Our Performance

Our Patients & Community

Safety
Satisfaction
Outcomes
Access
Our Performance

Safety

Our primary goal is to be a leader in patient safety.  Southlake is an active participant in the Safer Healthcare Now! campaign, which is aimed at helping hospitals to implement a variety of safety initiatives to help decrease the rate of hospital acquired infections, falls, medication errors, and in-patient mortality.

All Ministry Required Patient Safety Indicator Reports
are indicated with an *

Patient Safety Indicators	View Data	Description
Clostridium Difficile Infection (CDI)*		These indicators look at how often patients at Southlake develop certain Hospital Acquired Infections.  Some apply to all inpatients; others like CLI and VAP apply only to adult intensive care unit patients. View Information Sheet
Methicillin-resistant Staphylococcus Aureus - (MRSA)*
Vancomycin Resistant Enterococci - (VRE)*
Central Line Infections (CLI)*
Ventilator Associated Pneumonia (VAP)*
Hand Hygiene*		This indicator tracks how consistently our staff performs hand hygiene. View Information Sheet
Surgical Site Infection Prevention*		This indicator tracks whether patients having a total knee or hip surgery get their antibiotic at the most effective time. View Information Sheet
Surgical Safety Checklist Compliance*		This indicator tracks how consistently our Operating Room team completes all three phases of a formal safety checklist with our surgical cases. View Information Sheet
In-patient Falls with Outcomes		This indicator looks at the number of falls experienced by in-patients during their hospital stay, which result in some degree of injury.
Hospital Standardized Mortality Ratio (HSMR)*		This indicator compares the actual number of deaths in a year to the number of deaths that might be expected based on the types of patients the hospital treats. View Information Sheet

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Satisfaction

Patient satisfaction indicators help us understand our patients’ experience during their time at Southlake.   Surveys are sent out every month to a random sample of patients who have been recently discharged from Emergency, In-patient, Rehabilitation, Day Surgery, and Chemotherapy clinic care. These departments examine the individual questions asked of patients and use the satisfaction ratings to determine how to improve the care and service they provide.

Patient Satisfaction Indicators	View Data	Description
Patient Satisfaction (Overall Quality of Care)		Patients are asked to rate, overall, the quality of care and service received during their most recent hospital visit. For more patient satisfaction indicators, please go to the OHA public information site at http://www.myhospitalcare.ca.

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Outcomes

Our patients deserve the best possible outcomes at every stage of their care.  Many clinical outcomes are tracked by individual programs, specific to the patient population they serve, however, the Hospital Standardized Mortality Ratio (HSMR) is recognized as an overall ‘Big Dot’ indicator for our Board and community.

Patient Outcomes Indicators	View Data	Description
Hospital Standardized Mortality Ratio (HSMR)*		This indicator compares the actual number of deaths in a year to the number of deaths that might be expected based on the types of patients the hospital treats. View Information Sheet

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Access

Our community is vast and its health care needs varied.  We will continually strive to ensure timely access to our facility, programs, and services and to remove barriers to care.  Our goal is to decrease unnecessary delays in receiving care which cause patient dissatisfaction and, in some cases, may result in poorer outcomes.

Patient Access Indicators	View Data	Description
Wait Times for Selected Procedures		This indicator tracks the time within which 90% of patients will have received their surgical procedure or diagnostic test at Southlake against the targets set by the Local Health Integration Network
Patient Waiting Times in the Emergency Department		This indicator tracks the percent of patients whose wait time in the ER visit within the target times set by the Central Local Health Integration Network.
Accessibility Plan Report		The Accessibility Plan is outlines Southlake’s action plan to remove barriers to care for our community. We welcome your feedback about the plan and any barriers you may have experienced while accessing care at our Hospital.  Barriers may include: Physical/Architectural  barriers Communication barriers Attitudinal barriers Policies and Practices barriers Technological barriers   Please contact us with your comments and feedback at communications@southlakeregional.org

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