Quality Improvement Plan 2020-2021

Quality Improvement Plan 2022/23

Perley Health is a not-for profit seniors’ care organization with 450 provincially licensed long-term care beds. While Perley Health’s primary focus is on long-term care, it also actively supports the capacity of seniors to live independently. To this end, Perley Health partners effectively with like-minded organizations across the continuum of care to develop a community of care and to provide ready access to a range of clinical and therapeutic services, along with social and recreational activities.

Perley Health is pleased to share its 2022/23 Quality Improvement Plan (QIP). Our ongoing commitment to quality is reflected in our mission “to achieve excellence in the health, safety and well-being of Seniors and Veterans with a focus on innovation in person centred and frailty-informed care and service" and in our long-term strategic plan, which identifies Excellence in Resident Care and Service as one of Perley Health's 4 key strategic pillars. In 2021, Perley Health's strategic plan was refreshed in response to several unprecedented factors which resulted in a fundamentally changed healthcare landscape. These factors included, amongst others, the ongoing impacts of the COVID-19 pandemic, persistent healthcare worker shortage and burnout, increased public attention on long term care, and increased regulation of an already highly regulated environment. The core pillars of the long-term strategy remain relevant, and are reflected in the refreshed strategy which outlines objectives and priorities for 2022 - 2025. These objectives include "Sustaining excellence in Seniors' and Veterans' care", as well as embodying a "People First" philosophy. The QIP is a roadmap to achieving both of these objectives, while navigating challenges and opportunities in our

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Perley Health’s QIP is aligned with our Quality Framework, based on the Quadruple Aim framework adopted by Ontario Health. The high-level priorities for this year's QIP are informed by the quality and safety aims under the various pillars of the framework, as determined by Perley Health's Board of Directors:

  • increase resident and family experience
  • reduce preventable harm
  • provide the "right care" 100% of the time
  • improve health-related quality of life
  • improve staff experience

Quality priorities, targets for improvement and projected change ideas/tactics reflect:

  • progress achieved in recent years;
  • the most recent performance data available from the Canadian Institute for Health Information (CIHI), resident, family and staff experience surveys and our electronic health record;
  • emergent issues identified internally (trends in critical incidents) and/or externally;
  • input from residents, families, staff, leaders and external partners, including the MOLTC.

Priorities are divided into 3 categories – focused action, moderate action and monitoring. Areas for action are included below

Please note that targets reflect a blended average for both our community and veteran residents.

Focused Action:

  • Enhance Psychological Health and Safety (increase safety culture survey score from 2.77 to 2.90).
  • Reduce the percentage of residents who experienced pain from 11.3% to 10%.

Moderate Action:

  • Increase the percentage of residents who have their palliative care needs identified and documented to >80%.
  • Eliminate staff to resident abuse/neglect (reduce substantiated incidents reported to the MOLTC from2 to 0).
  • Reduce the percentage of residents on antipsychotics without a diagnosis of psychosis from 19.3% to 19.0%.
  • Reduce the percentage of residents whose mood from symptoms of depression worsened from 36.3% to 35%.
  • Enhance resident quality of life as measured by the interRAI Resident QOL Survey (by focusing onthe domains of Food and Social Life).
  • To increase the percentage of residents who responded positively to "the care and support I receivehelp me live my life the way I want" from 75% to 80%