Equity is one of the six domains of quality, yet it is often one of the first to be overlooked. To meaningfully address issues of equity in healthcare, we must attend to structural elements that exist within our systems of care delivery that reinforce existing disparities and perpetuate inequitable health outcomes.

This work stream will incorporate recommendations from existing equity-focused groups including the Temerty Faculty of Medicine’s Office of Inclusion and Diversity, TAHSN Anti-Racism CoP and Sustainable Health System CoP to integrate an equity lens into existing tools and methodologies used in QIPS research, education and practice across TAHSN organizations.

Work stream leads:

• Brian Wong
• Patricia Trbovich

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Reliable data sources are essential for healthcare organizations to prioritize, implement, and evaluate quality improvement activities, yet many initiatives stall due to a lack of timely access to data. This work stream will build on existing data-sharing collaboratives to support TAHSN hospitals with relevant data to successfully identify QIPS targets and track initiative impact.

This work stream’s initial project will focus on delirium: the GEMINI delirium-ID tool, which uses administrative data along with routinely-collected clinical data (patient demographics, labs, medications, imaging, etc.) and is able to measure delirium with 90% accuracy, will provide TAHSN hospitals with unit-level reports about delirium rates, which they can use to identify targets for implementing delirium prevention strategies.

Work stream leads:

• Amol Verma
• Fahad Razak

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While keeping patients safe is the ultimate goal of every healthcare organization, many have their own way of classifying, investigating and analyzing patient safety incidents, making it difficult to share learnings and track collective efforts over time. This work stream will build on an existing patient safety collaborative that, for more than three years, has harnessed the collective QIPS expertise across participating organizations to take the necessary steps toward shared harm prevention goals.

This work stream’s initial objectives are to align patient safety incident classification using the Press Ganey/Healthcare Performance Improvement Safety Events Classification system to develop a common taxonomy and approach to identifying preventable harm across TAHSN hospitals.

Work stream leads:

• Brigette Hales
• Farah Khan
• Wing-Si Luk
• Marie Pinard

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