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TAHSN QIPS Community of Practice

Register now: June 13 information session

Interested in learning more about the TAHSN QIPS CoP and its work streams? Join our virtual information session on June 13 from 12-1 p.m. EST.

The TAHSN Quality Improvement and Patient Safety (QIPS) Community of Practice (CoP) is a partnership between Toronto Academic Health Sciences Network (TAHSN) hospitals and Toronto-based QIPS-focused groups, organizations and institutions.

Why a CoP?

QIPS initiatives are key to improving outcomes and experience for both patients and staff, and many healthcare organizations and academic departments have QIPS roles, committees, appointments and groups to support this work. While there are some examples of joint efforts across these groups, many work in silos – despite the fact that the most promising advancement opportunities require collaboration across boundaries. We believe a community of practice will leverage the unique strengths and increase the overall success of these groups, as well as support macrosystem-level changes needed to transform the healthcare system.

TAHSN QIPS CoP goals

  • Strengthen communication among members of the QIPS community through knowledge exchange and translation
  • Leverage unique strengths and areas of expertise within QIPS units, groups and organizations
  • Identify priority areas for collaborative action and focused research and scholarship

Work streams

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

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

While keeping patients safe is the ultimate goal of every healthcare organization, many have their own way of classifying 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 reduce preventable patient harm.

This work stream’s initial project will 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
  • Marie Pinard
  • Wing-Si Luk

Co-chairs

  • Brian Wong, CQuIPS director
  • Patricia Trbovich, IHPME Associate Professor of Quality Improvement and Patient Safety
  • (CEO sponsor) Andy Smith, President and CEO, Sunnybrook, TAHSN Chair

Steering committee members

  • Brigette Hales. Director, Quality & Patient Safety, Sunnybrook
  • Wing-Si Luk, Director, Patient Safety, UHN
  • Marie Pinard, Director, Quality, Safety & Patient Experience, Women’s College Hospital, Associate Director, CQuIPS
  • Jeff Powis, Medical Director, Infection Prevention and Control, Michael Garron
  • Fahad Razak, GEMINI co-lead, Unity Health
  • Amol Verma, GEMINI co-lead, Unity Health
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