
Regional Nephrology System (RNS) Chronic Disease Prevention and Management Key Performance Indicators 8/9 Fiscal Year End Report Version: 1. Date published: April 7th, 9 Created by: Ethel Doyle: RNS Interim
More informationCHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.
PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected
More informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing January 2018 (December 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing January 2018 (December 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author:
More informationRecommendations for Adoption: Schizophrenia. Recommendations to enable widespread adoption of this quality standard
Recommendations for Adoption: Schizophrenia Recommendations to enable widespread adoption of this quality standard About this Document This document summarizes recommendations at local practice and system-wide
More informationA View from a LHIN Breakfast with the Chiefs
A View from a LHIN Breakfast with the Chiefs Matthew Anderson Chief Executive Officer October 22 nd, 2008 To change the world To change the world To change the world 6 Months of Learning The good news
More informationHealth Quality Ontario
Health Quality Ontario The provincial advisor on the quality of health care in Ontario November 2015 LTC Indicator Review Report: The review and selection of indicators for long-term care public reporting
More informationBoard Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing August 2017 (July 2017 data)
Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing August 2017 (July 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author: Workforce
More informationTOOLKIT COORDINATED CARE PLANNING. London Middlesex Health Link
TOOLKIT COORDINATED CARE PLANNING The toolkit is for any individual/organization who will be participating in the Health Link approach to coordinated care planning September 2016 London Middlesex Health
More informationWorkplace Violence Prevention: A Provincial Approach to Improvement Presentation at OHA HealthAchieve
Workplace Violence Prevention: A Provincial Approach to Improvement Presentation at OHA HealthAchieve SUDHA KUTTY NOVEMBER 6, 2017 1:30PM Agenda Provide an overview of the Quality Improvement Plan (QIP)
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care anizations in Ontario 1/3/ This document is intended to provide health care organizations in Ontario with guidance as to how they can develop a
More information2017/18 Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
2017/18 Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario March 31, 2017 This document is intended to provide health care organizations in Ontario with guidance as to how
More informationRunnymede Balanced Scorecard
Strategic Direction Operational Excellence Growth Relationships Indicator Classification Runnymede Balanced Scorecard Performance Indicator Current Annual Rate of Clostridium Difficile Infection 0.07 0.06
More informationMHP Work Plan: 1 Behavioral Health Integrated Access
PROGRAM INFORMATION: Program Title: Youth Wellness Center Provider: Department of Behavioral Health Program Description: The Department of Behavioral Health (DBH) Youth Wellness Center is designed to improve
More informationRunnymede Balanced Scorecard
Strategic Direction Operational Excellence Growth Relationships Indicator Classification Balanced Scorecard Performance Indicator Current Annual Rate of Clostridium Difficile Infection 0.00 0.10 0.09 0.35
More informationQuarterly Report on Agency Services to Floridians with Developmental Disabilities and Their Costs
Quarterly Report on Agency Services to Floridians with Developmental Disabilities and Their Costs First Quarter Fiscal Year 2012/13 (July, August, September) Submitted November 2012 Barbara Palmer Director
More informationSchedule 3. Services Schedule. Social Work
Schedule 3 Services Schedule Social Work Page 1 of 43 TABLE OF CONTENTS SECTION 1 INTERPRETATION... 4 1.1 Definitions... 4 1.2 Supplementing the General Conditions... 7 SECTION 2 CCAC PLANNING AND REQUESTING
More information3.01. CCACs Community Care Access Centres Home Care Program. Chapter 3 Section. Overall Conclusion
Chapter 3 Section 3.01 CCACs Community Care Access Centres Home Care Program Standing Committee on Public Accounts Follow-Up on Section 3.01, 2015 Annual Report In May 2016, the Committee held a public
More informationRecommendations for Adoption: Heavy Menstrual Bleeding. Recommendations to enable widespread adoption of this quality standard
Recommendations for Adoption: Heavy Menstrual Bleeding Recommendations to enable widespread adoption of this quality standard About this Document This document summarizes recommendations at local practice
More informationPATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017
Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/31/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/16/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationRecommendations for Adoption: Diabetic Foot Ulcer. Recommendations to enable widespread adoption of this quality standard
Recommendations for Adoption: Diabetic Foot Ulcer Recommendations to enable widespread adoption of this quality standard About this Document This document summarizes recommendations at local practice and
More informationHealth Quality Ontario
Health Quality Ontario The provincial advisor on the quality of health care in Ontario November 15, 2016 Under Pressure: Emergency department performance in Ontario Technical Appendix Table of Contents
More informationCommunity Health and Hospital Services Integration Planning Process DRAFT Integrated Service Delivery Model for Northumberland County December 2013
Overview The Central East Local Health Integration Network is one of 14 Local Health Integration Networks (LHINs) established by the Government of Ontario in 2006. LHINs are community-based organizations
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/29/2017 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationHome care clients with complex needs who received personal support service within five days
Home care clients with complex needs who received personal support service within five days Resource for Indicator Standards (RIS) Health Analytics Branch, Ministry of Health and Long-Term Care Indicator
More informationMACOMB COUNTY COMMUNITY MENTAL HEALTH QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM ANNUAL EVALUATION, FISCAL YEAR 2009 ANNUAL PLAN, FISCAL
MACOMB COUNTY COMMUNITY MENTAL HEALTH QUALITY ASSESSMENT AND PERFORMANCE IMPROVEMENT PROGRAM ANNUAL EVALUATION, FISCAL YEAR ANNUAL PLAN, FISCAL YEAR 2010 AUGUST, 2010 MACOMB COUNTY COMMUNITY MENTAL HEALTH
More informationStandardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017
Standardising Acute and Specialised Care Theme 3 Governance and Approach to Hospital Based Services Strategy Overview 28 th July 2017 Background Theme 3 builds upon previous key strategic commissioning
More informationConnecting South West Ontario Program Connecting Health Service Providers. John Stoneman, Executive Lead June 3, 2015
Connecting South West Ontario Program Connecting Health Service Providers John Stoneman, Executive Lead June 3, 2015 cswo Program Connecting south west Ontario health care providers across the continuum
More informationTC LHIN Quality Indicators: Big Dot (System) and Small Dot (Sector Specific) Indicators. November 29, 2013
TC LHIN Quality Indicators: Big Dot (System) and Small Dot (Sector Specific) Indicators November 29, 2013 1 Contents 1. TC LHIN Quality Framework, Themes and Focus Areas 2. Big Dot System Indicators 3.
More information2014/15 Quality Improvement Plan (QIP) Narrative
2014/15 Quality Improvement Plan (QIP) Narrative 4/1/2014 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop a quality improvement plan.
More information2014/2015 Mississauga Halton CCAC Quality Improvement Plan
2014/2015 CCAC Quality Improvement Plan February, 2014 Approved by the MISSISSAUGA HALTON CCAC Board of Directors March 5, 2014 Community Care Access Centre 1 Overview of Our Organization s Quality Improvement
More informationMoving an Enabled Patient to an Engaged Patient Our Patient Portal Experience
Moving an Enabled Patient to an Engaged Patient Our Patient Portal Experience Lori K. Posk M.D. FACP Medical Director MyChart Cleveland Clinic Foundation Disclosures No financial Disclosures Learning Objectives
More informationPartnering with Patients to Inform Meaningful Change. Developing a Patient Experience Program
Partnering with Patients to Inform Meaningful Change Developing a Patient Experience Program Agenda Project Goals and Objectives Learnings: Best Practice / Critical Success Factors Project Phases / Timelines
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 2015-2016 3/31/2015 This document is intended to provide health care organizations in Ontario with guidance as to how they
More informationMINISTRY/LHIN ACCOUNTABILITY AGREEMENT (MLAA) MLAA Performance Assessment Dashboard /10 Q3
MINISTRY/LHIN ACCOUNTABILITY AGREEMENT (MLAA) MLAA Performance Assessment Dashboard - 29/1 Q3 README The 29/1 MLAA Dashboard has been designed to reflect various reporting fiscal periods as well as the
More informationAccountability Framework and Organizational Requirements
Ministry of Health and Long-Term Care Accountability Framework and Organizational Requirements Consultation Document Population and Public Health Division May 2017 Ministry of Health and Long-Term Care
More informationManaging Risk Through Population Health Initiatives
Managing Risk Through Health Initiatives Vicki DeBaca, DNS, RN Vice President, Health & Provider Services Sharp Rees-Stealy Medical Centers 1 Sharp Rees-Stealy Medical Centers San Diego s Multi-Specialty
More informationNHS Performance Statistics
NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationHealth System Performance and Accountability Division MOHLTC. Transitional Care Program Framework
Transitional Care Program Framework August, 2010 1 Table of Contents 1. Context... 3 2. Transitional Care Program Framework... 4 3. Transitional Care Program in the Hospital Setting... 5 4. Summary of
More informationNational Homecare KPI performance March 2017
National Homecare KPI performance March 2017 Foreword We are pleased to publish our latest KPI report, continuing our commitment to the transparency of the service we provide to our patients and customers,
More informationAssisted Living Services for High Risk Seniors Policy, 2011 An updated supportive housing program for frail or cognitively impaired seniors
Assisted Living Services for High Risk Seniors Policy, 2011 An updated supportive housing program for frail or cognitively impaired seniors January 2011 (as updated September 2012) Ministry of Health and
More informationSTATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018
STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 2015-16 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationHospital Care Indicators
Hospital Care Indicators Common Quality Agenda DRAFT - DO NOT CIRCULATE 1 Hospital Care Indicators There are 23 Common Quality Agenda indicators that are relevant to the hospital care sector, the largest
More information2016/17 Quality Improvement Plan "Improvement Targets and Initiatives"
2016/17 Quality Improvement Plan "Improvement Targets and Initiatives" Queensway-Carleton Hospital 3045 Baseline Road AIM Measure Quality dimension Objective Measure/Indicator Unit / Population Source
More informationThe Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing
The Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing Sharon P. Stetz MSN Marvella M. Muzik, MS PMHNP, BC Objectives
More informationStrategic KPI Report Performance to December 2017
Strategic KPI Report Performance to December 2017 Trust Board 25 th January 2018 Strategic KPI summary SROs: All Directors Objective KPI SRO Target Apr May Jun Jul Aug Sep Oct Nov Success Is Deliver A
More informationAlberta First Nations Continuing Care Needs Assessment - Health and Home Care Program Staff Survey -
Alberta First Nations Continuing Care Needs Assessment p. 1 Alberta First Nations Continuing Care Needs Assessment - Health and Home Care Program Staff Survey - Definition of Terms Continuing Care: As
More informationAgenda Item 9 Integration Strategy. Presentation to the Board of Directors
Agenda Item 9 Integration Strategy Presentation to the Board of Directors What is Integration? Our integration lens reflects a continuum of approaches from Informal Relationships to Structured Collaboration
More informationIdentifying Errors: A Case for Medication Reconciliation Technicians
Organization: Solution Title: Calvert Memorial Hospital Identifying Errors: A Case for Medication Reconciliation Technicians Program/Project Description and Goals: What was the problem to be solved? To
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
September 8, 20 UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD UI Health Metrics FY Q4 Actual FY Q4 Target FY Q4 Actual 4th Quarter % change FY vs FY Average Daily Census (ADC)
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/30/2015 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationAlberta Health Services. Strategic Direction
Alberta Health Services Strategic Direction 2009 2012 PLEASE GO TO WWW.AHS-STRATEGY.COM TO PROVIDE FEEDBACK ON THIS DOCUMENT Defining Our Focus / Measuring Our Progress CONSULTATION DOCUMENT Introduction
More informationCKHA Quality Improvement Plan (QIP) Scorecard
CKHA Quality Improvement Plan () Scorecard 217-18 Quality dimension Performance Indicator 217-18 Performance Goals results where available Current Value Page Safety Medication Reconciliation completed
More informationTeam Care Best Practices in Managing Hypertension Learning Collaborative Sponsored by AMGA and Daiichi Sankyo, Inc.
2008 Best Practices in Managing Hypertension Learning Collaborative Sponsored by AMGA and Daiichi Sankyo, Inc. November 12-14, 2008, Scottsdale, AZ Great Falls Clinic, LLP Great Falls, Montana Team Care
More informationExpression of Interest for Wound Care Project
Expression of Interest for Wound Care Project November 11, 2016 Telewound Care EOI Page 1 of 12 Contents 1 Introduction... 3 2 Telewound Care Project Background... 4 2.1 Background... 4 2.2 Purpose...
More informationQuality Improvement Plans (QIP): Progress Report for QIP
Excellent Care for All Act Quality Improvement Plans (QIP): Progress Report for 2013-14 QIP This document uses the standard Health Quality Ontario (HQO) template for reporting on the progress as of April
More informationNHS performance statistics
NHS performance statistics Published: 8 th February 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/15/2016
Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/15/2016 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop
More informationPERFORMANCE IMPROVEMENT REPORT
PERFORMANCE IMPROVEMENT REPORT First Quarter Fiscal Year 214 October-December, 213 Daniel Coffey, CEO 1 Executive Summary The Quarterly Performance Improvement Report summarizes the measures used to monitor
More informationAcute Coronary Syndromes (ACS) Provincial Orders Dissemination. Final Evaluation Report
Acute Coronary Syndromes (ACS) Provincial Orders Dissemination Final Evaluation Report July 2014 ACS POD Evaluation - 2 This report was produced by the Clinical Analytics Team, Data Integration, Measurement
More informationQuality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario
Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/12/2017 This document is intended to provide health care organizations in Ontario with guidance as to how they can develop a
More informationSouth West Health Links Quality Improvement & Health Links
South West Health Links Quality Improvement & Health Links Webcast Part 3 Overview of Presentation Introduction to Quality Improvement (QI) approach Quality Improvement & Health Links Quality Improvement
More informationNHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011)
NHS LANARKSHIRE QUALITY DASHBOARD Board Report October 2011 (Data available as at end August 2011) INTRODUCTION This paper provides a monthly quality dashboard for NHS Lanarkshire. This is in line with
More informationEmergency Department Waiting Times
Publication Report Emergency Department Waiting Times (formerly Accident & Emergency Waiting Times) Quarter ending 30 June 2011 Publication date 30 August 2011 A National Statistics Publication for Scotland
More informationCompliance Division Staff Report
Compliance Division Staff Report Polygraph Advisory Board Meeting Tuesday, September 26, 2017 Public Outreach Compliance Division routinely attends annual industry meetings held by TALEPI (Texas Association
More informationAgenda Item 8.4 BRIEFING NOTE: Toronto Central Local Health Integration Network (LHIN)
Agenda Item 8.4 BRIEFING NOTE: Toronto Central Local Health Integration Network (LHIN) SUBJECT: Voluntary Integration of the Assisted Living and Attendant Outreach Services from the Canadian Red Cross
More informationInfluence of Patient Flow on Quality Care
Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District
More informationLocal Health Integration Network Authorities under the Local Health System Integration Act, 2006
Purpose This document outlines principles that guide the potential use of the new Local Health Integration Network (LHIN) directive, investigatory and supervisory authorities ( statutory authorities )
More informationYear. Figure 5.2
3 1997 2 1998 1 Time (Year) 1999 2 1 21 2 22 3 23 14E 16E 18 16W 14W 12W 1W 8W Figure 5.1 Copyright 211 John Wiley & Sons, Inc. 4 3 Niño 3 Index Niño 4 Index 2 Deg C 1 1 2 3 195 1955 196 1965 197 1975
More informationQuality Improvement Plan (QIP) Narrative: Markham Stouffville Hospital Last updated: March 2017
Overview The Quality Improvement Plan (QIP) is an integral part of the quality framework at (MSH). This QIP, our seventh, was developed in partnership with patients, families, and the community we serve.
More informationWaterloo Wellington Community Care Access Centre. Community Needs Assessment
Waterloo Wellington Community Care Access Centre Community Needs Assessment Table of Contents 1. Geography & Demographics 2. Socio-Economic Status & Population Health Community Needs Assessment 3. Community
More informationSetting and Implementing Provincial Wound Care Quality Standards for Ontario
Setting and Implementing Provincial Wound Care Quality Standards for Ontario Achieving Excellence Together Conference June 2017 December 2, 2016 Health Quality Ontario The provincial advisor on the quality
More informationNHS performance statistics
NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official
More informationQuarterly Report on Agency Services to Floridians with Developmental Disabilities and Their Costs
Quarterly Report on Agency Services to Floridians with Developmental Disabilities and Their Costs Fourth Quarter Fiscal Year 2016-17 (April, May, June) Submitted August 1, 2017 Barbara Palmer Director
More information2017/18 Quality Improvement Plan Improvement Targets and Initiatives
2017/18 Quality Improvement Plan Improvement Targets and Initiatives AIM Measure Change Effective Effective Care for Patients with Sepsis % Eligible Nurses who have Completed the Sepsis Education Bundle
More informationRegional Hospice Palliative Care Model Action Plan
ITEM 11.1 Regional Hospice Palliative Care Model Action Plan Central LHIN Board of Directors October 28, 2014 1 Agenda Background Declaration A Vision for Palliative Care in Ontario Central LHIN Approach
More informationUNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD
UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM HOSPITAL DASHBOARD January 19, 2017 UI Health Metrics FY17 Q1 Actual FY17 Q1 Target FY Q1 Actual Ist Quarter % change FY17 vs FY Discharges 4,836
More informationButte County Department of Behavioral Health
Butte County Department of Behavioral Health Quality Assurance and Performance Improvement Work Plan FY 17-18 Introduction As required by the California State Department of Health Care Services and the
More informationHealth Sciences North Horizon Santé-Nord (QIP) Quality Improvement Plan
Health Sciences North Horizon Santé-Nord 2015 2016 (QIP) Quality Improvement Plan March 31, 2015 Overview HSN 2015-2016 Quality Improvement Plan Introduction Health Sciences North/Horizon Santé-Nord (HSN)
More information