Debriefing Presentation Covenant Health Survey Start Date to Survey End Date October 5 th to October 9 th, 2015 Accredited by

Surveyor Team Jackie Mann Brian Warriner Patrick Griffith, Team Leader 2

Overview of Survey Process # of Priority Processes: 6 Mental Health Obstetric services Children’s Health (Medicine) Surgical Services Patient Flow Equipment & Supplies # of Sites: 5 Villa Caritas Grey Nuns Community Hospital St Mary’s Community Hospital Misericordia Community Hospital Bonnyville Health Care Centre 3

Overall Observations Strengths: Staff engagement A strong culture of care Well developed policies A new Strategic Plan 4

Overall Observations Challenges: Urban – Rural communication Programs versus Site priorities (Working in Zones) The need for program and site quality plans Matrix environment Number of surgeries in rural sites 5

Overview by Quality Dimension 6 Quality DimensionMetUnmetN/ATotal 94%

Overview by Standard Section 7 Standard SectionMetUnmetN/ATotal Total Criteria - 96% High Priority - 98%22641

ROP’s 3 preliminary unmet ROP’s (Falls, Pressure Ulcer, Med Rec) We’ve noted you have active rollout plans to address them. We anticipate this will be reduced to 2

Next Steps Accreditation report Accreditation decision Submission of supplementary evidence 9

Please note: This presentation is intended to present preliminary findings only. Accreditation Canada reserves the right to alter or revise any of this material based on our further review. Accreditation Canada recommends that the information contained within this “debriefing” be reserved for internal use only. 10

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