0

Putting Quality Standards into Practice

Executive Summary

This article will summarize the process of using quality standards as a resource to deliver high-quality care. The guide was created by Quality Standards for clinicians, quality improvement and program leads, administrators, executives, patients and family advisors, and anyone else in the health system. Quality standards help health care professionals to provide the best quality care.

For more information: Opioid Crisis Management: Foundation Roadmap

 


To make the most out of the quality standards:

  1. Assess current practice against the evidence-based care described in the quality statements to identify where current practice does not align with the quality standard.
  2. Identify the changes you can make to your current practice based on the statements outlined in the quality standard. Create an action plan to help you make these changes.
  3. Track your progress using the indicators in the quality standard.
  4. Share the patient reference guide with patients and their families and caregivers to stimulate discussion with their care providers.

Phase one: Planning for Change

1. Leaders are required to drive the allocation of resources to support the implementation of changes, communicate the changes, and promote the success of the implementations

  • The implementation team may include:

  • A multidisciplinary team will allow for input from all disciplines and allow for general buy-in

2. Current quality statements need to be examined

  • For broader statements connect with stakeholders from outside the organization  
  • Current practices should be compared to quality standards. It is important to have input from staff, patients, families, and caregivers through consultations and interviews

  • It is important to consider:
    • Use the indicators provided with the quality statements to assess your current performance against the quality statement
    • Consider existing data
    • Conduct audits or chart reviews to assess your current performance on these indicators
    • Review other provincial, organizational, or provider-level data reports as available (e.g., Practice Reports and Performance Series Reports)
    • Involve decision support, if available

3. Identify common barriers and facilitators that could help or hinder change. Once barriers are identified then interventions can be identified to overcome barriers

4. Create a measurement plan that measures outcome, process, and structural indicators

  • Use the indicators provided with the quality statements to assess your current performance against the quality statement
  • Consider existing data you may have available
  • Conduct audits or chart reviews to assess your current performance on these indicators
  • Review other provincial, organizational, or provider-level data reports as available (e.g., Practice Reports and Performance Series Reports)
  • Involve decision support, if available

Phase Two: Implementing Change

1. Identify goals and aims

2. Track and monitor progress

3. Communicate about the changes to groups within your organization, health care professionals, patients, families, and caregivers

  • Communication strategies include:
    • Disseminate the quality standard to clinical care staff at professional practice councils
    • Share information in organization/ regional blogs/newsletters (both internal and patient-facing) and staff meetings
    • Incorporate the quality standard into messaging on organizational action plans/ strategic plans
    • Solicit feedback and recommendations about the changes from staff and clinicians, quality committee, and patient and family advisory councils
    • Provide updates on your action plan at senior management meetings
    • Ask your leaders and champions to speak at implementation team meetings/ steering committees
    • Encourage health care professionals to share the quality standard with their patients

Phase Three: Sustaining Change

1. Monitor the changes to see if the changes are leading to improvements as intended

2. Create proactive plans for situations that may prevent the improvements

3. Document the new process and implement changes during new staff orientation, training sessions, and performance appraisals

4. Celebrate successes