Public Notice: Outbreaks 2 units, FFC Meeting Feb 21 and more Updated 2/15/2019

The Perley and Rideau Veterans' Health Centre

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Quality Improvement Plan 2018-2019


The Perley and Rideau Veterans’ Health Centre (Perley Rideau) is pleased to share its 2018-19 Quality Improvement Plan (QIP). Perley Rideau’s primary focus is Excellence in Resident Care and Services. Our commitment to quality is reflected in our mission “to achieve excellence in the health, safety and well-being of Seniors and Veterans with a focus on innovation in person centred and frailty-informed care and service" and in our supporting strategic plan, which was updated in 2017 to better reflect the evolving healthcare landscape. 

Perley Rideau has entered a period of significant challenge and opportunity. The population of Second World War and Korean Veterans is declining. As a result, Perley Rideau’s mandate to provide long-stay residential care for Veterans of Second World War and the Korean War is evolving. Ontarians are aging and have more complex health needs. Resources are limited. The healthcare system must learn new ways of delivering higher quality care at lower cost. Perley Rideau must determine how it can provide the highest value to its community. 

The QIP is a roadmap to achieving excellence in resident care and services, while navigating challenges and opportunities in our environment. Perley Rideau’s QIP is aligned with our annual operating plan and supported by our measurement and accountability systems. This alignment allows us to effectively clarify priorities, direct resources, monitor progress and act on results. 

The overall objectives of Perley Rideau's QIPs have remained largely unchanged from year to year. Maintaining focus allows us to build on work completed as well as sustain and spread improvements achieved during the previous QIP cycles (2015/16 - 2017/18).

Notable additions to this year's QIP include:

1) “Eliminate the Risk of Resident Abuse” is a new priority for focused action, with resident abuse/neglect by staff identified as a “never event” at the Perley Rideau;

2) Resident and Family Relations, with a focus on targeted improvements to the Home's complaints management process, has been included as a key tactic under the “Improve Resident Experience” objective;

3) Objectives and tactics previously found under the Home's Client Safety Plan (2014-2017), e.g. Medication Management and Infection Prevention and Control, are now embedded within the QIP.

Prioritization within the QIP, targets for improvement and projected change ideas/tactics for each objective have been refined to reflect:

• progress achieved in 2017/18;

• the most recent performance data available from the Canadian Institute for Health Information (CIHI), resident and family experience surveys and our electronic health record;

• emergent issues identified internally (trends in critical incidents) and/or externally;

• input from residents, families, staff, leaders and external partners, including the MOHLTC. 

Priorities are divided into 3 categories – priorities for focused action, moderate action and monitoring. Please note that targets reflect a blended average for both our community and veteran residents.

Priorities for Focused Action:

1) Reduce the percentage of residents who had a worsening pressure ulcer from 6.2% to 3%);

2) Reduce the percentage of residents with worsening behavioural symptoms from 20.3% to 19%);

3) Reduce the percentage of residents who experienced worsening pain from 17.1% to 15.0%);

4) Reduce the number of staff to resident incidents of abuse/neglect that are reported to the MOHLTC from 4 to 0. 

Priorities for Moderate Action:

5) Reduce the percentage of residents who had a fall in the last 30 days from 18.5% to 18%);

6) Reduce the percentage of residents on antipsychotics without a diagnosis of psychosis from 15.1% to 12.0%);

7) Maintain or increase the percentage of residents who would positively recommend Perley Rideau to others (currently 87%, target at or above 85%). Target of 85% remains unchanged for 2018/19, as Perley Rideau will focus on sustaining consistently high performance in this area. 

Priorities for Ongoing Monitoring:

8) Reduce the number of potentially avoidable ED visits per 100 residents from 15.14 to 15%);

9) Reduce the use of daily physical restraints from 6.7% to 5.5%.  

Perley Rideau continues to identify incremental improvement targets in recognition that the standardized QIP indicators used for long-term care in Ontario are lagging indicators. There is an approximate 1 year delay between current performance and reported performance. The baseline data used for the 2018/19 QIP reflects performance for the time period October 2016 to Sept 2017.   We have adopted a multi-year cycle for our QIP, recognizing that a phased approach to change will increase the likelihood of sustained improvement. We anticipate metric improvement will be achieved and maintained in most priority areas by the end of this QIP cycle. Our 3-year targets are to be at, or better than the provincial average in all priority indicators.

Contact Information
Melissa Norman
Manager, Quality Improvement and RAI
Phone: 613-526-7170 ext. 2448