A Day in the Life:

Promoting Effective Governance at Providence Health Care

BCPSQC Quality ForumMarch, 2011

Les JohnsonDirector, Providence Health Care Boardles.johnson@shaw.ca

Objective

To describe “A Day in the Life” and how it enables the Board of Providence Health Care to more effectively govern quality and safety.

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Providence Health Care

• Academic Health Science Centre with PHC Research Institute

• Populations of Emphasis:> Cardio-pulmonary; HIV/AIDS; Seniors; Renal; Mental Health/Addictions; Urban Health

• PHC = 6,000 staff; 1,000 physicians; 1,400 volunteers

• 8 sites, 7 community dialysis clinics, one urban health clinic (“Providence Crosstown Clinic”)

• Total beds = 1,502> 646 acute; 700 continuing care; 76 rehabilitation; 68 assisted living units; 12 hospice

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Providence Board of Directors

• Denominational Health Master Agreement

• VCH-PHC Affiliation Agreement

• PHC separate legal entity> Society appoints Board

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A Day in the Life• Brings Board members and providers together in

care settings> Care units, specialty and diagnostic areas, clinical support areas, back office teams

• ½ - 1 day• Experience is planned collaboratively with local

leaders> Observe care or service

> Line of sight feedback from patients and residents to the Board

> Attend team meetings

• Report> Board

> Team

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The Drivers of Effective Governance for Quality and Safety

Ross Baker et al, 2010

Information on Quality and Patient

Safety

Knowledge of Quality and Patient Safety

Governance Skills and Role

Relationships between Board,

Senior Leadership and Medical Staff

Assess and ImproveQuality and Patient

Safety Culture

Create and ExecuteQuality and Patient

Safety Plan

Effective Governance for

Quality and Safety

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Impact on the Drivers• Information on quality and safety

> Learn about quality and safety at the point of care

> Enable line of sight from strategic directions to local improvement

> Share findings and recommendations with others

• Assess and improve quality and patient safety culture

> Understand the nature of the quality and safety culture

• Relationships between Board, Senior Leadership and medical staff> Creates respectful, trusting, collaborative relationships> Promotes understanding of each others roles in ensuring that clients receive quality care and

service

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Program Management

• Quality & Performance Improvement Committee

• Executive support

> Communicate and manage expectations

> Link Board members with leaders

> Format and distribute reports

> Monitor and report program activity

• Marketing materials

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Sites

• St Paul’s

• Mount Saint Joseph

• Holy Family

• Marion Hospice

• 7 Community Dialysis Clinics

• Providence Crosstown Clinic

• Youville Residence

• Brock Fahrni

• Langara

• Honoria Conway

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Quality and Safety Strategic Directions

• Quality and Safety

> Reliability

> Harm

• Person Centered Care

• Innovation