1 / 19

Debriefing Presentation North Bay Regional Health Centre 25/11/2012 - 30/11/2012

Debriefing Presentation North Bay Regional Health Centre 25/11/2012 - 30/11/2012. Surveyor Team. Régis Vaillancourt Cholly Boland Anita Marie Harris Darlene J. Furlong Heather Garnett Constantine Bubela. Overview of Survey Process. # of Priority Processes: 27 # of Sites: 9.

tinarichardson
Download Presentation

Debriefing Presentation North Bay Regional Health Centre 25/11/2012 - 30/11/2012

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Debriefing PresentationNorth Bay Regional Health Centre25/11/2012 - 30/11/2012

  2. Surveyor Team • Régis Vaillancourt • Cholly Boland • Anita Marie Harris • Darlene J. Furlong • Heather Garnett • Constantine Bubela

  3. Overview of Survey Process • # of Priority Processes: 27 • # of Sites: 9

  4. Highlights since Last Survey • Successes: • Merged organization/new building • Values focus • Addressed most areas of concern from last survey • Reorganization/new leadership • Volunteer Ambassadors • Challenges: • Repeat ROP • Financial

  5. Overall Observations • Strengths: • Partnerships • Workplace atmosphere • Communication – internal and external • Innovation • My Meds • ER infection follow-ups • ‘ER Admissions Nurse’ • Ambitious plans

  6. Overall Observations • Challenges: • Ensuring all sites ‘feel connected’ • Consistent operational planning and monitoring • Regular performance appraisals for all workers

  7. Overview by Quality Dimension

  8. Overview by Standard Section

  9. Overview by Standard Section

  10. Overview by Standard Section

  11. Accreditation Canada Priorities Patient Safety • Strengths: • Dedicated resources • Focussed within programs • Engagement • Challenges: • Two identifiers before meds • Patient/family role in safety • Reporting/evaluation of surgical checklist

  12. Accreditation Canada Priorities Ethics • Strengths: • Resources to resolve ethical situations • Staff awareness of options • Plans to raise awareness • Challenges: • Board awareness and application in all decisions • Consistent awareness across in all areas • Challenges:

  13. Accreditation Canada Priorities Risk Management • Strengths: • REDS incident reporting system • Awareness of clinical risks within programs, especially those in Mental Health • Plans for enterprise risk management • Challenges: • No comprehensive enterprise-wide program

  14. Accreditation Canada Priorities Quality Improvement • Strengths: • Dedicated resources • Focus at board and leadership • Incident reviews • Commitment to ‘More Time to Care ’ • Challenges: • Monitoring and reporting on metrics and targets in all areas

  15. Next Steps ▪ Accreditation Decision (10 days). ▪ Accreditation report. ▪ Submission of evidence of action taken. ▪ Continuous Quality Improvement. Congratulations !

  16. 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 further review and input by Accreditation Canada. • Accreditation Canada recommends that the information contained within this “debriefing” be reserved for internal use only.

  17. For further information,please contact Accreditation Canada 1150 Cyrville Road Ottawa, ON Canada K1J 7S9 Tel: 1-800-814-7769 or 613-738-3800 Fax: 1-800-811-7088 or 613-738-3755 Website: www.accreditation.ca Only Accreditation Canada representatives may deliver this presentation. Accreditation Canada does not accept responsibility for others who may present this material.

  18. The leader in raising the bar for health quality Le leader qui hausse la barre en matière de qualité de santé

  19. Thank you !

More Related