This document discusses efforts to improve healthcare system performance in Southwestern Ontario through collaboration. It describes how regional partners like Children's Hospital work together in networks to enhance quality outcomes, integration, learning, and partnership. These networks utilize decision support and share data to benchmark performance, identify variation, and improve patient care across the region through collaborative improvement cycles. Performance is continuously monitored and accountability is maintained to ensure sustainability of gains.

1. Achieving System Improvement
and Performance
Regional Perspective
Jennifer McCallum

2. 1
Health System Funding Reform
Quality Based Procedure (QBP)
Southwestern Ontario health care partners and
patients working together to improve and sustain
system performance
Decision support collaboration models and access
to information
Regional Perspective

3. 2
CH LHSC Academic Health Sciences Centre in SWO
 Regional referrals
 Providing specialized paediatric services
 Medical research
“Committed to providing family-centred care”
Southwestern Ontario Maternal, Newborn Child and
Youth Network (MNCYN)
Focused on:
 Quality Health Outcomes
 Systems Integration
 Asset Management
 Enhanced Learning and Growth
 Works in Partnership with Provincial Council for Maternal and Child Health
(PCMCH) to bring strategies, standards and best practices to communities
How we work together

4. 3
How we work together
 LHSC Decision Support
 Key member on Data Working Groups, Local Health
Integration (LHIN) Decision Support networks.
 Many successes providing formal and informal
support.
 Share benchmarking information and opportunities
 Regionally, Provincially, Nationally
 Connects leaders with other system stakeholders,
departments, services and subject matter experts.

5. 4
CoP and Decision Support Networks
Value & Impact
Right Care, at the Right Place,
at the Right Time
Collaboration
Improved
Patient Care
Benchmarking &
Evaluation
Feedback,
Best Practices
Integrate information
System and
Capacity
Electronic data sources
and reports
Improve data quality
and timeliness

6. 5
Paediatric Asthma QBP cases
-in SWO facilities

7. 6
Paediatric Asthma QBP cases
- SWO patient postal codes

8. 7
Regional Integrated Decision Support
 Allows us to
understand
volume of
patients with
multiple visits.
 Observe where
variation
exists, informs
actions

9. 8
1 2
3
4
Plan, Do,
Study/Check, Act
improvement
cycle
Indicator and
Case Costing
analysis
Clinical Handbook
and Pathway
review
Confirm processes,
pathway compliance,
regional dashboards
Internal and External Review

10. 9
Accountability and Sustainability
 Teams continue executing improvement plans
 Internal monthly / quarterly performance monitoring
 Local Health Integration Network (LHIN) escalates external
reporting requirements, when performance is beyond target
corridors
 Performance metrics incorporated into Quality Improvement
Plans, Balanced Score Cards, Board Committee reports
 LHIN performance opportunities identified and followed up
through Decision Support Networks
 As provincial results improve, expectations are increased and
targets are compressed