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Best Practice Spotlight Organization

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Excellence Every Time

In 2018, Southlake Regional Health Centre received a Best Practice Spotlight Organization (BPSO) designation through the Registered Nurses’ Association of Ontario (RNAO).

About the Best Practice Spotlight Organization Program 

Best Practice Spotlight Organizations (BPSOs) are healthcare and academic organizations selected by the Registered Nurses’ Association of Ontario (RNAO) through a Request for Proposals process to implement and evaluate the RNAO's best practice guidelines. It is a dynamic partnership that focuses on making a positive impact on patient care though evidence-based practice.

Best Practice Guidelines (BPGs) are evidence and research informed practice guidelines that support best practice and quality care, and healthy safe care environment. There are currently 50 BPGs, both clinical and Healthy Work Environment. The development of BPGs is a MOHLTC funded initiative through the Registered Nurses Association of Ontario (RNAO).

Forty-seven guidelines have been developed to date, including ones focused on preventing and treating pressure injuries, preventing falls, and caring for patients with ostomies. An additional 10 guidelines focus on a healthy work environment.

Each healthcare facility selects guidelines they feel will have the greatest impact on the health and well-being of their patients and clients. During the three-year pre-designate term, Southlake implemented 10 of the Best Practice Guidelines, identified ways to sustain these best practices, and evaluated their impact on patient and organizational outcomes. Southlake has also developed BPSO champions by engaging the staff who provide direct care and providing them with educational opportunities and paid time to work on implementing the best practices on their units.

As a BPSO Designated hospital, in addition to sustaining the current Best Practice Guidelines that were previously implemented, Southlake continues to implement new Best Practice Guidelines, with three more currently being put into practice.

“Being a BPSO is a commitment and investment in Our People to provide the best possible patient experience”, stated Annette Jones, Vice President Clinical Experiences and Chief Nursing Officer.

The BPSO journey actively engages nurses and all members of the interprofessional team to collaborate in implementing evidenced based practice.

For more information on RNAO and BPSO, please go to http://rnao.ca/bpg/bpso.


Best Practice Guidelines Implemented 

Year One: 2015-2016

  • Care Transitions
  • Professionalism in Nursing
  • Client Centred Care
  • Care Giving Strategies for Older Adults with Delirium, Dementia and Depression
  • Developing and Sustaining Interprofessional Care - Cardiac Program
  • Nursing Care of Dyspnea: the 6thVital Sign in Individuals with COPD 

Year Two: 2016-2017

  • Care Transitions continued
  • Assessment and Management of Stage I to IV Pressure Ulcers
  • Ostomy Care and Management
  • Assessment and Management of Pain

Year Three: 2017-2018

  • Engaging Clients who use Substances

Year Four: 2018-2019 (Post Designation – In Progress)

  • Breastfeeding – Promoting and Supporting in the Initiation, Exclusivity and Continuation of Breastfeeding for Newborns, Infants and Young Children
  • Care and Maintenance to Reduce Vascular Access Complications
  • Preventing Falls and Reducing Injury from Falls

For more information about Southlake’s journey as a BPSO designate, contact BPSO co-leads Carol Williams at cwilliams@southlakeregional.org or Julie Schmidt at jschmidt@southlakeregional.org

Southlake Regional Health Centre
596 Davis Drive, Newmarket, Ontario   L3Y 2P9
Tel: 905-895-4521   |   TTY: 905-952-3062
Copyright © 2012 Southlake Regional Health Centre