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West Park Healthcare Centre
feedback@westpark.org
82 Buttonwood Ave.
Toronto ON M6M 2J5
Tel (416) 243-3600
Fax (416) 243-8947

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Research

Clinical Evaluation & Research Unit

Performance Measurement

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.

CERU's performance measurement activities include:

  • Semi-annual production of a balanced scorecard, an institutional data collection strategy and plan for evaluating the attainment of service, clinical goals and objectives

  • Annual publication of a community report card, an institutional feedback system for continuous improvement of patient/resident care and organizational performance

  • Initiating and coordinating periodic employee, patient, resident, and physician satisfaction surveys

  • Facilitating team effectiveness surveys to assess how effectively clinical teams are working together

  • Facilitating performance improvement initiatives throughout the centre

  • Assisting in the development of clinical pathways in rehabilitation

  • Monitoring clinical pathways through the production of variance reports that help to identify clinical areas that need improvement

  • Managing the Resident Assessment Instrument (RAI), a computerized information and measurement tool, by:

    • Regularly submitting MDS data for continuing care to the Canadian Institute for Health Information (CIHI)

    • 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

    • Facilitating Resident Assessment Protocols (RAPs), a decision support tool that assists in developing individual patient care plans

    • Producing Resource Utilization Grouper (RUG) reports that categorize patients into funding groups

    • Inter-Rater Reliability (IRR) testing to monitor the quality of MDS data

  • Providing training, education and support to staff in using MDS and clinical pathways as measurement and assessment tools

  • 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.

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Rehabilitation, Complex Continuing and Long-Term Care