Quality Care: All Resources
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Show description [+]In April 2013, Ontario’s primary health care organizations submitted their Quality Improvement Plans (QIPs) for 2013/14. An essential element of Ontario’s health care transformation agenda is the introduction of QIPs to the primary health care sector. This was the first year that Ontario’s primary care sector was required to submit QIPs, which were originally mandated for the hospital sector by the Excellent Care for All Act (ECFAA), 2010.
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Show description [+]Primary Care Quality Improvement Plans: Frequently Asked Questions
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Quality-Based Procedures (QBPs) are a significant component of Ontario’s Health System Funding Reform (HSFR) strategy. QBPs are specific clusters of patient services that offer opportunities for health care providers to share and implement best practices and improve quality care and system efficiency through process improvements, clinical redesign and enhanced patient experience.
The OHA has developed a number of resources to assist hospitals with QBP implementation, including this Toolkit to Support the Implementation of Quality-Based Procudures.
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Show description [+]Quality improvement is attracting the attention of the primary health care system as a means by which to achieve higher quality patient care. Ontario, Canada has demonstrated leadership in terms of its improvement in healthcare, but the province lacks a structured framework by which it can consistently evaluate its quality improvement initiatives specific to the primary healthcare system.The intent of this research was to complete an environmental scan and capacity map of quality improvement activities being built in and by the primary healthcare sector (QI-PHC) in Ontario as a first step to developing a coordinated and sustainable framework of primary healthcare for the province.
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Health Outcomes for Better Information and Care: Acute and Home Care in Ontario 2013
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Show description [+]Delivering on the Action Plan to Address Abuse and Neglect in Long-Term Care Homes.The Long-Term Care (LTC) Task Force is pleased to present its first progress report. The LTC Task Force on Resident Care and Safety was established by the sector in November 2011, to respond to media reports and public concern about incidents of abuse and neglect in long-term care homes and an underreporting of these incidents. The Task Force has broad representation including a resident, family member, advocates, nurses, long-term care physicians, personal support workers, unions, and long-term care provider associations.This progress report represents the first of six semi-annual progress reports that will be issued over the next three years. This report follows up on our commitment to implement the 18 multi-faceted actions contained in the original report released in May 2012. You can refer back to these original action statements within this document, and see the progress that has been made to date. Some stories have also been included to provide you with a glimpse of the changes underway. We have also set three-year targets in the form of outcome statements to guide our efforts.
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Canadian Institute for Health Information (CIHI): The purpose of this report is to establish a baseline for tracking the quality of care provided to some of our most frail and vulnerable citizens - residents of nursing homes.
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Nurses and other health professionals practise to their full scope when they are in a practice environment that enables them to fully utilize their competencies, knowledge, and skills to provide high quality, evidence-based and patient-centred care.
The Commission on the Reform of Ontario’s Public Services is calling for an expansion to the scope of practice of nurses and other health professionals as a sustainability strategy for Ontario’s publicly-funded, not-for-profit health system.
College of Nurses of Ontario data estimates there are approximately 2,873 Registered Nurses (RNs) and 1,412 Registered Practical Nurses (RPNs) who practise in Ontario’s primary care system, totaling 4,285 nurses.
Primary care can be defined as “…that level of a health service system that provides entry into the system for all new needs and problems, provides person-focused (not disease-oriented) care over time, provides care for all but very uncommon or unusual conditions, and co-ordinates or integrates care provided elsewhere by others.
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Show description [+]The Staff Mix Decision-making Framework for Quality Nursing Care is a comprehensive and evidence-informed resource presenting a systematic approach to staff mix decision-making that can be used in all clinical practice settings. Decisions concerning staff mix must reflect nurses’ scope of practice and unregulated care providers’ (UCP) scope of employment and must conform to legislation, professional standards and organizational policies. Administrators and researchers are encouraged to use outcome measurement data in a rigorous manner to inform decision-making regarding safe and effective staffing practices.
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Show description [+]This literature synthesis strengthens our understanding of the elements that influence staff mix decision-making, including patient, provider and organizational factors. In addition, it provides further evidence to support the evaluation framework (CNA et al., 2005) that is broadly structured using those three components. While some progress has been made toward the development and implementation of tools and processes to inform staff mix decision-making, substantial gaps in this area remain. In effect, this represents the ‘uptake’ or ‘utilization’ of the research linking nursing staff mix to clinical outcomes.Overall, the evaluation framework provides one organizing model that settings can use to apply staffing research to practice environments. While researchers continue to produce literature in this field that contains variable findings, the results can be used to broadly inform decisions around nurse staffing. As such, administrators and researchers must continue to measure outcomes in a meaningful and consistent manner to enhance evidence regarding safe and effective nurse staffing practices.
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