South West LHIN awarded Accreditation Primer Award after meeting 97.6% of quality criteria

The South West Local Health Integration Network (LHIN) is pleased to share that it has been awarded the Accreditation primer by Accreditation Canada and their findings. Attaining Accreditation is a testament to the South West LHIN’s journey to providing the highest quality and safest care available as measured against a set of nationally recognized standards.  

This achievement is the result of the hard work and dedication of each and every staff and we thank and congratulate you for this achievement. 

Accreditation Canada defines quality in health care using eight dimensions that represent key service elements. Each criterion in the standards is associated with a quality dimension. As an organization, we met 83 of the 86 criterion, giving us a success rate of 97.6%. 

Here are some of the key findings:

  • The organization has a strong commitment to quality, safety, and risk management.
  • The organization has experienced a number of successes over its first 18 months as an integrated organization, including uninterrupted patient services during the transitions, the South West LHIN staff coming together as one, and enhancing the South West LHIN planning and funding functions with the addition of operational responsibilities and operational functions that are enhanced by the South West LHIN’s system focus. The sub-region integration tables illustrate the South West LHIN’s commitment to improving health and wellness, patient experience, and outcomes through meaningful engagement and collaboration with community-based service organizations and partners to improve health services in the local sub-regions.
Leadership
  • The South West LHIN has a strong and dedicated leadership team that is focused on providing safe, quality care and service; improving the client experience; improving health outcomes across the system; providing a safe, quality work experience for all staff; enhancing collaborative partnerships in and beyond the South West LHIN; ensuring ethical and evidenced-informed best practice.
  • The leaders live the values of the organization and are commended for their commitment to lead and move the organization’s agenda for change and improvement forward within an uncertain and changing political environment.
  • The leadership team is dynamic, visionary, and forward thinking. They are risk takers who are willing to step up and take the lead on new and innovative approaches to delivering service in a geographically large and primarily rural region.
  Staff
  • Staff are very skilled and dedicated to their clients, and clients report being happy with the service and support they receive from their care coordinators and other team members. The interdisciplinary approach to service delivery is very visible and the teams continue to work to build effective partnership to meet the needs of the clients and populations served.
  • The South West LHIN has a strong focus on creating and maintaining a safe and healthy work environment for all staff. The South West LHIN has policies and procedures that address working alone and/or safe work practices while conducting home visits.
  • A robust and comprehensive orientation program is in place for new staff, supported by orientation checklists and an electronic learning management system.
  Partnering with patients and families
  • The South West LHIN is commended for its commitment to patient and family-centred care and the development of a Patient and Family Advisory Committee (PFAC). The patients, family members, and caregiver partners who sit on this committee shared extremely positive experiences about working with the South West LHIN in their PFAC role. They say that their voices are being heard and that their feedback and input is appreciated and welcomed.
  • The leadership team and staff are committed to continuing to support and promote building meaningful partnerships with patients and families. The PFAC meets twice a year and each person participates in the monthly sub-region integration tables.
  Areas for improvement/Unmet criteria  
  • A policy or policies addressing the rights and responsibilities of clients are developed and implemented with input from clients and families.

    Action: A policy to address patients’ rights and responsibilities is being developed in the organization’s new patient relations framework, and will be included in our new Welcome Package (coming soon!)  

  • Episode of Care: Partnering with clients and families to provide client-centred services throughout the health care encounter. Working in partnership with clients and families, at least two person-specific identifiers are used to confirm that clients receive the service or procedure intended for them.

    Action: Develop a process to support Care Coordinators and Direct Nurses on when to use two-person identifiers, and how to make it appropriate for the community setting.

  Thank you to all of you for the role you play in our journey to providing quality home and community care.