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Quality Improvement Plan

Osler's 2013/14 Quality Improvement Plan 

 Quicklinks and Downloads

2013/14 QIP
2012/13 QIP and progress
More info on Excellent Care for All
QIP frequently asked questions
More on Osler's public reporting

Our Quality Improvement Plan (QIP), plays a part in demonstrating specific things we are focusing on as an organization over the next year to improve the care we provide to our community.  To promote accountability, the compensation of Osler's executives is tied to the achievement of the improvement targets outlined in the QIP.

The QIP consists of 4 parts:

PART A: Overview of our hospital's Quality Improvement Plan
PART B: Our improvement targets and initiatives
PART C: The link to performance-based compensation of our executives
PART D: Accountability sign-off

Click here to download Osler's 2013-14 QIP.

Indicator

What the indicator means

Target

Current 
Performance

Hand hygiene compliance before patient contact

What proportion of staff is abiding by standard hand hygiene practices before they have contact with a patient?  Are we taking steps to prevent the spread of infections?

85%

82%
(Jan.-Dec.2012)

Number of falls for neurology patients

Are our safety practices helping to keep our patients safe while preventing injuries from falls?

10% improvement over year-end 2012-13

 6.5/1000
patient days
(Apr.-Dec.2012)

 Indicator

What the indicator means

Target

Current 
Performance
(Apr.-Dec.2012)

Percentage by which revenues exceed expenses

How do the hospital's total revenues differ from its total expenses as a percentage? Are we operating the hospital efficiently?

 0%

0.71%

Primary caesarian section rate at Brampton Civic Hospital

How is the hospital reducing the number of unecessary deliveries by caesarian section?

 10% improvement

18.5%

 Indicator

What the indicator means

Target 

Current
Performance
(Apr.-Dec.2012)

90th percentile Emergency Department (ED) length of stay for admitted patients

What is the maximum amount of time that nine out of ten ED patients spend from the time they are registered to the time they are brought to an inpatient room?

5% improvement from year-end 2012-13

 35.7 hours

Percentage of fractured hip patients who have surgery within 36 hours

What proportion of patients with fractured hips are receiving surgery within the amount of time recommended by best practice?  (Includes Headwaters Health Care Centre patients brought to Osler)

70%

 67%

 

 Indicator

What the indicator means

Target 

Current
Performance

Percentage of select inpatients that would recommend Osler to friends and family (source: external NRC Picker survey) 

Are we improving the patient experience? Do patients feel the quality of our care is good enough for the people they care most about?

 67.4%

 60.1%
(Dec.2011-Sept.2012)

Percentage of select inpatients that would recommend Osler to friends and family (source: follow-up calls by Osler staff to patients after discharge) 

Are we improving the patient experience? Do patients feel the quality of our care is good enough for the people they care most about?

 Increase one percentage point on year end performance

 88%
(Apr.-Dec.2012)

Number of initiatives involving patient co-design

How many programs are designed in collaboration with patients? Is the patient's voice being heard in the initiatives the hospital rolls out?

3

 NEW

 

 Indicator

What the indicator means

Target

Current 
Performance

Percentage of total patient days that are designated as Alternate Level of Care (ALC) days

How long are beds being used inappropriately because patients are waiting for another type of service, such as a bed in a Long Term Care facility?

10.0%

 10.6%
(Apr.-Nov. 2012)

Average number of ALC days waited by patients discharged home with CCAC services (as defined by WTIS)

Are patients waiting to go home from the hospital waiting because the necessary community support services are unavailable?

5% improvement 

 6.75 days 
(Apr.-Dec.2012)

Percentage of patients readmitted within 28 days to Osler for chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF) and diabetes

How many Osler patients are readmitted to any hospital within 28 days of being discharged for COPD, CHF and diabetes?  Are we ensuring patients are stable and receiving support after they are discharged from the hospital?

Maintain
year-end 

 9.3%
(Apr.-Nov. 2012)




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