Quality Improvement and innovation

Partner with LHIN residents to understand their experiences of care and continuously collaborate with them to co-design improvements, broadly share quality evidence and best practices and demonstrate quality outcomes across the health care system. 

Submit a quality improvement success story to the South West LHIN 

Quality Improvement is a catalyst for change needed to achieve quality care, improved health, and better value. Building a culture of quality improvement, developing capacity, and embedding structured improvement methods into change initiatives has been and continues to be an implementation priority for the South West LHIN and health service providers. Creating a culture that is relentless in its pursuit of quality improvement requires continuous and sustained involvement from all stakeholders, particularly those who use health care services, to develop a shared understanding of the opportunities to improve the experience of care, implement the required changes, study the results and make refinements. These changes often include changing behaviour patterns and how systems operate.

  • Work alongside health service providers to consistently embed patient engagement approaches (e.g.Experience Based Design) to advance quality improvement.
  • Work with health service providers to develop a coordinated approach to engage people who receive services and determine experience of care measures.
  • Provide leadership in establishing shared quality improvement strategies through Quality Improvement Plans across and within sectors to advance key priorities.
  • Engage a Quality Improvement community of practice to continue to build a culture of continuous quality improvement and broadly share quality evidence.
  • Work alongside health service providers to implement best practices (e.g. Quality Based Procedures, Adult Day Program Redesign) and reduce variation within and among organizations to improve outcomes and value for money.
  • Encourage health service providers to embed quality improvement within their organizations through processes such as accreditation and use tools such as the Quality Improvement Enabling Framework.
  • Work with health service providers to advance quality outcomes for identified priorities and initiatives.
  • Continue to integrate and standardize improvement tools and templates into the LHIN’s project management approach.
  • Work alongside health service providers to leverage provincial quality improvement learning opportunities (e.g. IDEAS program--Improving and Driving Excellence across Sectors) by implementing an approach and roadmap to identify improvement projects.
  • Continue to acknowledge and stimulate quality improvement efforts through the LHIN’s annual quality symposium and awards.

Quality Advisory Group

The Quality Advisory Group guides the South West LHIN’s Quality Improvement approach. The group is comprised of highly-skilled industry leaders tasked with fostering a Quality Improvement culture across the South West LHIN. The group provides expert advice to the Health System Leadership Council and promotes using the Quality Improvement Enabling Framework at multiple levels – within organizations, within various quality improvement initiatives, and at a system level. At a system level, it will identify and advance strategies to strengthen a quality improvement culture across the LHIN and support broader implementation of the Framework.


Name Organization
Mary Atkinson Listowel-Wingham Hospital Alliance
Linda Adamson
Chartwell London
Mary Cardinal (co-Chair) Huron Perth Family Health Team
Steven Carswell South West LHIN
Kelly Gillis (co-Chair)  South West LHIN
Catherine Hardman Choices for Change
Rachel LaBonte
Partnering for Quality
Kim Leuszler Caressant Care Long Term Care Home
Sue McCutcheon
South West LHIN
Gordon Milak
South West LHIN
Carol Moore Health Quality Ontario
Julie Nicholls Health Quality Ontario
Randy Peltz
Woodstock Elgin Community Health Centre
Linda Sibley Addition Services of Thames Valley
Carmell Tait Participation House
Jackie Schleifer-Taylor London Health Science Centre
Carol Weigel Home & Community Support Services of Grey Bruce
Pauline Adams South West LHIN
Kevin De Jong South West LHIN
Ashley Jackson South West LHIN
Nicole Robinson South West LHIN
Rachel Stack South West LHIN

Clinical Quality Table

The South West Local Health Integration Network (SW LHIN) and Health Quality Ontario (HQO) are working in collaboration to establish the South West Clinical Quality Table. An Expression of Interest process is now being launched to identify individuals who may be interested in joining the table. We invite you to respond to this call, or share this information with others you feel may be interested in participating in this exciting new leadership opportunity.

The Clinical Quality Table is an action-oriented body that will focus on regional clinical quality challenges and initiatives, as well as connect regional and provincial priorities and structures. It will be developed collaboratively with the LHINs with support from HQO as a mechanism to discuss the foundations for clinical quality, provide the necessary alignment between regional and provincial strategic directions, and to hold an instrumental role in the implementation of clinical quality plans. It will also serve as an important mechanism for leadership to achieve progress and momentum on clinical quality. The ultimate goal of aligning the clinical quality agenda and engaging communities is to support the advancement of key clinical quality priorities within the Integrated Health Service Plan (IHSP), with an initial focus on improving patient outcomes for individuals with selected chronic conditions as well as mental health and addiction related co-morbidities.

Invitation to the Clinical Quality Table

Terms of Reference, Clinical Quality Table

Expression of Interest form, Clinical Quality Table


Name  Group Representation Organization
Dr. Rob Annis HQO
South West LHIN Clinical Quality Chair
Dr. Gord Schacter
Physicians Leads  South West LHIN Physician Lead - Family Medicine
Dr. Louise Moist Physicians Leads South West LHIN Physician Lead - Internal Medicine
Mary Cardinal  QAG Representative  HPHA
Dr. Nancy Whitmore HSFR Local Partnership Committee Rep  STEGH
Sue McCutcheon Health Links Leadership Committee Rep  South West LHIN, Health Links Lead
Naomi Vodeen  Mental Health and Addictions   
Dr. Tim MacDonald
Primary Care Physician
Dr. Jason Bandy Primary Care
Physician - Stratford FHT
Sue Tobin
Primary Care  NP-Lead & Clinic Administrator, Ingersoll NPLC
Karen Perkins
Acute Care  VP Patient Care and CNE, SJHC
Dr. Jan Owen Hospice Palliative Care Physician
Gay Goetz Long-Term Care  Cressant Care - Woodstock
Donna Ladoucer
Community Care  VP Home and Community Care, South West LHIN
Dr. Richard Cherry Academic  Physician, Schulich
Amanda Braun Patient Representative 
Rachel LaBonte PFQ Program Lead  Patnering for Quality
Julie Nicholls
Health Quality Ontario
Shannon Brett   Health Quality Ontario
Susan Taylor    Health Quality Ontario 
Kelly Gillis   South West LHIN
Rachel Stack   South West LHIN
Pauline Adams   South West LHIN
Nicole Robinson   South West LHIN
Kelly Simpson   South West LHIN
Kristy McQueen    South West LHIN 
Andrea McInerary    South West LHIN 
Mark Brintnell    South West LHIN 

Quality Improvement Enabling Framework

Developed by the Quality Advisory Group, the Framework was developed to guide the South West LHIN quality improvement activities. It provides a foundation for the work of the advisory group. The framework has been successfully applied at the health service provider level as a way to develop more effective and better aligned initiatives as part of their organization’s ongoing quality improvement efforts.

Quality Improvement Enabling Framework

Experience Based Design

Working alongside LHIN residents to find solutions to improve care experiences creates a collective ownership and commitment to continuous improvement. When health service providers learn about care experiences and preferences directly from those people receiving the services, they get the necessary insights to work together to make improvements that matter most to those receiving care. 

Experience Based Design uses experience to gain insights from which you can identify and co-design opportunities for improvement. It is about understanding the emotional journey in our healthcare system and designing an improved healthcare experience. It incorporates the patient voice into health system design by observing and involving patients/clients in the process and asking how they want to be cared for. 

Experience Based Design Workshop and resources

Quality Symposium

The Quality Symposium is an annual event that brings together 300-400 health service providers, governors and partners for a day of education and inspiration around quality improvement best practices. This event is accessible and free of charge.

Quality Awards

The Quality Awards recognize organizations that have implemented a sustainable quality improvement initiative by working together to achieve performance excellence. The Quality Awards program is a way to recognize organizations that have partnered together to implement a sustainable quality improvement initiative to achieve performance excellence. To be eligible for an award, the initiative must demonstrate sustainable system change and involve two or more organizations or agencies, at least one of which is LHIN-funded. Cross-continuum collaboration is encouraged. The awards are handed out each year at the Quality Symposium. 

Past Winners 

Category 1: Population-based Integrated Health Services
  • Shaken Baby Syndrome Prevention Project, 2012 
  • Home First, 2013 
  • Owen Sound Family Health Team Diabetes Strategy, 2014  
  • Connecting Care Collaborative, 2015
Category 2: Centrally Coordinated Resource Capacity
  • eShift -- Regional Hip Fracture Project (tie), 2012
  • Reducing Emergency Wait Times Through the Medical Value Stream, 2013
  • Non-Emergent Patient Transportation Project, 2014
  • Southwestern Ontario Stroke Network Stroke Capacity Assessment and Best Practice Implementation Project, 2015
For 2016 the Quality Awards categories were changed to ensure there are opportunities to recognize the breadth of quality improvement efforts across the LHIN.

Large Initiative

  • Access to Care: Assisted living, supportive housing and adult day program, 2016
  • Assess and Restore: Improving health outcomes for older adults, 2017

Small/Medium Initiative

  • Collaborating for Client Centred Care: A model for seamless, integrated community support, 2016
  • PINOT: Patients in Need of Teams, 2017

Additional information is available on this year's Quality Award applicants.


  • Excellent Care for All Act 
  • Health Quality Ontario
  • Quality Compass (HQO)
     searchable tool centered around priority health care topics with a focus on best practices, change ideas linked with indicators, targets and measures, and tools and resources to bridge gaps in care and improve the uptake of best practices.
  • Quest for Quality 
    Information and inspiration, including tools and templates, for providers engaged in the quality improvement process. It will also help with data collection and reporting of priority quality projects.  
    Partnering for Quality
  • Supports system-level quality improvements in chronic disease care across primary care and other providers in the health system. 
  • Institute for Healthcare Improvement
    Provides a wealth of information and tools about healthcare improvement initiatives, including information about Triple Aim