1. Survey 4 Results Spread & Sustainability Learning Series

2. Reporting by Province  Survey 1 – n= 51  Survey 2 – n = 41  Survey 3 – n = 37  Survey 4 – n = 24

3. Culture of Safety

4. Leadership and Champions

5. Clinical Involvement

6. Communications Communication (% agreement of those who know) Baseline#2#3#4 a. All people involved or affected by the change understand the role they play. 46% 49 % 42 % b. Our communications methods are effective in accelerating our improvements. 55% 54 % 35 % 50 % c. The rationale/reasons behind improvement changes are understood and accepted. 62% 58 % 48 % 54 %

7. Monitoring Measuring and Feedback

8. Resource Utilization

9. Patient Safety Alone is Not Enough

10. Dashboard

11. Current Conclusions  Challenges – Communication, time for Physician participation, tolerance for unexplained practice variations & measurement / use of measures  Must Remember – Takes time to hard wire change Impacts of leadership turnover Identification & celebration of good strategies & results Interconnections between knowledge, capability, patient safety attitudes and belief in spread & sustainability possibilities (safety culture)

12. Questions