Local Health Integration Network DRAFT Terms of Reference SOUTH WEST CLINICAL QUALITY TABLE
Table of Contents 1. BACKGROUND/CONTEXT... 3 1.1. Purpose and Scope:... 3 1.2. Objectives... 3 1.3. Accountability... 4 1.4. Principles... 4 2. MEMBERSHIP & ROLES OF COMMITTEE MEMBERS... 4 2.1. Membership... 4 2.2. Chair... 5 2.3. Duration of Service... 5 2.4. Individual Roles of Committee Members... 5 3. LOGISTICS AND PROCESSES... 5 3.1. Role of the Chair... 5 3.2. Committee Support... 5 3.3. Frequency of Meetings... 6 3.4. Decision-Making Process... 6 3.5. Linkages & Partnerships... 6 3.6. Quorum Requirements... 6 3.7. Delegates... 6 3.8. Meeting Agenda and Minutes... 6 South West Clinical Quality Table Page 2 of 6
1. BACKGROUND/CONTEXT The Clinical Quality Table represents a partnership between the South West LHIN and Health Quality Ontario (HQO) and provides a mechanism to advance the foundations for clinical quality improvement in support of the South West LHIN Integrated Health Service Plan. It will serve as an important mechanism for clinical leadership to achieve progress and momentum on quality in alignment with the work of the South West LHIN Quality Advisory Group and the South West LHIN Health System Funding Reform (HSFR) Local Partnership Committee. The Clinical Quality Table will serve as a conduit between the South West LHIN and Health Quality Ontario. 1.1. Purpose and Scope: The South West Clinical Quality Table will align the quality agenda to create and promote a culture of quality that will enable improved patient outcomes, experience of care and value for money. 1.2. Objectives: The South West Clinical Quality Table is an action-oriented, clinically-focused body, focused on regional quality challenges and initiatives, aligned with provincial quality priorities and structures. The objectives of South West Clinical Quality Table will include: Supporting the advancement of key priorities within the Integrated Health Service Plan with an initial focus on improving patient outcomes for individuals with selected chronic conditions as well as mental health and addiction related co-morbidities Monitoring progress against objectives and key performance indicators related to selected priorities Identifying and supporting the implementation of cross-sector QIP priorities related to QBPs, Health Links implementation, as well as specific areas of emphasis of quality important for the LHIN Engaging providers in a culture of quality care through widespread distribution amongst clinicians of best practice strategies, implementing known effective models of care and building engaged communities of practice within the identified priority areas Improving partnerships and integration amongst providers in providing the best/ quality patient centered care Identifying enablers and barriers to clinical practice change, and designing implementation strategies to leverage enablers and minimize barriers Working collaboratively to provide clinical leadership and expertise in partnership with other key groups within the South West LHIN advancing IHSP priorities (i.e., Health Links Leadership Collaborative, South West Mental Health and Addictions Coalition, etc.) Enhancing reciprocal communication and knowledge exchange to inform provincial priorities and directions and to accelerate local implementation South West Clinical Quality Table Page 3 of 6
1.3. Accountability The South West Clinical Quality Table is accountable to the South West LHIN and will liaise with an overarching Quality Improvement and Clinical Engagement provincial advisory body through the Chair of the local quality table. 1.4. Principles The following list of principles will serve to guide the work of the quality table to accomplish its mandate. The table will be: Person Centred System Focused Quality and performance Improvement oriented Data driven Consultative, Collaborative and Innovative Transparent and action oriented 2. MEMBERSHIP & ROLES OF COMMITTEE MEMBERS 2.1. Membership The committee will include no more than 12-16 people drawn from across the LHIN geography. Membership will be comprised of individuals with pragmatic experience and clinical leadership insights to the mandate above. Specifically, it will include representation as follows: HQO/LHIN Clinical Chair for the South West LHIN Clinical Physician Leads, including Primary Care, Medicine, Critical Care, Emergency Department, End-of-Life Care Quality Advisory Group representative HSFR Local Partnership Committee representative Health Links Leadership Collaborative representative Clinical leaders within the following sectors / areas o Primary Care o Mental Health and Addictions o Acute care representative o Regional CCO quality o Long-Term Care o Community care Member(s) of the community (patient perspectives) HQO regional Quality Improvement Specialist LHIN Performance Improvement Team Lead LHIN Quality Improvement Lead LHIN Senior Leader Others may be asked to consult or to participate on the table as required. South West Clinical Quality Table Page 4 of 6
2.2. Chair The Clinical Chair for the South West LHIN is a joint appointee of HQO and the LHIN. S/he is accountable to the HQO Chief, Clinical Quality and the LHIN CEO. 2.3. Duration of Service Members will be appointed for an initial 1-2 year term with opportunities for renewal. 2.4. Individual Roles of Committee Members Committee members will bring their knowledge and experience from their discipline, sector or geography as opposed to representing their respective organizations. Individual Committee members will: Attend Committee meetings; Participate fully in the exchange of information and identification of issues of relevance to participants and stakeholders; Consider ideas and issues raised and provide strategic guidance and input; Consider system level and organizational implications and impacts of issues under consideration; Understand the strategic implications and outcomes of initiatives being pursued; Seek input from, and relay information to, home organizations, respective sectors and geographic partners; and Be genuinely interested in the initiative and the outcomes being pursued. 3. LOGISTICS AND PROCESSES 3.1. Role of the Chair The Chair will be accountable for coordinating meeting dates, times, location of meeting and development of the meeting agenda. The Chair will also be responsible for leading the meeting in a way that ensures advancement of the agenda within the timelines allocated for specific agenda items. The Chair will also be a participant on the provincial quality advisory body and will represent the South West at that table. 3.2. Committee Support The Regional Quality Tables will be supported by a joint resourcing model between LHIN and HQO. In addition to the joint appointment of a Clinical Chair, HQO will provide staff support through HQO Quality Improvement Specialist aligned to the region The LHIN will provide support through the quality and performance representatives and clinical leads The LHIN will provide administrative support South West Clinical Quality Table Page 5 of 6
3.3. Frequency of Meetings Meetings will take place on a bi-monthly basis or at the call of the Chair. Meetings will be held in person, with tele / video conference available as required. 3.4. Decision-Making Process The group will make decisions based on consensus. Consensus is a decision-making strategy where the members are comfortable with the decision and are supportive of its implementation. In order for consensus decision making to be successful, it is paramount for members to participate in discussion. 3.5. Linkages & Partnerships Specifically, the table will ensure that it seeks advice and input from local partners, clinicians and administrators and ensures alignment with other committees of the LHIN relevant to the Clinical Quality Table s mandate. 3.6. Quorum Requirements To constitute a formal meeting and conduct business, 50% plus one member including the Chair must be present. Decisions or actions taken in the absence of a quorum are not binding on the Committee. 3.7. Delegates It is expected that members will attend all meetings, however, it is recognized that on occasion individual members may need to send a delegate to the meeting due to unavoidable scheduling conflicts. It will be the responsibility of members to ensure that delegates are appropriately educated and briefed on the status of the tables work. In addition, based on the focus of individual agenda items, there may be times when additional individuals will be invited to participate in meeting discussions. Permission should be sought from the Chair in advance of the meeting if additional guests are to be included in the meeting. 3.8. Meeting Agenda and Minutes Efforts will be made to ensure that Meeting Agendas and related materials are prepared and distributed 5 days in advance of meetings. South West Clinical Quality Table Page 6 of 6