QUALITY IMPROVEMENT PLAN 2018

Overview of VHA’s Quality Improvement Plan The purpose of VHA’s QIP is to monitor additional focused and strategic indicators key to specific quality dimensions, best practices & trends in the home care sector. VHA’s external QIP contains 3 indicators set in attempt to reflect areas included in the Local Health Integration Network’s (LHIN) QIP and support annual reporting.

Reference – External Indicators Importance Target BPSO HQO LHIN QII ROP Falls: Increase in % of adult nursing clients and % adult rehab clients with a fall risk assessment and fall risk plan in place. Data Source – Clinical Chart Audit x RN: 84% (77%) Rehab: 92% (88%) Client Experience: Percent of home care clients who responded “Very Good” or “Excellent” on a five-point scale to the survey question asking, “Overall, how does the client/caregiver rate the services provided by VHA?“ Data Source – LHIN (portal) PS -83% (85%) RN-89% (85%) OT-84% (80%) PT-91% (88%) Client Experience: Increase the percent of clients of each major service who respond 'always' to KPI3 item related to client centered appointments (exclusion of Toronto Central CCAC Neighbourhood Care Team clients).  Data Source – LHIN (portal) PS-70% (80%) RN-82% (88%) OT-86% (84%) PT-86% (89%) (“Red” = average performance 2017)

Glossary of Terms BPG – Best Practice Guideline BPSO – Best Practice Spotlight Organization CCEE – Client and Caregiver Experience Evaluation CSR – Client Service Report HAI – Healthcare Acquired Infection HQO – Health Quality Ontario KPI – Key Performance Indicator LHIN – Local Health Integration Network MOE – Margin of Error QI – Quality Improvement QII – Quality Improvement Initiative QIP – Quality Improvement Plan