Bridgepoint has been on a transformative journey to redesign the quality of care and services for patient with complex chronic disease in a way that improves patient safety, the overall quality of the care experience and the use of health care resources. On April 14, 2013 Bridgepoint will move to the new hospital; a major step in our improving quality and patient safety journey.
Bridgepoint is now three (3) years into our Quality and Safety Plan and Roadmap that was approved by the Bridgepoint’s Executive Council and Board of Directors in 2009. This plan focused the hospital on two system-level aims for quality improvement:
- Eliminating preventable harm associated with falls and hospital-acquired infections; Methicillin-resistant Staphylococcus aureus (MRSA) and Vancomycin-resistant Enterococcus (VRE). In 2011 this plan was enhanced to include the elimination of serious harm or death associated with C-Difficile infection.
- Achieving timely access and effective patient flow and transitions.
The Excellent Care for All Act, 2010 (ECFAA) and Quality Improvement PlansIn 2010, the Ontario Government adopted a systemic approach to quality, with the passing of the Excellent Care for All Act (ECFAA). ECFAA, which received royal assent in June 2010, laid the foundation for a unified commitment to a shared vision for quality in Ontario where the needs of patients come first. ECFAA is a significant legislation in Ontario, as it has laid the groundwork for a health care system that is patient-centred, focused on accountability and transparency, and committed to improving the quality of care Ontarians receive. The legislation requires that every hospital develops an annual quality improvement plan and make it available to the public.Quality Improvement Plans provide a significant lever for driving change in our organization with the goal of improving quality and performance and a meaningful way for Bridgepoint to clearly articulate our accountability to the community, patients and staff. Bridgepoint’s QIP is focused on creating a positive patient experience and delivering high quality health care. How to Read the Quality Improvement Plan Our Quality Improvement Plan (QIP) is made up of three parts:
The QIP is only one of the ways we are working to improve our patients’ experiences. Please feel free to contact us with any questions you may have.
- QIP Short Form (Narrative) is a document that provides a brief overview of our annual quality improvement plan; highlighting and listing our hospital’s top priorities for the year.
- A detailed spreadsheet that includes our improvement targets and initiatives for each objective. The spreadsheet includes a core set of indicators that all similar hospitals across the province are working on.
- A progress report outlining the hospital’s performance compared to the goals established in the previous years plan.
How is the QIP developed?
Bridgepoint’s Executive Council and Board of Directors are responsible for overseeing the development of the annual Quality Improvement Plan. Members of our Board and the Executive Council worked closely with our community and our team of health care professionals to determine areas where we are doing well and areas where we have room for improvement.
- Completing the year three (3) goals for our system-level aims for Quality and Patient Safety with a focus this year on sustaining these improvements particularly with the move to the new hospital.
- Responding to the system requirements to meet the rehabilitative needs of the Stroke and Orthopaedic patients.
- Recognizing that 2013 is an Accreditation year for the hospital and becoming a center of excellence for stroke rehabilitation
- Responding to emerging Quality and Patient Safety issues such as Influenza.
Please visit www.ontario.ca/excellentcare for more information about the Excellent Care for All Act and quality improvement plans.
2012-13 Performance Report
As part of the Quality Improvement Plan (QIP) submission process, Bridgepoint has outlined our progress in the 2012/13 Performance Report.
In the past year, we have pushed our clinical and operational performance to higher levels in a number of areas.
- 95% of all patients were screened for risk of falls within 24 hours of admission to the hospital; this is an important first step in providing an individualized plan of care to address the patients’ needs for falls prevention. As a result of this initiative and others, there was only one case where a patient fell and sustained serious injury compared to six in the previous year.
- We also continue to see improvements related to infection prevention and control. We had zero incidents of bacterial infections associated with MRSA, and we continue to see low incidence of MRSA occurring in patients with no known history.
- Our C-Difficile infection rate has been reduced to 0.09 compared to the previous year 0.21; a rate better than the provincial average and our peer hospitals.
- We have also successfully implemented new rehabilitation standards related to our stroke and orthopaedic population and have improved access to care for these patients while at the same time improving functional outcomes.
How top priorities are selected?
High priority (priority 1) indicators align with those “vital few” or “critically important” quality and safety aims Bridgepoint has identified and has agreed will be the focus of quality improvement initiatives for the coming year.