Quality & Safety

Quality Improvement Plan

The Quality Improvement Plan (QIP) is a requirement under the Excellent Care for All Act, 2010. The legislation assists healthcare organizations to improve the quality and safety of care we deliver.

Quality improvement is an ongoing priority that helps us continually find new and better ways to enhance care for our clients, increase satisfaction and achieve even better clinical outcomes.

Our QIP is one tool that we are using to help us document and review our current performance in a variety of areas. With this plan, we will be able to very clearly see our targeted areas for improvement and chart our progress.

St. Mary’s General Hospital is pleased to submit the Quality Improvement Plan (QIP) for 2018- 2019 in the three documents outlined below.

Narrative Overview

This document provides a brief overview of our QIP priorities for the year.

Improvement Targets & Change Initiatives (Work Plan)

The QIP Work Plan is a spreadsheet that summarizes our priority quality improvement targets and change initiatives for the year. Our QIP includes provincial and organizational priority indicators.

Progress Report

The Progress Report is an opportunity to demonstrate to our stakeholders the progress we have made to date on our priority indicators. It is an opportunity for us to describe our quality improvement journey and identify and discuss some of the challenges we faced in attaining the goals set out in our 2016-2017 Quality Improvement Plan (QIP).


The QIP is only one of the ways we are working to improve the patient experience.

For more information, please feel free to contact Sherri Ferguson, Vice President, Quality, People and Performance

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

Patient safety

Infection prevention and control reporting