NHH Quality and Safety Framework
Quality patient care is the top priority for every member of the NHH team and, as such, we are committed to transparency and continuous improvement. At NHH, "Quality" means providing service excellence to our patients and the community. For information on Northumberland Hills Hospital’s Quality and Safety Framework, click here.
NHH Quality Improvement Plan
In June, 2010, the Ontario Government passed the Excellent Care for All Act (ECFAA). One of the ways that ECFAA seeks to help hospitals meet their community's expectations regarding quality, patient safety and accountability is through the public reporting of Quality Improvement Plans. For NHH, the Quality Improvement Plan (QIP) is a meaningful way for us to clearly articulate our accountability to our community, patients and staff.
The Quality and Safety Committee of the Board, NHH administration, physicians and other health care professionals work together to develop annual QIPs for NHH.
Our QIP is made up of two parts:
1) a narrative section providing an overview of our hospital's top quality improvement priorities for the year, how they align with the strategic directions of our 2010-14 Strategic Plan, and the link between the QIP and performance-based compensation of our executives; and
2) a spreadsheet detailing specific improvement targets and initiatives.
The spreadsheet includes a core set of indicators shared by all similar hospitals across the province, namely: Clostridium Difficile infection rate; hand hygiene compliance; readmission rates; alternative level of care (ALC) days; total margin; Emergency Department wait times for admitted patients; and patient satisfaction. NHH has also included a number of indicators reflecting our own strategic priorities and quality improvement initiatives for NHH in the coming year.
For a copy of NHH's 2013/14 Quality and Improvement Plan, click here.
For further background on Ontario's Excellent Care for All Act and the Quality Improvement Plan process, click here.
Quality and Safety Performance Monitoring
The QIP is only one of the ways NHH is working to ensure quality patient care. Detailed information on a broad range of indicators is also reported to the public on a quarterly basis through the NHH Board of Directors. Again, the indicators that are monitored reflect the strategic directions of the organization: Patients First (safe, effective, patient-centred, accessible); Our Team, Our Strength; Organizational Effectiveness; Collaborative Networks; and Building a Sustainable Future.
In addition, NHH has joined with other hospitals across Ontario to further enhance public reporting through the sharing of selected quality indicators here on NHH's web site and through other public sites. Of particular interest is our performance against the spread of certain antibiotic-resistant infections which have emerged in recent years. For background on what NHH is doing to minimize the spread of nosocomial (hospital-acquired) and other infections present in the community, click here.
Public reporting of consistent indicators, using a common methodology, allows hospitals to work with a standardized reporting approach across the province, establish a common baseline and—most important—provide the opportunity to monitor performance over time. Public reporting is not intended to serve as a measure for comparing hospitals. Each hospital has its own unique environment, services and patient population.
For more information, please click on the links below.
Other Quality and Safety Reports
NHH’s performance with regard to quality and safety is also tracked in the following provincial websites and reports and through the cyclical Accreditation Canada review process:
Wait times for general surgery, cataract surgery, Emergency Department and selected diagnostic examinations (CT, MRI)
Further information about nosocomial infections in hospitals across Ontario
Report on Hospital Standardized Mortality Rates [Note: NHH is not considered an "eligible" acute care hospital for the purpose of "Hospital Standardized Mortality Ratio" reporting.]
Report on Surgical Site Infection (SSI) Prevention [Note: The reporting of this indicator applies only to hospitals which deliver primary hip or knee joint replacement surgery, including total, partial or hemi arthroplasty. These surgeries are not currently performed at NHH.]
A consumer-oriented website produced by the Ontario Hospital Association, myhospitalcare.ca [This site draws data from the Canadian Institute for Health Information, the Ontario Ministry of Health and Long-Term Care and NRC Picker Canada, a tool for gathering patient experience data]
NHH Hospital Service Accountability Agreement 2008-2010
NHH Amending Agreement 2010
NHH Accreditation Report 2013
For more information, contact Jennifer Gillard at 905-377-7757 or firstname.lastname@example.org