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


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%