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Measuring the System’s Fault Lines

Dr. Joshua Tepper

A quality health care system seamlessly delivers care across a broad spectrum of care settings and patient populations. Unfortunately, even a good health care system can have fault lines into which patients can fall and where quality care is deficient.

Measuring Up, Health Quality Ontario’s newly released 11th annual report on the performance of the province’s health system and on the health of Ontarians, documents those fault lines as well as other areas where the provincial system can improve. It takes the pulse of the system through measurement and through narratives from people like Gordon, Lilac and Elgin who share their experiences as patients and that of Shawn Dookie, a nurse practitioner.

MyPractice: My Primary Care

Dr. David Kaplan

According to a recent report from Health Quality Ontario, 9 Million Prescriptions, one in seven Ontarians fills a prescription for opioids every year. More than 9 million prescriptions for opioids were filled in the province in 2015/16. Canada remains the second-largest consumer of prescription opioids in the world, after the US.

Unfortunately, many patients are receiving these highly addictive drugs, from both legitimate and illicit sources, with only questionable benefit. This is a complex problem involving many health care providers and many interwoven factors compounding the situation.

While physicians are faced with the challenges of treating patients with often complex disorders and few resources, more appropriate prescribing by all physicians is part of the solution.

Involving Patients to Improve Primary Care

Dr. Tara Kiran

Ten years ago, I gave birth in hospital to my first child – a healthy, beautiful baby girl.

I still remember looking into her eyes for the first time and I still remember what it was like to be a patient. I remember wanting to provide feedback to someone about my experiences – both the good (great breastfeeding support) and the bad (being woken before dawn for a blood pressure check). But there was never any opportunity.

Connecting the Dots in Primary Care

Dr. David Kaplan

Bringing quality to primary care is a daunting task.

But, for the committed family doctors, nurse practitioners and other health care practitioners who provide care to more than 13.5 million people in the province on a daily basis, the magnitude of opportunity to do better is great.

Quality Improvement Plans Having an Impact

Lee Fairclough

We would like to congratulate the more than 1000 healthcare organizations who submitted their Quality Improvement Plans (QIPs) for 2017/18

These plans and the recently published reports documenting work over the previous year are not only tangible evidence of the growing quality care culture in Ontario, they also deserve careful review because they show how specific organizations in the various sectors are translating the principles of quality care to make real change at the community level. The lessons and successes from these organizations can benefit others

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Claude Lurette and Kowsiya Vijayartnam, Health Quality Ontario Patient, Family and Caregiver Advisors Council Co-Chairs

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