Accountability and Performance
Being accountable to our patients and community is essential to earning your trust and building a reputation for excellence. "Accountability" means making the right clinical and managerial decisions, managing resources efficiently, measuring our performance and doing that in an open and transparent manner.
Accountability Agreements
One of the foundations of accountability in the Ontario health-care system is the agreement each provider enters into with the Local Health Integration Network (LHIN) in order to qualify for funding from the Ministry of Health and Long-Term Care. The Hospital Services Accountability Agreement (H-SAA) sets out the standard framework of the relationship between the hospital and the LHIN as well as the specific performance requirements for the hospital. The H-SAA for Women’s College Hospital for 2008/09 and 2009/10 is available here.
Infection Control Rates
The dedicated health professionals who work at Women’s College Hospital are committed to providing the best possible care for our patients. We strongly support the provincial government’s new public reporting regime for hospital acquired infections because we believe it will inspire improved performance, enhance patient safety, and strengthen the public’s confidence in Ontario’s hospitals.
| Indicator |
Q4 2009/2010 |
Q1 2010/2011 |
| Clostridium difficile |
0 |
0 |
| MRSA |
0 |
0 |
| VRE |
0 |
0 |
| Hand Hygiene Compliance rates |
| Before Patient Care Contact |
89 |
93 |
| After Patient Care Contact |
91 |
93 |
More information is available here:
What does hospital-acquired mean?
Sometimes when patients are treated in a hospital, they get infections while they are in the hospital. This is a hospital-acquired infection or a nosocomial infection. Usually it is MRSA, VRE or C. diff.
How do we control the spread of these infections?
Infection Prevention and Control is responsible for working with employees, visitors and patients to minimize hospital-acquired infections. To control the spread of these infections, we use routine practices such as:
- hand washing,
- environmental cleaning,
- sterilization of equipment,
- single use of supplies,
- education, and
- additional isolation precautions.
If you have any questions about infection rates or about our hospital’s infection prevention and control program, please contact Sonja Cobham, infection control practitioner at 416-323-6400 ext. 3102.
| Surgical Safety Checklist Compliance |
The surgical safety checklist is a patient safety communication tool that is used by a team of operating room professionals (nurses, surgeons, anesthesiologists, and others) to discuss important details about each surgical case. In many ways, the surgical safety checklist is similar to an airline pilot’s checklist used just before take-off. It is a final check prior to surgery that is used to make sure everyone knows the important medical information they need to know about the patient, all equipment is available and in working order, and everyone is ready to proceed.
There are three phases to the surgical safety checklist: Briefing, “Time-out”, and Debriefing More information is available on the Patient Safety page.
Surgical Safety Checklist Compliance Rate (%)
The Ministry of Health and Long-Term Care provides wait time information to the public, with a breakdown by individual hospitals across Ontario. Find out more about Surgical and Diagnostic Imaging Wait Times.
Women’s College Hospital Wait Times Summary:
