Past Initiatives
These initiatives are hallmarks of CHQI’s early work in quality improvement. They represent our commitment to building capability for improvement at all levels of the healthcare system, and they demonstrate our strategic alliances with both national and international leading-edge organizations with the same dedication to performance excellence.
The Flo Collaborative
In September 2007, CHQI launched The Flo Collaborative, a province-wide initiative intended to help Ontario’s healthcare system provide the care required by a representative patient named Flo and thousands of others like her. The aim was to address processes of care delivery — to eliminate the hassles, bottlenecks and irritations — so that Flo’s transitions from acute hospitals to other settings were faster and smoother for everyone, including Flo, her family and the staff who care for her....
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The Flo Spread Strategy
Download the Final Project Report.
Building on the momentum of The Flo Collaborative, CHQI launched a strategy in spring 2009 to spread successful change ideas to organizations beyond the original partners. This spread strategy involved 26 partnerships of acute care hospitals and CCACs participating across 9 of the 14 LHINs.
Based on the experience of the original partnerships and evidence from the literature about successful strategies for spread, CHQI provided tools and training...
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Quality by Design
Quality by Design aimed to define strategies and models for achieving and sustaining improvement that might be emulated in Ontario. Specifically, the project set out to:
Identify and define elements of healthcare systems capable of quality improvement.
Identify strategic investments (models, approaches, and tools) for implementing these elements.
Develop a detailed understanding of how these strategic drivers have been implemented and sustained in these systems.
Following a...
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Performance Improvement Fund
Through the Performance Improvement Fund, CHQI funded five large-scale improvement projects. To be considered for funding, projects had to demonstrate alignment with provincial strategic priorities for improvement, use quality improvement methods to change care delivery, provide clear benefits for the system by articulating the expected returns on investment, and demonstrate how the results would be sustained over the long term.
The five projects funded were:
Improving Continence Care...
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Quality Improvement Capacity Inventory
The Quality Improvement Capacity Inventory was developed to provide a baseline understanding of the investments in improvement knowledge, skills, activities, and structures within Ontario's healthcare organizations. It was also intended to inform the need for future investment in improvement capability across sectors in Ontario. The inventory highlights the investments in quality improvement in responding organizations as well as the structures, processes and practices related to quality...
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Triple Aim
In 2007, the Institute for Healthcare Improvement (IHI) began work on Triple Aim, an initiative designed to improve health care by simultaneously pursuing three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of healthcare. These three dimensions of care pull on the healthcare system from different directions, and changing any one has consequences for the other two, either in the same or opposite directions. Triple Aim seeks to...
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