December 16 2010
An on-going quality improvement effort at Grand River Hospital is producing better results for patients and their families. GRH is the most improved hospital in the country in the Canadian Institute for Health Information’s annual hospital standardized mortality ratio (HSMR) report, an important indicator for reporting progress in a hospital’s overall quality plan.
The HSMR reflects the number of deaths observed in a hospital relative to what would be expected based on the average Canadian experience. The Canadian average for the base year of the survey is 100.
GRH’s HSMR for 2009-2010 was 80. This compares to the hospital’s ratio of 119 in both the 2007-2008 and 2008-2009 fiscal years.
“Teams of nurses, physicians, pharmacists and many other care professionals have worked together to improve quality of care in their own clinical programs and services, but also in conjunction with other programs,” said Malcolm Maxwell, GRH’s president and CEO. “Through a number of efforts, we can see patients benefiting from improved care.”
The improvement in GRH’s HSMR is the result of several combined improvements rather than a single change.
Three key improvements include the following:
- The hospital has organized patient care into 14 distinct programs and services, each with its own quality improvement plan. These plans work within GRH’s overall quality and safety plan;
- Better analysis of quality of care results has taken place to identify areas of focus for the hospital;
- Older patients with multiple illnesses are benefiting from improvements in care and discharge practices. Hospital staff members have made changes to more quickly identify when patients can safely return to their homes or are ready for a transfer to long-term care.
The hospital has also worked more closely with the Waterloo Wellington Community Care Access Centre to help place patients in the community after their hospital stay. This effort is part of a “Home First” strategy to provide more appropriate care for patients in the setting that’s best suited to their individual health needs.
“Quality improvement in our health system is a team effort. We’re happy with the result we’ve seen to date, and will keep working internally and with our partners such as St. Mary’s Hospital and the Waterloo Wellington Community Care Access Centre to make further improvements to patient care and safety,” added Mr. Maxwell.
For more information, please contact:
Mark Karjaluoto, Director of Communications
(519) 749-4300 extension 2788, pager: (519) 244-3088, email@example.com