Transforming nursing through knowledge

Quality Care: All Resources

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    RNAO iaBPG presentation:
    • Describes the Breakthrough Series Collaborative methodology and its application to the long-term care sector.
    • Identifies challenges and successful strategies encountered by the LTC Improvement Teams in their quality improvement work. 
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    Nursing is a profession that is focused on collaborative relationships that promote the best possible outcomes for clients. These relationships may be interprofessional, involving a variety of health care professionals working together to deliver quality care within and across settings; or it may be intraprofessional, with multiple members of the same profession working collaboratively to deliver quality care within and across settings. 
    This document focuses on three factors — the client, the nurse and the environment — to support nurses in making decisions that are specific to their intraprofessional responsibilities when providing 
    client care. 
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    The Ontario Hospital Association (OHA), its Governance Centre of Excellence (GCE), and Health Quality Ontario (HQO) are pleased to present the Quality and Patient Safety Governance Toolkit, an online resource for hospital boards in Ontario. This unique resource is designed as a set of practical templates and tools organized into these five sections:  

    1.0 Quality of the Board and its Practice

    2.0 Measurement and Reporting

    3.0 Board-Management Working Relationships that Support Quality Improvement

    4.0 Empowering Patients and Families

    5.0 Ensuring Strong and Effective Relationships with Physicians and Clinical Leadership

    The templates combine new legislative requirements specific to Ontario hospital governance, with leading and emerging practices from Ontario and other jurisdictions. Organizations are encouraged to adapt and customize these templates to meet their unique needs. 

    While quality can be defined in a number of ways, for the purposes of this toolkit, quality is defined as “doing the right thing, at the right time, in the right way, for the right person – and having the best possible results.” (Agency for Healthcare Research and Quality, supported by the OHA and HQO).


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    Ensuring high quality, integrated care for all patients, clients and residents should be the goal of everyone involved in delivering health care in Ontario. This is a principle embedded in the Excellent Care for All Act (ECFAA), and one that is shared within broader system priorities and initiatives. 
    ECFAA, passed in June 2010, laid the foundation for a health care system that is patient-centered, focused on accountability and transparency, and committed to improving the quality of care Ontarians receive. The government’s commitment to quality improvement applies to all health care sectors, bringing us together to share in the commitment to quality health care where the needs of patients/clients/residents come first. 
    While ECFAA provided the foundation for excellence, Ontario’s Action Plan for Health Care, which was released in January 2012 by the Minister of Health and Long-Term Care, built on this foundation, providing an ambitious blueprint for health system transformation that involves all health care partners and providers. 
    System-wide quality improvement is the vision that the Ministry of Health and Long-Term Care (ministry) provides for all health care sectors, using the Quality Improvement Plan (QIP) as an enabler for this change. 
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    What are the social determinants of health? How might they be applied to our everyday lived experiences?

    Access to conditions that permit health is shaped by the circumstances in which people are born, grow up, live, work and age, and an array of political, economic, social, cultural and environmental conditions and forces.

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    In its final report, A Nursing Call to Action, the Commission outlined a nine-point action plan to drive better health, better care and better value in Canada’s health-care system. The first step in this plan specified 
    the need to establish Canada as a leader on five key health outcomes within the next five years.
    The following report sets forth an evidence-informed, expert-driven and publicly informed process by which to carry out the National Expert Commission’s proposed plan of action. It directly reflects the set 
    of transformation principles outlined by CNA and the Canadian Medical Association (and endorsed by many system partners) in Principles to Guide Health System Transformation in Canada


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    The Registered Nurses Association of Ontario (RNAO) believes patient safety is a priority in public accountability for individual nurses, administrators, organizations, professional associations and all levels of government. In striving for excellence and optimal outcomes of care, registered nurses (RNs), as a key link in the health care system, protect and enhance the health of patients/clients whether the client is an individual, family, or community. In so doing, nurses create environments that support patient safety. Patient safety has emerged as a priority national and provincial issue in health care. The evidence suggests many errors can be prevented. It is therefore incumbent on all health care providers, organizations, and governments to create cultures of safety that support safe practice for both patients and staff.

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    Canadian Institute for Health Information (CIHI): Interpreting Indicator Results

    Health System Performance—Clinical Indicators

    1. Indicators: Effectiveness (Quality and Outcomes)
    2. Indicators: Patient Safety
    3. Indicators: Appropriateness & Accessibility
    Health System Characteristics—Financial Indicators 
    1. Indicators: Efficiency
    2. Indicators: Productivity


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    In April 2013, Ontario hospitals submitted their Quality Improvement Plans (QIPs) for 2013/14, the third year of provincially mandated QIPs under the Excellent Care for All Act (ECFAA), 2010. 
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    Hospital Quality Improvement Plans: Frequently Asked Questions