Achieving System Improvement and

Performance

Regional PerspectiveJennifer McCallum

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Health System Funding Reform

Quality Based Procedure (QBP)

Southwestern Ontario health care partners and patients working together to improve

and sustain system performance

Decision support collaboration models and access to information

Regional Perspective

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CH LHSC Academic Health Sciences Centre in SWO

Regional referrals Providing specialized paediatric services Medical research

“Committed to providing family-centred care”

Southwestern Ontario Maternal, Newborn Child and Youth Network (MNCYN)Focused on:

Quality Health Outcomes Systems Integration Asset Management Enhanced Learning and Growth Works in Partnership with Provincial Council for Maternal and

Child Health (PCMCH) to bring strategies, standards and best practices to communities

How we work together

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How we work together LHSC Decision Support

Key member on Data Working Groups, Local Health Integration (LHIN) Decision Support networks.

Many successes providing formal and informal support.

Share benchmarking information and opportunities

Regionally, Provincially, Nationally Connects leaders with other system

stakeholders, departments, services and subject matter experts.

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CoP and Decision Support Networks

Value & Impact

Right Care, at the Right Place, at the Right Time

Collaboration

Improved Patient Care

Benchmarking & Evaluation

Feedback, Best

Practices

Integrate information

System and Capacity

Electronic data sources

and reports

Improve data quality and timeliness

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Paediatric Asthma QBP cases -in SWO facilities

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Paediatric Asthma QBP cases- SWO patient postal codes

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Regional Integrated Decision Support

Allows us to understand volume of patients with multiple visits.

Observe where variation exists, informs actions

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34Plan, Do,

Study/Check, Act improvement

cycle

Indicator and Case Costing analysis

Clinical Handbook and Pathway review

Confirm processes, pathway compliance, regional dashboards

Internal and External Review

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Accountability and Sustainability Teams continue executing improvement plans Internal monthly / quarterly performance monitoring Local Health Integration Network (LHIN) escalates

external reporting requirements, when performance is beyond target corridors

Performance metrics incorporated into Quality Improvement Plans, Balanced Score Cards, Board Committee reports

LHIN performance opportunities identified and followed up through Decision Support Networks

As provincial results improve, expectations are increased and targets are compressed