Quality Forward

PHC Strategic Plan in Action

Resources & opportunities for medical staff

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WHAT IS THE QSV PILLAR?

The big picture: What do we want to achieve?

Through Quality, Safety and Value, we are looking to achieve these goals:

  • Understand, evaluate and prioritize quality (outcomes, experience and safety including eliminating preventable harm).
  • Readily access data and information and use them continuously to improve our person and family-centred care.
  • Offer the people we serve the right care, in the right place, at the right time.
  • Improve the physical environment at all our sites.
  • Practice “value-based health care”, which prioritizes what matters to the people we serve as a way to drive quality and efficiency.

Why this?

Quality and patient safety, have always been at the core of who we are. Prioritizing a “back to basics” focus on quality and patient safety is critical to making sure we uphold our own high standards. And now, more than ever, we’re also making decisions in partnership with patients and families based on what matters most to each individual. Their health and wellness, but also fears and worries, must become central to decisions about what resources we mobilize to care for them. That’s a person and family-centred approach and it’s also the “value” part of this strategy.

Value-based care is a concept that refers to ensuring that we are prioritizing the care and resources that matter most to the people we serve.

What will change?

Over the next seven years, we will be using data and metrics more and more to help us understand how to maintain and improve our standards for safety, experience, and outcomes. We will be leveraging the Clinical and Systems Transformation (CST) Project to make data easy to find and easy to use. In the next seven years we will also be designing and building a care campus, medical centre and hospital (The New St. Paul’s!) that will help us in this pursuit of quality, safety and value. We want to inspire action through stories. We will be seeking ways to bring the people we serve into more conversations about their care and empower them to be an equal part of the care team.

What’s the bottom line?

Ultimately, through the pursuit of quality, we want to ensure that the experience of the people we serve is equal to our pursuit of the best possible outcomes for them. Still, we know that with the best of intentions, patients and residents may still experience harm. But we are committed to ensuring that we are transparent, accountable and learn from those events to improve. We see people at their most vulnerable and by pursing our five goals under this first strategic direction, in seven years — for every patient and every resident in a care home — we will be providing quality care that matters to them.

Read more about our Providence Strategic Plan at www.missionforward.ca

How are Medical Staff involved in this work?
At the core of the Quality Forward pillar is our pursuit to provide the people we serve with the right care, in the right place, at the right time, and ensure the care we achieve outcomes most important to our patients.

However, what “quality care” means is very different for different providers and different patient populations.

We have a chance to have a say in what outcomes the organization chooses to measure and track, in order to drive quality improvement work and resources. We want to know what matters most to your patients and your practice and relay that information to the organization as they set priorities moving forward.

You can also help us with our initial goals for this pillar:

• Develop meaningful metrics
• Create a Q/S/V online resource/portal
• Showcase the work of frontline staff
• Value-Based Healthcare Workshop

Interested in joining our discussions?  Connect with us here >

What is Value Based Healthcare?

These articles are a great introduction to Value Based Healthcare>

• Porter ME. What is Value in Health Care?

• Teisberg E, Wallace S.
Creating a High Value Delivery System for Health Care
• Stowell C, Akerman C.
Better Value in Health Care Requires Focusing on Outcomes: Harvard Business Review
• Porter ME.
Measuring Health Outcomes: The Outcome Heirarchy

WELCOME FROM OUR PILLAR TEAM! Our physician leaders and advisors are representing medical staff in key areas of our strategic plan.

Foundational Set of Standards introduced to Measure and Improve COVID-19 Health Globally

The International Consortium for Health Outcomes Measurement (iCHOM) has released an international COVID-19 Standard Set (C19-SS) of health outcomes. This was developed at a record setting pace, with our own Dr. Evan Kwong on the international working group panel!  This an important step towards international harmony on collection of outcomes that matter to patients and Value Based Health Care.  Get the information, standard set and reference guide here >

Doing Better by Our Patients: Chart Club Moves Quality Forward

Providence has been working in a collaborative with the Mayo Clinic on a multidisciplinary, multi-specialty mortality review process. It uses a standardized method for case review to “diagnose” process and system failures (versus provider failures) occurring during episodes of patient care. Over 15 months, a team of approximately 30 physician and nurse reviewers, social work and two patient partners, met at monthly meetings dubbed the “Chart Club.” They completed reviews of more than 100 cases and agreed on a total of 263 Opportunities for ImprovementRead more here >

BC’s Updated Definition of Health Care Quality: Dimensions and Matrix: Read here >

Learn, discuss & lead with colleagues

Watch for upcoming events here!

 

Funding for physician leadership in this pillar is provided by the PHC Physicians and Surgeons Association (PASS) and SSC Facility Engagement.