The CERU works with people throughout West Park to facilitate and
support performance measurement activities, establish standardized
tools and techniques for improvement and to provide leadership and
direction to clinical utilization activities. This mandate emerged
from the centre's move toward evidence-based clinical and management
practices that require us to demonstrate that what we are doing makes
a difference to our patients and residents and to the health services
system.
Clinicians and administrators are being called upon to define the
benefits of their interventions and practices more precisely so that
centre and system resources are directed to where they will be of
the greatest use.
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Semi-annual production of a balanced scorecard, an institutional
data collection strategy and plan for evaluating the attainment
of service, clinical goals and objectives
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Annual publication of a community report card, an institutional
feedback system for continuous improvement of patient/resident
care and organizational performance
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Initiating and coordinating periodic employee, patient, resident,
and physician satisfaction surveys
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Facilitating team effectiveness surveys to assess how effectively
clinical teams are working together
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Facilitating performance improvement initiatives throughout the
centre
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Assisting in the development of clinical pathways in rehabilitation
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Monitoring clinical pathways through the production of variance
reports that help to identify clinical areas that need improvement
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Managing the Resident Assessment Instrument (RAI), a
computerized information and measurement tool, by:
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Regularly submitting MDS data for continuing care to the Canadian
Institute for Health Information (CIHI)
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Producing Minimum Data Set (MDS) quality indicator reports
which assist in determining those areas of patient/resident
care requiring improvement and by providing a comparison
to other similar facilities in Ontario
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Facilitating Resident Assessment Protocols (RAPs),
a decision support tool that assists in developing individual
patient care plans
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Producing Resource Utilization Grouper (RUG) reports
that categorize patients into funding groups
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Inter-Rater Reliability (IRR) testing to monitor
the quality of MDS data
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Providing training, education and support to staff in using
MDS and clinical pathways as measurement and assessment tools
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Providing MDS software support to staff
The ultimate goal of CERU's performance measurement activities
is to foster a culture whereby performance measurement and evidence-based
performance improvement forms an integral part of management and
clinical practice throughout the healthcare centre. We will achieve
this by promoting competence through training, facilitating, consultation
and support for improvement projects, and by recognizing and celebrating
our achievements.