Metrics QualityMetrics for Healthcare Quality:

The Leader’s Role

How Does Canada Perform?How Does Canada Perform?Terrence Sullivan

President and CEO

Cancer Care Ontario

Feb 17, 2010

Overview

• How is Canada doing on quality metrics?

Consider a few examplesConsider a few examples

• Where is our national imperative on quality?

• Introduce the framing questions for the CEO

Forum

How does Canada (its provinces) Perform on

Dimensions of Quality?

1. Access & Timeliness

2. Equity2. Equity

3. Safety

4. Effectiveness

5. Capacity

6. Patient-Centredness

ACCESS & TIMELINESS

Access &

Timeliness

B+

Access &

Timeliness

C-

Access &

Timeliness

C-

Access &

Timeliness

C-

Access &

Timeliness

Access &

Timeliness

12

C

Access &

Timeliness

EQUITY

Equity

Equity

Equity

B

Equity

B

Equity

SAFETY

Safety

B+

Safety

Safety

Safety

C-

Safety

A-

EFFECTIVENESS

Effectiveness

B

Effectiveness

28A

Effectiveness

Effectiveness

Effectiveness

B+

Effectiveness

Effectiveness

B

Effectiveness

C-

CAPACITY

Capacity

A / C

Capacity

B

Capacity

B

Capacity

(B)

Capacity

C-

Capacity

PATIENT-CENTREDNESS

Patient-

Centredness

Patient-

Centredness

B+

Patient-

Centredness

Patient-

Centredness

B

Patient-

Centredness

A-

How does Canada perform? A Summary

Quality Dimension Grade

Access & Timeliness C+

Equity BEquity B

Safety B

Effectiveness B+

Capacity ?B

Patient-Centredness B

Where is our national imperative on quality?

• Baker/Norton

• Nosocomial infections

• Poor quality Primary Care for chronic disease • Poor quality Primary Care for chronic disease

management

• Legislative Imperative/Financial Imperative/Board

Imperative?

• Why are we waiting?

• Can chief executives start the momentum?

Framing Questions

• How can we build a cross-jurisdictional, unifying framework

on which common dimensions of quality can be reported at

the provincial, territorial and institutional levels, across the

continuum of care?continuum of care?

• What are the levers for achieving quality patient care? Should

we build stronger incentives and sanctions for quality? What

is the role of governance?

• How can we use information and communication technologies

wisely to manage demands in health services and improve the

quality of patient care?

Thank youThank you