About Toronto Grace Health Centre
Accreditation & Hospital Report
Accreditation & Hospital Report
Accreditation Canada at Toronto Grace Health Centre
Purpose of Accreditation
Accreditation is granted by Accreditation Canada, a national non-profit, independent organization.
It is a voluntary process for health care providers to assess every aspect of the care and service they deliver against national standards.
The process consists of a self-assessment, on-site survey and follow-up actions for improvement. Organizations examine all areas of their service, obtain advice from their peers, increase credibility and involve partners and clients during on-site interviews.
Participation in Accreditation
Organizations that participate in the accreditation program benefit from the guidance provided to achieve standards of excellence.
It demonstrates an organizations commitment to continuous quality improvement and provides transparency and public accountability.
Accreditation Process
Accreditation is a three-year cycle:
- The organization first collects the information required by Accreditation Canada.
- The organization then completes the self-assessment process by administering questionnaires and surveys to staff and volunteers. Some of the areas that these look at are quality of work life, safety practices and infection control.
- Accreditation Canada surveyors provides a 2 ? day on-site survey (peer reviewers).
- The surveyors? report and recommendations along with the organization?s evaluations can result in the awarding of a three-year accreditation certification.
- Recommendations from the survey are shared with Board members, staff, volunteers, patients and families to continue the quality improvement cycle until the next survey.
Toronto Grace Accreditation 2009
Toronto Grace Health Centre was surveyed by Accreditation Canada March 4, 5, 6, 2009
Toronto Grace Health Centre
was awarded a THREE-YEAR ACCREDITATION, 2009-2012
for meeting the National Standards
for EXCELLENCE in QUALITY CARE and SERVICE
was awarded a THREE-YEAR ACCREDITATION, 2009-2012
for meeting the National Standards
for EXCELLENCE in QUALITY CARE and SERVICE
Toronto Grace Accreditation Results
The following Accreditation results are the direct feedback from the surveyors
Overall Strengths
~ An excellent human resources plan with retention strategies that include formal staff recognition activities and an employee assistance program. Staff have low sick time and the number of long-service staff is noteworthy.
~ Toronto Grace is a fiscally sound organization.
~ There is a strong and committed board with up to date policies and procedures.
~ As a faith-based organization, there is a striking sense of value and person-centered care.
~ The centre considers its own values to be inherent in all of its activities and that are communicated via written posters, on the hospital internet and at the beginning of each orientation.
- ~ Ethics resources are readily and frequently available. The staff have access to education and written resources related to ethical dilemmas and decision making.
- Successes
~ Community-based programs were developed such as the CCAC wound care program on-site. - ~ Safety was enhanced with the installment of a wandering patient system.
Challenges
~ There is an aging infrastructure.- ~ There is inadequate storage for equipment and supplies.
- ~ There is inadequate storage for equipment and supplies.
- Communication within the Organization
~ Reporting mechanisms exist to ensure excellent communication between all levels of the organization. ~ There are ongoing efforts to refine these processes to make them timelier. - ~ There is a well developed committee structure.
Relationship with the Community- ~ The organization is well connected with its local and provincial health groups.
- ~ Students are welcomed at the organization
There is evidence that the organization is responsive to the specific needs of its inner city neighbors, and collaborates with the Local Health Integration Network LHIN in this regard.
The Hospital Report series is an ongoing project to assess hospital performance in Ontario. It is a joint initiative of the Ontario Hospital Association and the Ministry of Health. The key objective for this report is to assist hospitals to identify strengths and opportunities for improvement.
The scorecard report for 2008 is organized into three sections:
| System Integration and Change | Support for quality improvement, integration of systems and process. Includes client centred care, information technology and staff skills. |
| Clinical Utilization and Outcomes | Clinical processes and outcomes, looking at change in physical functioning, cognitive and psychosocial functioning, continence, care complexity and medication use. |
| Financial Performance | Efficiency, productivity and financial sustainability. |
Toronto Grace Health Centre Hospital Report Card 2008
The Hospital Report shows Toronto Grace to be a solid performer with some excellent clinical utilization, outcome and system integration results.
When compared against the provincial average, Toronto Grace was rated as an Above Average performer in the following areas:
~ Wound management and care
~ Clinical pharmaceutical treatments
~ Improved patient communication abilities
All remaining 15 measures for Toronto Grace were within the provincial average
~ a commendable achievement.
~ a commendable achievement.