Strategic Quality Framework Executing Continuous Quality Improvement Central West LHIN Consultations February 13, 2018
Who are we and why are we here? Introductions To introduce a systems-level (LHIN-wide) quality strategy To invite feedback To generate discussion 2
Overview of the Key Elements of the Draft Strategic Quality Framework Proposed Strategic Quality Framework Supporting Infrastructure Measurement Implementation Plan 3
CONNECTING THE TRIPLE AIM & QUALITY IN THE CENTRAL WEST LHIN Achieving Transformational Change Strategic Quality Framework o Safe o Patient- Centred o Equitable o Effective o Timely o Efficient Governance & Leadership Provincial/Regional Alignment Regional Engagement ENABLERS Quality Governance Oversight is aligned with Provincial Framework through: - Central West LHIN Board of Directors - Regional Quality Table - Sub Regions Quality Improvement work is aligned with the Minister s Mandate Letter, H S F R and other provincial priorities, and deployed to the sub region level enabled by rigorous application of quality improvement science, analytics and informed by the voice of the patient and their families in their own health care planning and delivery Continuous quality improvement is conducted at all levels within the Central West LHIN leveraging community expertise and local connections between primary care providers, inter-professional health teams, hospitals and public health to promote consistency in care. Building QI Capacity & Capability Improvement work will be enabled through creating a culture of quality that includes the development of skills and knowledge in the use of quality improvement tools. Helping Professionals & Caregivers Thrive Staff and Caregivers will thrive in an environment that supports and promotes workplace engagement, wellness and excellence in patient care. Road Map of how we will achieve a Quality System in the Central West LHIN Quality Monitoring and Reporting Healthcare Improvement Scotland, 2010 Quality Improvement work is enabled by a structure which aligns a wide range of measurement across the LHIN that helps drive progress towards the Triple AIM and demonstrate improvement at the Institutional, Care Community, LHIN and Provincial levels. 4
Central West LHIN Quality Measurement Framework (A) 5
Central West LHIN Quality Measurement Framework Examples ONLY based on application of the Triple Aim To be developed in consultation with clinical leads within Central West USES OF THE CENTRAL WEST LHIN QUALITY MEASURES Triple Aim Improving the Patient s Experience of Care Improving the Health of Populations Reducing the Per Capita Cost of Healthcare LHIN LEVEL METRIC Level 1 PALLIATIVE Patient Experience Measure, e.g., Caregiver Voices Survey in Home and Community Care % Home and Community Care patients who die in hospital Further indicators in development phase) MENTAL HEALTH Patient Experience Measure Responses to my crisis or urgent needs were provided Emergency Department Visits Readmissions interrai HC Depression Rating Scale Level 2 100% of caregivers assessed for caregiver burnout 30% care providers with palliative care designation / certification, for example Canadian Nurses Association Palliative 100% Percent mental health patients will be seen within 7 days of discharge form acute care Level 3 Edmonton Symptom Assessment System- for management of depression, Anxiety, Tiredness, Drowsiness, Wellbeing % Patients who can access Home Care within 90 days Caregiver Distress The Changes in Health, End-stage disease and Signs and Symptoms (CHESS) Wait time for service Ontario Perception of Care tool for Mental Health and Addictions (OPOC-MHA) 6
2018/19 Strategic Quality Framework Consultation Process December January February March Finalize Documents Sr. Leadership to review and approve March 1 CEO Approval for Quality Committee of the Board March 12 Quality Committee of the Board to review final framework Enact Work Plan and Reporting Structure Note: Upon completion of the consultation process a detailed work plan including timelines will be developed and approved by Senior Management Team. 7
Generative Discussion How do you see your work as a sub-region collaborative reflected in this proposed framework? How does it resonate with you? Is there something else we should be considering that you don t see in the proposed framework? 8
Questions? Thank You 9