Quality Improvement Plan
In June 2010, the Ontario Government passed the Excellent Care for All Act. Public reporting of Quality Improvement Plans (QIP) is one way the Act is helping hospitals meet public expectations regarding quality, patient safety and accountability. St. Mary’s QIP is focused on creating a positive patient experience and delivering high quality health care. It is aligned with our vision, strategic directions and goals. It provides an outline of our quality improvement objectives, initiatives and measures that will be used to monitor our progress for 2012-2013.
How to Read the Quality Improvement Plan:
The template for the QIP was developed by Health Quality Ontario and is comprised of two parts:
- A document that provides a brief overview of our quality improvement plan, highlighting and listing our hospital’s top priorities for the year.
- A spreadsheet that includes our improvement targets and initiatives, based on a core set of indicators that all similar hospitals across the province are working on.
Health Quality Ontario has requested that all hospitals report on a series of core indicators to support province-wide comparisons. The core indicators that apply to our hospital are reflected in our QIP.
Click here to read St. Mary’s report on progress 2015/16. This report demonstrates to our stakeholders the progress we have made to-date on high priority indicators. The report format requires that we report our current performance according to certain prescribed data reporting periods which do not necessarily reflect the most recent, measured impact of our quality improvement initiatives.
For more information about St. Mary’s QIP, please contact
Lydia Chudleigh, Vice President,
Quality and Performance Management.
Publicly Reported Indicators – Patient Safety
St. Mary’s is continually striving to achieve our Vision of being the safest and most effective hospital in Canada. In addition to strategic goals and directions, we measure our performance in key patient safety indicators. The indicators found on this page are reported province-wide, which allows us to measure how we are doing in comparison to our results to provincial and national targets.
Using Performance Indicators
These performance indicators are not meant to give medical advice or guarantee the Hospital’s services. Each indicator has an explanation about how it is measured and used and visitors are strongly encouraged to read this information.
Access to care
Infection prevention and control reporting
- Clostridium difficile Associated Disease (CDAD)
- Vancomycin-resistant entrococcus (VRE)
- Methicillin-resistant staphylococcus aureus (MRSA)
- Hand Hygiene Compliance Rates 2015
- Central line infection (CLI)
- Ventilator-associated pneumonia (VAP)
Quality Reports to the Board
In pursuit of our vision to be the safest and most effective hospital in Canada, our staff, physicians and volunteers are working hard to ensure that our patients and their families have the best possible experience at St. Mary’s, with the best possible outcome. Each month, our Board Quality Committee receives a presentation on quality and safety initiatives underway in our hospital. We welcome you to view these presentations.