Quality improvement is a priority at the Pembroke Regional Hospital (PRH). One of the ways in which we demonstrate this is through the development of an annual Quality Improvement Plan (QIP). Our QIP helps us to plan, document, and review performance in the areas of safety, effectiveness, access, patient centeredness, and integration of care. It helps us to identify new and better ways of doing things in order to improve care for our patients, increase satisfaction levels, and achieve better clinical outcomes.
The Excellent Care for All Act, 2010 (ECFAA) requires all hospitals to produce a QIP annually, make it available to the public, and document progress.
Ontario Health has requested that hospitals select and report on some of the core indicators to support province-wide comparability where possible.
You may find some of the questions and answers below helpful in understanding the QIP process.
The PRH Board of Directors is responsible for overseeing the development of the QIP. The members of our Board work closely with our management team, various healthcare professionals, and patients and families to determine areas for improvement. Once areas for improvement have been identified, targets are set for improvement. Once the plan is finalized, it is then submitted to the Ontario Health.
Quality Improvement Plans are developed each fiscal year (April 1 – March 31).
How do we know if progress is being made?
We take quality improvement very seriously and are committed to achieving the targets that we set out in our annual plans. Measuring progress against our established targets is the primary way in which we hold ourselves accountable to our stakeholders. Reports on progress are provided to our Board of Directors, Medical Advisory Committee, Quality and Patient Safety Committees, as well our Patient and Family Advisory Council throughout the year. A summary report is posted on our website annually.
Please visit https://www.health.gov.on.ca/en/pro/programs/ecfa/legislation/act.aspx for more information about the legislation and its requirements.