1. Preparing for Accreditation Canada Visit October 1-4, 2012

2. Self-Assessment Questionnaires November 2011 Thank you to all DBM staff!!! We received a total of 856 responses to ALL of the Qmentum questionnaires.

3. 258 Green Flags122 Yellow flags 22 Red Flags Good Results ………Getting Better

4. Flags20092012 Green192258 Yellow139122 Red3722 Green: Celebrate Yellow: Require some attention Red: Priority areas 1 red flag and 12 yellow flags related to Required Organizational Practices

5. Next Steps The following QI teams are now addressing all flagged results. –BOD- Pharmacology –Management- Day Hospital –Resident Care- Infection Control

6. Next Steps Staff Education: Understanding ROPs Frequently Asked Questions (FAQs) Top Ten Questions Contests

7. Next Steps Leading Practices Mock Surveys

8. Working Together… Our accreditation survey visit is only 7 months away! Watch for further details throughout the Spring and Summer months!

9. Questions??