Resilience, Reliability and Results

On Monday May 31st, and Tuesday June 1st, IPAC will be holding a conference focusing on health care entitled Sustainable Transformation: Building a Resilient Organization.

As part of IPAC's health care research project we will be releasing a study of five acute-care hospitals in the Waterloo-Wellington region that highlight the stories of these "high performers in the making" and their respective experiences with ED PIP – the Ontario Ministry of Health and Long-Term Care’s “Emergency Department Process Improvement Program.”

This 8 month initiative which ran from March – October 2009 engaged front-line staff from across these organizations in "quality by design" decision-making, planning, piloting and implementing of process improvement changes in Emergency Departments and across Inpatient Units. With Wave 2 just finishing and an additional 17 Ontario Hospital sites added to the roll-out, ED PIP may be one of the most significant transformational efforts to take place in Ontario hospitals in decades. In its early days PIP has clearly demonstrated success by enhancing the quality of the patient experience through improved access to care and flow through the system at the following Wave 1 sites:

• Groves Memorial Hospital, Fergus
• Guelph General Hospital, Guelph
• St. Mary’s General Hospital, Kitchener-Waterloo
• Grand River Hospital, Kitchener-Waterloo
• Cambridge Memorial Hospital, Cambridge

The case studies provide a context for specific process improvement strategies that could be adopted in other hospitals and outline the challenges or barriers that may prevent the adoption of these process improvements. This study considers:

• the significance of a learning culture that builds capacity and resilience in its people;
• the importance of process improvement designs that enhance system effectiveness and efficiencies and increase overall reliability in care delivery and patient outcomes; and
• the value of a management and performance measurement infrastructure that encourages and supports the desired results of the transformation.

With a spirit of persistent crafting and sustaining of robust strategies and improvements in care, these ‘stories’ and ‘lessons learned’ can influence, inspire and dare us to consider what is possible as we continue the journey of healthcare reform in the province of Ontario.

You can access these cases and much more on the IPAC Health Care Leaders Forum page of the IPAC website.

Next week I will be blogging from our Health care conference.  As I've written before on this blog, we must come to grips with the increased demands of our health care system if we are to ensure a longer term fiscally sustainable future and a society that invests in other important areas such as education, the arts and infrastructure.