Quality Improvement Plan

Quality Improvement Plan 2023/2024

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 2023/24 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 interim 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 environment.

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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 the provider 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 2 categories – focused action and moderate action. Please note that targets reflect a blended average for both our community and veteran residents.

Focused Action:

  1. Enhance Psychological Health and Safety (increase the percentage of staff that respond positively to “I feel safe to give feedback about things that matter to me” from 61% to 66%).
  2. Increase the percentage of residents who responded positively to “I participate in meaningful activities” from 47% to 55%.
  3. Increase the percentage of residents who responded positively to “I enjoy mealtimes” from 65% to 75%.

Moderate Action:

  1. Ensure that 100% of residents that die at Perley Health have a “meaningful death” (as identified by resident and/or family).
  2. Reduce the percentage of residents on antipsychotics without a diagnosis of psychosis from 23% to 22%.
  3. Reduce the percentage of residents whose mood from symptoms of depression worsened from 33% to 32%.
  4. Reduce the percentage of residents who experienced pain from 12% to 11%.