25. Measuring for improvement using leadership metrics and performance measures (Orals)

An Economic Framework for Health Innovation Management in Home Health – Historical Trends and Economic Modeling in Canadian Home Health Delivery

For healthcare leaders, the task of determining where to invest their limited dollars to deliver the highest possible quality of care is certainly a challenging one. Nowhere is this truer than in home health where pressure is being applied from the demand side with an aging population, and from the supply side with the advent of new innovations in program delivery and technology.

To address this challenge, a partnership was formed with a local health authority to examine home health delivery from a historical perspective, and develop an economic tool to enable resource allocation decisions for future innovation.

In this presentation, we will: – Share insights from statistical trend analyses – Discuss economic modelling use in management of innovation investments – Demonstrate the online interactive tool developed to simulate and evaluate new innovations


William L Hall – University of British Columbia 



Stroke Distinction – Outcomes from a Quality Improvement Framework

Stroke is a leading cause of death and disability world-wide. Accreditation Canada’s Stroke Distinction program is a quality improvement framework for stroke care. The program includes standards developed based on the Canadian Stroke Best Practice Guidelines, stroke-specific performance indicators, care protocols, patient and family education, and implementation of a QI project. An on-site assessment is done by peer stroke champions. As of Nov 2018, 20 organizations are participating in the program. 17 Canadian and 1 International organizations have achieved stroke distinction and 2 Canadian organizations have initiated the program. Notable improvement outcomes include improved collaborative care processes within and across stroke teams, increased accessibility to timely and appropriate hyper acute care, an increase in proportion of stroke patients cared for on a dedicated stroke unit, decreases in 30-Day mortality rate and 90-day readmission rates. The program has a positive impact on clinical outcomes and patients, caregivers and clinicians.


Louise Clément – Accreditation Canada



Applying Statistical Models to Inform Improvement

Delivery of high quality, sustainable health services to meet the need of the population is a core focus for Nova Scotia Health Authority (NSHA). To support this goal a pilot project was initiated to assess, analyze, and redesign the approach to care in five locations. A mixed methodology was applied to analyze qualitative and quantitative evidence to identify performance drivers and opportunities for improvement. Specifically, statistical models were used to identify performance drivers related to overtime and sick time, through synthesis of data from multiple sources including: workforce, patient demographic, utilization, and financial systems. Regression models revealed statistically significant associations between overtime and sick-time and factors such as workload levels, utilization patterns, temporal factors, and patient demographics. The regression findings will be applied in the service to inform planning and improvement.


Bethany McCormick – Nova Scotia Health Authority





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