Osler's 2014/15 Quality Improvement Plan progress report

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 2014-15 QIP

Indicator

Starting Point

Current Performance

Goal

 Are we on track?

Clostridium difficile infection (CDI) rate per 1000 patient days 
What is the rate of hospital acquired Clostridium difficile infection (CDI)? 

0.29/1000 
patient days 

0.17/1000

0.3

 Medication reconciliation on admission
What percentage of inpatients admitted via the Emergency Department has a comprehensive medication history completed at admission?
 53%  60.3% 60%   

Indicator

Starting Point

Current Performance

Goal

 Are we on track?

Total margin: Percentage by which revenues exceed expenses
Are we operating the hospital in a financially responsible way?

0.77%

0.57%

0.0%


 Indicator

Starting Point

Current Performance

Goal

Are we on track?

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?

 31.8 hours

 36.1 hours

 30.2 hours

 
Find out why this is a challenge we continue to focus on. 


Indicator

Starting Point

Current Performance

Goal

Are we on track? 

Percentage of select inpatients that would recommend Osler to friends and family (source: follow-up calls by Osler staff to patients after discharge)
Do our patients and families feel we are improving the healthcare experience? Are patients and families inspired to tell their families and friends about our hospital based on the care they receive?

87.9%

87.3%

89%

Find out why this is a challenge we continue to focus on. 

Indicator

Starting Point

Current Performance

Goal
 Are we on track?

Percentage of total patient days that are designated as Alternate Level of Care (ALC) days
What is the percentage of days that beds being used inappropriately because patients are waiting for another type of service, such as a bed in a Long Term Care facility?

10.4%

7.6%

10%

 

Percentage of patients readmitted within 30 days to Osler for chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF) and diabetes
Are we ensuring patients are stable and receiving support after they are discharged from the hospital?

 15.49%

 16.8%

15.49%

Find out why this is a challenge we continue to focus on.  
 

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