Effective care
The effective care element incorporates the notions of evidence-based, appropriate and equitable care.
| Quality Element | What it means for staff |
What it means for patients
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|---|
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We provide care based on the best evidence that we develop and adopt.
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My care is the best Sunnybrook can provide.
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Effective - quality goal 2: Lead in providing the best and most appropriate care
Within the effective quality element, quality goal 2 focuses on patients receiving the best and most appropriate care at Sunnybrook.
| Lead in Providing the Best and Most Appropriate Care |
| Objective | Actions |
|---|
| Leverage system and peer-level quality markers to drive performance improvement |
Develop and implement a comprehensive quality improvement approach focused on surpassing system and peer-level quality of care benchmarks. |
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Reduce practice variations
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Optimize performance and reduce practice variations in key QBP components to improve outcomes. |
| Complete developing and implementing Standard Order Sets and integrate into SunnyCare. |
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| Harness the potential of Precision Medicine to transform care |
Accelerate the uptake of Precision Medicine toward achieving measureable improvements in patient care. |
View the implementation plan »
| Leverage system and peer-level quality markers to drive performance improvement |
|---|
| Actions | Specific deliverables and timelines |
|---|
| 2016/17 |
2017/18 |
2018/19 |
| Develop and implement a comprehensive quality improvement approach focused on surpassing system and peer-level quality of care benchmarks. |
- Develop an inventory of system- and peer-level quality markers being used by the Programs.
(Examples include National Surgical Quality Improvement Program (NSQIP); Trauma Quality Improvement Program (TQIP); Greater Toronto Area Obstetrical Dashboard (OBSGTA); Society of Thoracic Surgeons for adult cardiac surgery (STS); Intensive Care Observational Registry (iCORE); Burn Quality Improvement Program of the American Burn Association (BQI); etc.)
- Ensure that targets and timelines have been set by the Programs to achieve and surpass benchmarks.
- Establish a mechanism to prioritize and monitor system-level performance improvement in relation to quality markers.
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- Rationalize governance of Quality Improvement and Quality Improvement databases at Sunnybrook and streamline Quality Improvement investments.
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- Continue to monitor achievement towards targets and address performance and process issues.
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| Reduce practice variations |
|---|
| Actions | Specific deliverables and timelines |
|---|
| 2016/17 |
2017/18 |
2018/19 |
| Optimize performance and reduce practice variations in key Quality Based Procedures (QBP) components to improve outcomes. |
- Review the elements of each QBP to identify prominent practice variations.
- Develop targeted variation-reduction workplans with timelines, and begin to implement.
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- Review progress made to reduce practice variations and address outstanding issues.
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- Review progress made to reduce practice variations, address any final issues, and complete the workplans.
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| Continue developing and implementing Standard Order Sets and integrate into SunnyCare. |
- Achieve Medical Advisory Committee (MAC)-approved goals for implementing QBP and non-QBP Standard Order Sets.
- Set goals to align Standard Order Sets with Choosing Wisely Canada evidence-based guidelines, establish timelines and begin to implement.
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- Continue to align Standard Order Sets with Choosing Wisely Canada evidence-based guidelines, according to set timelines.
- Integrate Standard Order Sets developed in 16/17 into SunnyCare.
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- Complete Standard Order Sets for use in Sunnycare.
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| Harness the potential of Precision Medicine to transform care |
|---|
| Actions | Specific deliverables and timelines |
|---|
| 2016/17 |
2017/18 |
2018/19 |
|
Accelerate the uptake of Precision Medicine toward achieving measureable improvements in patient care.
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- Define the scope of “Precision Medicine” being considered.
- Establish a Working Group (made up of Cognate Program Research Directors, Platform Coordinators) to:
- identify areas of clinical/ research intersections within Sunnybrook’s strategic priorities;
- develop guiding criteria to select intersections of focus for the next three years;
- establish indicators and metrics of successful impact on quality of care in the focus areas.
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- Implement efforts to advance intersections in the selected focus areas, and collect data on indicators and metrics.
- Monitor and record progress made impacting on quality of care.
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- Fine tune the indicators and metrics, as required.
- Continue implementation and monitoring and recording efforts.
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