Quality Improvement Plan

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Manitoba Renal Program Quality Improvement

Quality Team Terms of Reference

Every year, Manitoba Renal Program develops a Quality Improvement Plan that identifies areas of possible improvement and strategies to achieve desired results. This plan is implemented program-wide alongside additional quality improvement initiatives happening at site and RHA levels.

During Self-Assessment Questionnaires, renal program staff can indicate what areas of care delivery and program operation can be improved. The identified areas are incorporated in the Quality Improvement Plan.

Champions are tasked with leading a series of steps to accomplish the quality objective. Champions may engage with staff at various renal care sites in Manitoba to assist with implementing these steps.

Manitoba Renal Program’s 2021-2022 Quality Improvement Plan Overview

Improve cultural competency among renal program staff in Manitoba

  • Manitoba Indigenous Cultural Safety Training for staff is in progress
  • Regional cultural safety training opportunities are available to all health staff in Manitoba
  • Aim to achieve 100% participation in MICST for regional staff and site management
  • Aim for annual increases in frontline staff participation in cultural safety education
  • Ensure staff know about cultural competency education opportunities
  • Assist RHAs and Shared Health in achieving the relevant Truth & Reconciliation Commission of Canada’s Calls to Action

Implement strategies to gather and utilize patient and family input and complaints

  • MRP previously held patient representative committee and feedback group meetings
  • RHAs and health facilities have existing patient advisory committees
  • Complaints processes are listed on kidneyhealth.ca
  • Client and Patient relations offices and services are available to all patients
  • Work with each site to document how patients are able to provide input on programs and services
  • Establish and implement a standardized in-centre hemodialysis patient experience survey
  • Ensure patients are informed about their site’s complaints processes

Increase effective and accurate transfer of patient information at all transition points

  • Standardized guidelines and tools for all sites are available
  • MRP Transition Coordinator assists with patient care transfers
  • Use of standardized guidelines and tools for patient care transfers
  • Establish processes for improved patient information documentation

Improve patient flow between sites and patient access to renal replacement therapies

  • Home modality programs have been expanded
  • In-centre dialysis units have been expanded
  • Standardized guidelines and tools for all sites are available
  • Patients are informed about possibility of transfers between sites
  • More efficient patient transfers between sites
  • Increasing patient utilization of home modalities
  • Increasing dialysis capacity as required

Standardize skin and wound management

  • Pilot study implementing new tools completed at SOGH
  • Pilot results used to improve assessment and documentation tools
  • Implement new tools and provide relevant education to staff
  • Develop guidelines for the wound care chart divider
  • Increase staff participation in WRHA wound care courses
  • Have patient input into relevant patient education materials and strategies

Previous Years Quality Information

2017-19 Quality Roadmap

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