Quality Care: Governance
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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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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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Registered Nurses’ Association of Ontario (RNAO) strongly supports the development of home care services utilizing a client centred care model in which Ontarians have access to continuity of care and continuity of caregiver from a primary nurse in the most appropriate setting. RNAO also strongly endorses strengthening inter-professional care so all health disciplines work closely together to support high quality client care, ensuring the right care is provided to the right client in the right place by the right care provider. Whether for-profit or not-for-profit, home care organizations must ensure the appropriate nursing care delivery model, skill-mix, and access to Registered Nurses (RNs). Adherence to the principles and spirit of Medicare are paramount to optimal client, staff, organizational and system outcomes.
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RNAO strongly supports the development of Long Term Care Homes (LTCHs) utilizing a resident/client-centred care model, where Ontarians have access to continuity of care and continuity of caregiver from a primary nurse. RNAO also strongly endorses strengthening inter-professional care so all health disciplines work closely to support high quality care in all health care settings. Regardless if a home is not-for-profit or for-profit, adhering to the appropriate nursing care delivery model and skill-mix, is paramount to optimize resident, staff and organizational outcomes.
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Show description [+]Timely access to healthcare services requires the right number, mix and distribution of appropriately educated nurses, physicians and other healthcare professionals.The demonstration projects initiative has led to the creation of a unique collection of best practices, tools and resources aimed at improving organizational planning capacity. Evaluation of the initiative generated recommendations that may guide the ministry toward policy and program development to foster improved nursing health human resource planning capacity in Ontario healthcare organizations.
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The purpose of this report is to inform the development of a comprehensive framework for assessing and publicly reporting the quality of work environments in Ontario's healthcare organizations.
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RNAO strongly supports the development of hospitals utilizing a patient/client centred care model, where Ontarians have access to continuity of care and continuity of caregiver from a primary nurse. RNAO also strongly endorses strengthening inter-professional care so all health disciplines work closely to support high quality patient care in all health care settings.
Adhering to the appropriate skill mix and nursing model of care delivery is paramount to optimize patient, staff and organizational outcomes.
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Commentary on two lead papers that examine what makes the health workplace healthier, one from the perspective of workers, and the other from the prospective of patients.
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