Canadian Patient Safety Institute

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Canadian Patient Safety Institute

• Action Plan
• Report on Progress 2004-2005
• Report on Priorities 2005-2006
• March 15, 2005

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Strategic Business Plan Highlights
Vision We envision a Canadian health system
where patients, providers, governments and others
work together to build and advance a safer health
system where providers take pride in their
ability to deliver the safest and highest quality
of care possible and where every Canadian in
need of healthcare can be confident that the care
they receive is the safest in the
world. Mission to provide national leadership
in building and advancing a safer Canadian health
system.
Champion necessary change through partnerships,
stakeholder engagement and transparent
communication
Identify leading practices and effective
interventions
Define patient safety issues in Canadian
healthcare
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Progress SummaryDefine patient safety issues in
Canadian healthcare
2004/2005 Highlights

• Major accomplishments during 2004/2005 include
• Completed consultation workshops in BC, AB, SK,
  MB, ONT (Phase 1), Maritimes (joint NB/NS/PEI)
  and NL to introduce CPSI and to identify
  priorities
• Sponsored Halifax 4 and confirmed sponsorship
  and planning role for Halifax 5
• Held successful patient safety communicator
  workshop in conjunction with Halifax 4
• Establish a working group with ISMP Canada and
  CMIRPS to assess systems of reporting adverse
  events and to determine appropriate next steps
• Established dialogue with CIHI and CCHSA
  regarding identification of nationwide indicators
  of patient safety
• Explored electronic health record models in
  Capital Health and offerings by Eclipsys
  determined that CPSI will partner with CHI with
  CHI taking lead role

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Upcoming Priorities Define patient safety issues
in Canadian healthcare
Our strategic focus for the next fiscal year
is 1.1.1 Continue to meet with key partners to
establish short, medium and long-term
priorities 1.1.2 Establish formal agreements with
relevant national and provincial
organizations 1.2.1 Determine stakeholder needs
and opportunities regarding development of a
national reporting system
2005/2006 Key Initiatives
Priority initiatives during 2005/2006 will
include 1.1.1(a) Publish a national report based
on stakeholder consultations outlining key
issues, initiatives and recommended priorities
for CPSI 1.1.2(a) Make significant progress
towards formal agreements with key national and
provincial stakeholders (e.g. CCHSA, CIHI,
CHI) Other Promote forums for discussion (e.g.
Halifax 5 and ISQua) and demonstrating progress
in major patient safety areas 1.2.1(a) Work with
legal/regulatory committee to establish and
implement a consultation strategy with
provincial, federal and regulatory stakeholders,
leading to an assessment of stakeholder needs and
opportunities regarding a database and reporting
system Other Environmental scan of systems for
monitoring adverse events, errors and critical
incidents Other Data collection and
collaboration with relevant partners regarding
nationwide indicators of patient safety
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Progress Summary Identify leading practices and
effective interventions
2004/2005 Highlights

• Major accomplishments during 2004/2005 include
• Initiated work with CIHR, CHSRF and researchers
  to articulate roles and responsibilities, working
  relationships and research agenda for 2005/2006
• Developed Request for Applications ready for
  release in March 2005
• Collaborated with ISMP Canada and Saskatchewan
  Health in the development and implementation of a
  Canadian Root Cause Analysis framework

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Upcoming Priorities Identify leading practices
and effective interventions
Our strategic focus for the next fiscal year
is 2.1.1 Establish and begin to implement a
research agenda in consultation with key
stakeholders 2.2.1 Develop and disseminate
patient safety tools and information 2.2.2
Establish a model and infrastructure to
facilitate a Canadianized version of IHI
patient safety strategies across Canada 2.2.3
Develop relationships with relevant international
patient safety organizations 2.3.1 Partner with
others on the development of a patient safety
publication 2.4.1 Make significant progress
towards a national inter-disciplinary patient
safety curriculum
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Upcoming Priorities Identify leading practices
and effective interventions
2005/2006 Key Initiatives
Priority initiatives during 2005/2006 will
include 2.1.1(a) Issue a Request for
Applications, evaluate proposals, and fund high
priority research projects 2.2.1(a) Identify and
facilitate access to leading practices through
(1) a patient safety communications toolkit, and
(2) an improved website, including a
comprehensive inventory of leading
practices 2.2.1(b) Partner with health care
system stakeholders to conduct root cause
analysis courses for health professionals /
organizations across the country 2.2.1(c) Test
the Root Cause Analysis framework (Manitoba
pilot) 2.2.2(a) Develop a communication and
learning strategy for linking Canadian Nodes of
the IHI Initiative Other Work with Canada Health
Infoway to complete a current state assessment on
how electronic health records are being or could
be used to improve patient safety Other
Establish working relationships with the U.S.
Patient Safety Foundation, AHRQ and the Patient
Safety Agency of Britain 2.3.1(a) Facilitate the
development of CPSI as a partner in the Halifax
Conference
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Upcoming Priorities Identify leading practices
and effective interventions
2005/2006 Key Initiatives
Priority initiatives during 2005/2006 will
include 2.3.1(b) Establish patient safety
publications through Longwoods (Healthcare
Quarterly) and establish a newsletter 2.4.1(a)
Work through the education / professional
development committee to complete an
environmental scan and strategy regarding the
development of a national curriculum Other
Institute a collaborative framework for the
development of a national curriculum 2.4.1(b)
Assess the utility, functionality and feasibility
of simulation-based training models, and to
promote these tools for interdisciplinary team
education, learning and certification programs
initial step is an environmental scan using
surveys and a workshop, leading to consensus on a
national approach
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Progress Summary Champion necessary change
through partnerships, stakeholder engagement and
transparent communication
2004/2005 Highlights

• Major accomplishments during 2004/2005 include
• Developed and vetted a Request for Applications
  through patient safety researchers and health
  research administrators
• Entered into discussions towards Letter of
  Understanding with CCIMRP regarding CPSI role and
  involvement with Health Canada and CMIRPS
• Established a working group to review and update
  the English version of the Canadian Patient
  Safety Dictionary
• Provided support for the development of a French
  version of the Canadian Patient Safety Dictionary
• Retained a legal consultant to complete overview
  of legal and regulatory issues in Canada
• Initiated collection of existing disclosure and
  communication guidelines, and held discussions
  with provincial and national governments as well
  as health care organizations regarding the
  development of a national policy guideline
• Initiated environmental scan towards the
  development of a Client Concern Handling Policy

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Upcoming Priorities Champion necessary change
through partnerships, stakeholder engagement and
transparent communication
Our strategic focus for the next fiscal year
is 3.1.1 Fund patient safety demonstration
projects that show promise for dissemination and
application across Canadian jurisdictions 3.1.2
Support the development of infrastructure for
implementing leading practices in patient safety
3.2.1 Study issues, opportunities and priorities
for legal/regulatory reform and work
collaboratively with the provinces and
territories to establish appropriate models 3.3.1
Establish mechanisms for public input into
patient safety improvements 3.4.1 Establish a
framework for disclosure and communication
guidelines
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Upcoming Priorities Champion necessary change
through partnerships, stakeholder engagement and
transparent communication
2005/2006 Key Initiatives (continued)
Priority initiatives during 2005/2006 will
include 3.1.1(a) Establish a program to fund
demonstration projects defining patient safety
issues in Canadian jurisdictions 3.1.2(a)
Develop and implement a Canadian campaign
building on IHI patient safety initiatives,
including the establishment of a network of
Canadian nodes for implementing short term
patient safety initiatives 3.1.2(b) Complete an
agreement between CCMIRP and CPSI on role of the
latter with CMIRPS 3.1.2(c) Publish an updated
English version of the Canadian Patient Safety
Dictionary 3.2.1(a) Work with the
legal/regulatory advisory committee to develop a
legal/regulatory reform strategy
3.3.1(a) Develop and pilot mechanisms for public
engagement in patient safety issues and
initiatives 3.4.1(a) Initiative development of
national disclosure and communication
guidelines 3.4.1(b) Make significant progress
towards a data collection standards strategy,
work with CIHI, CHI and other partners to define
specific strategies to support development of
uniform standards and processes for data
collection 3.4.1(c) Develop a client concern
handling policy
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Summary of Progress and PrioritiesCPSI
Infrastructure
2004/2005 Highlights

• Major accomplishments during 2004/2005 include
• Corporate Infrastructure
• Errors and omissions insurance for Directors and
  officers enacted
• Office contents insurance
• Edmonton and Ottawa offices established
• IT infrastructure completed
• CEO, Executive Assistant, Secretary, Project
  Manager, Communications Manager positions filled
  through open competitions
• Application made to LAPP pension plan for staff
  benefits waiting for Board approval regarding
  selection of health benefit plan
• Governance
• Established Strategic Planning and Priorities
  Committee
• Established Terms of Reference for all Board
  Committees
• Membership
• Developed recommended process for membership
  updating to reflect Board feedback

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Summary of Progress and PrioritiesCPSI
Infrastructure
2004/2005 Highlights (continued)

• Major accomplishments during 2004/2005 include
• Advisory Committees
• Draft terms of reference developed and reviewed
  by Board
• Communications
• Established clipping service from Bowdens Media
  Monitoring
• Developed visual identity guidelines (English
  and French versions complete)

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Summary of Progress and PrioritiesCPSI
Infrastructure
2005/2006 Priorities

• Priorities during 2005/2006 will include
• Corporate Infrastructure
• Establish Action Plan
• Establish Budget
• Recruitment and staffing plan
• Finalize benefits program
• Develop HR policies and procedures (including
  fiduciary policies)
• Governance
• Establishment of full Board
• Membership
• Select voting members
• Begin to accept applications from non-voting
  members
• Board approval to initiate selection of members

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Summary of Progress and PrioritiesCPSI
Infrastructure
2005/2006 Priorities

• Priorities during 2005/2006 will include
• Advisory Committees
• Finalize terms of reference for each committee
• Develop workplan for each committee
• Communications
• Patient Safety Week
• Annual report
• Complete development of patient safety
  newsletter
• Finalize F/P/T communication strategy as a key
  element of the broader communication strategy