WPSHC - Working through Accreditation Canada’s Qmentum process was a great success for us in 2011.
During our three-day on-site visit last October we successfully met 1,671 quality dimension criteria out of a total of 1,750 (22 were deemed ‘not applicable’ to our organization) - leaving us with only 57 unmet criteria out of 1,750.
A successful percentage of 96.7 is not close enough to perfection for us to receive an unqualified accreditation, instead we have earned ‘accreditation with condition.’
“Our accreditation report provides ample confirmation from an independent peer review that we are accomplishing our goal to provide safe quality care to our community,” said CEO Donald Sanderson. “We support the accreditation process because we want to learn and improve. We will respond thoughtfully to the advice that has been provided and we will attempt to fill that small gap that separates us from a perfect score.”
Accreditation with condition is the most common outcome for hospitals across the country, and, as described in the column to the left, we are now developing an action plan to address the areas that have been identified for improvement in Accreditation Canada’s 57-page report.
From among the hundreds of quality dimension criteria that were measured at WPSHC, the most important finding in the report includes two ‘unmet’ Required Organizational Practices (ROPs) that will be focussed on in the follow-up report. The unmet ROPs include heparin safety and the use of two patient identifiers.
ROPs, by definition, represent Accreditation Canada’s leading concerns and WPSHC successfully met 30 during our on-site visit.
“We have already undertaken steps that respond to the recommendations provided in the report” said Anne Litkowich, Chief Nursing Officer and Director of Patient and Family Centred Care.
“We are integrating the Qmentum standards into our daily practice, and that supports quality improvement in our delivery of patient and family centred care.”