Quality Driven By Clinical Leadership Dr. Robert W. Webster BSc, MD, CCFP, FCFP HQO/SELHIN Clinical Quality Lead SELHIN Primary Care Co-Lead

Presenter Disclosure Relationships with Commercial Interests: Grants/Research Support – none Speakers Bureau/Honoraria – none Consulting Fees – none Other – none Disclosure of Commercial Interests Presentation has not received any financial or in-kind support No potential conflict of interest

What are patients saying Quality Is to them? Quality health care is good and proper communication Quality is being treated for what I need to be treated for properly, like a human being Really getting to know you as a patient, listening to them It’s not just about addressing my physical safety, but it’s also about addressing my emotional and psychological safety Quality Health care is treating people like people.

Clinicians Leading Quality Improvement Measure Build Effective Teams Improving Process Dismantle Cultural Barriers Altruism Show the Data Define Strategy around PATIENT Need to turn clinicians into leaders Performance does matter Value and Quality are not bad words Developng a measurement system. Bulding common language, standards from the bottom up Improving process – continually qualty improvement, Lean etc

Front Line Ownership Work with the Willing Change spreads in infinite ways Make the invisible -> VISIBLE Go SLOW to go FAST Nothing about me without me

Complex Adaptive Systems Simplify whenever possible for complicated items Embrace complexity -> increase adaptability and look for NOVEL solution Uncover and work with PARADOX and Tension Follow and Lead, be Quiet but Loud… Change by Chunking Generative Relationships

“Living systems are very close to the edge of CHAOS phase transitions where things are loose and fluid…systems that are the most ADAPTIVE are so loose they are a hairbreadth from being out of control” Waldrop

Front-Line Regional Provincial

ALIGN QUALITY Front-Line Regional Provincial

Aligning the Quality Agenda and Engaging Communities BUILD A CULTURE OF QUALITY at REGIONAL and PROVINCIAL LEVELS IMPROVE PATIENT OUTCOMES and EXPERIENCE OF CARE Aligning the Quality Agenda and Engaging Communities Provincial Quality Strategic Directions and Quality Plan Provincial Quality Improvement / Implementation Advisory Body Partner/ collaborate/ network Identify gaps, create methods to define & measure progress & success Inspire Leadership Support QI through enablers (QIPs, HLs , IDEAS, HSFR, NSQIP-ON etc) Engage clinicians and those working in quality to inform a larger provincial picture Build infrastructure to connect efforts across the system align align align Communication and knowledge exchange REGIONAL QUALITY TABLES (action oriented) Regional Quality Strategic Directions and Quality Plan This version is for DISPLAY. Engage patients and the public Engagement & Ownership Redesign the system to support quality care Incentives & Outcomes Alignment Help professionals and caregivers thrive Leadership Development & Training Ensure technology works for all Technology in Support of The quality agenda Support innovation and spread knowledge Innovation and KTE – Evidence driven quality Monitor performance with quality in mind Report & Support Build a quality-driven culture Recognition & Rewards Building a Quality System: What Must We Do to Make it Happen?

Thank You!!!