This means we have participated in a review of our quality and safety practices conducted by a team of our peers against a rigorous set of standards that look at everything from governance and leadership to bedside care.
This process occurs every three to four years and our last Accreditation was in 2011. We are looking forward to welcoming another team of surveyors in late October. You will be hearing more about this in the months to come.
The other forms of quality and safety reviews that we participate in are less well known.
These include the Ministry of Health and Long-Term Care’s quality inspection program, which regularly reviews Fairview Manor.
Recently, the AGH Laboratory hosted three surveyors from the Quality Management Program – Laboratory Services (QMP-LS), which administers the Ontario Laboratory Accreditation (OLA) process.
Like Accreditation, OLA reviews the quality and safety of laboratory operations against a rigorous set of more than 450 standards specific to Laboratory Medicine.
Many of the standards have sub-standards within them, and each discipline within the Lab is assessed individually against each standard.
For AGH, this meant assessment against more than 800 individual standards.
Our focus throughout the process was on identifying opportunities for quality improvement.
I am pleased to report that after reviewing more than 800 individual standards, the surveyors identified only 15 standards where they have recommended opportunities for improvement. This equates to 98 per cent compliance.
All 15 were classified as minor, meaning that an action plan must be in place to address the standards prior to the next scheduled OLA survey in four years.
Our Laboratory Team of Kristina Groulx, Mark Boettcher, Helen Jewczy and Tracy Cameron and worked hard to achieve these excellent accreditation results. They were well supported by Christine Campbell and her colleagues at Eastern Ontario Regional Laboratory Association, which is a collaboration among the 16 hospitals in the Champlain Local Health Integration Network.
My thanks to everyone involved, whose strong commitment to safe, high-quality care is evidenced by these excellent results.
Mary Wilson Trider is President and CEO of Almonte General Hospital and Fairview Manor.