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Evidence to Improve Care

View all Quality Standards

Welcome to the Health Quality Ontario library of quality standards.

Search below to find all of our quality standards at various stages of development.

If you have questions, check out our frequently asked questions or contact QualityStandards@HQOntario.ca.

Frequently Asked Questions



Below are all of our current quality standards in their various stages of development.


 

Anxiety Disorders

Care in all Settings

Status: In Development

This quality standard addresses care for people with anxiety disorders, including generalized anxiety disorder, specific phobia, social anxiety disorder, and panic disorder. It addresses care for people of all ages (with some limitations in the paediatric population owing to a lack of guideline evidence). The standard addresses all care settings, with a particular focus on primary care and community-based care.

 

Behavioural Symptoms of Dementia

Care for Patients in Hospitals and Residents in Long-Term Care Homes

Status: Final

This quality standard addresses care of behavioural symptoms for people living with dementia. It focuses on care for people who are in an emergency department, admitted to a hospital, or in a long-term care home.

 

Chronic Obstructive Pulmonary Disease (COPD)

Care in the Community for Adults

Status: In Development

This quality standard addresses care for people with chronic obstructive pulmonary disease (COPD), including the assessment of people who may have COPD. It provides guidance on the diagnosis, management, and treatment of COPD in community-based settings. The scope of this quality standard applies to primary care, specialist care, home care, and long-term care.

 

Chronic Pain

Care for Adults

Status: In Development

This quality standard addresses care for people with chronic pain. It applies to all care settings. This quality standard provides guidance on multidisciplinary therapies for chronic pain. It does not address opioid prescribing for chronic pain.

 

Dementia

Care for People Living in the Community

Status: Final

This quality standard addresses care for people living with dementia in the community. It focuses on primary care, specialist care, hospital outpatient services, home care, and community support services. It also provides guidance on support for caregivers of people living with dementia.

 

Diabetic Foot Ulcers

Care for Patients in All Settings

Status: Final

This quality standard focuses on care for people who have developed or are at risk of developing a diabetic foot ulcer. It addresses all settings, including primary care, home and community care, long-term care, and acute care.

 

Early Pregnancy Loss

Care in All Settings

Status: In Development

This quality standard addresses care for people experiencing spontaneous pregnancy loss prior to 13 weeks gestation. The scope of this standard applies to all care settings and includes diagnosis, management, and psychosocial aspects of care for early pregnancy loss. It does not address therapeutic abortion.

 

Glaucoma

Care in All Settings

Status: In Development

This quality standard addresses care for adults 18 years of age and older with primary open angle glaucoma or who are at risk of developing primary open angle glaucoma. The scope of this quality standard applies to all care settings and includes assessment, diagnosis, and management.

 

Heart Failure

Care in the Community

Status: In Development

This quality standard addresses the diagnosis and management of heart failure in adults aged 18 years and older, with a focus on management in community and outpatient settings.

 

Heavy Menstrual Bleeding

Care for Adults and Adolescents of Reproductive Age

Status: Final

This quality standard addresses care for people of reproductive age who have heavy menstrual bleeding. It does not apply to people with non-menstrual bleeding or with heavy menstrual bleeding occurring within 3 months of a pregnancy, miscarriage, or abortion.

 

Hip Fracture

Care for People With Fragility Fractures

Status: Final

This quality standard addresses care for adults aged 50 years and older undergoing surgery for fragility hip fractures. Fragility fractures are fractures caused by low-energy trauma, such as falls from a standing height.

 

Low Back Pain

Care for Adults With Acute Low Back Pain

Status: In Development

This quality standard addresses care for those 16 years of age and older with acute low back pain, with or without leg symptoms.

 

Major Depression

Care for Adults and Adolescents

Status: Final

This quality standard addresses care for people who have major depression. It applies to adults and adolescents who have suspected major depression, and it considers all care settings. It does not apply to women with postpartum depression or to young children.

 

Obsessive-Compulsive Disorder

Care in all Settings

Status: In Development

This quality standard addresses care for people with obsessive-compulsive disorder. It addresses care for people of all ages (with some limitations in the paediatric population owing to a lack of guideline evidence).

 

Opioid Prescribing for Acute Pain

Care for People 15 Years of Age and Older

Status: Final

This quality standard addresses care for people 15 years of age and older with acute pain who have been prescribed or are considering opioids. It applies to all care settings. It does not address opioid prescribing for chronic pain or end-of-life care, or address opioid use disorder.

 

Opioid Prescribing for Chronic Pain

Care for People 15 Years of Age and Older

Status: Final

This quality standard addresses care for people 15 years of age and older with chronic pain who have been prescribed or are considering opioids. It applies to all care settings. It does not address opioid prescribing for acute pain or end-of-life care, or address opioid use disorder.

 

Opioid Use Disorder (Opioid Addiction)

Care for People 16 Years of Age and Older

Status: Final

This quality standard addresses care for people 16 years of age and older (including those who are pregnant) who have or are suspected of having opioid use disorder (also referred to as opioid addiction). The scope of this quality standard applies to all services and care settings, including correctional facilities.

 

Osteoarthritis

Care for Adults With Osteoarthritis of the Knee, Hip, or Hand

Status: In Development

This quality standard addresses care for adults 18 years of age or older diagnosed with or suspected as having osteoarthritis of the knee, hip, or hand (i.e., thumb or fingers). It includes all settings and care providers.

 

Palliative Care

Care for Adults With Progressive Life-Limiting Illness

Status: Final

This quality standard addresses palliative care for people who are living with a serious, life-limiting illness, and for their family and caregivers. The goal of palliative care is to relieve pain and suffering, and to improve a person’s quality of life. This quality standard focuses on care for people in all settings, including home and community, hospice, hospital, and long-term care.

 

Pressure Injuries

Care for Patients in All Settings

Status: Final

This quality standard focuses on care for people who have developed or are at risk of developing a pressure injury. It addresses all settings, including primary care, home and community care, long-term care, and acute care.

 

Schizophrenia

Care for Adults in Hospitals

Status: Final

This quality standard addresses care for people aged 18 years and older who have schizophrenia. It focuses on care for people who are in an emergency department or admitted to a hospital.

 

Schizophrenia

Care in the Community

Status: In Development

This quality standard focuses on community-based care for people aged 18 years and older with schizophrenia. It addresses care provided in the community, including primary care, outpatient clinics and programs, rehabilitation, and community supports.

 

Transitions in Care

From Hospital to Home

Status: In Development

This quality standard addresses care for people discharged from hospital to home.

 

Vaginal Birth After Caesarean (VBAC)

Care for People Who Have Had a Caesarean Birth and Are Planning Their Next Birth

Status: Final

This quality standard addresses care for people who have had a Caesarean birth and are planning their next birth. The quality standard focuses on care for people who are pregnant with one baby who is head-down and at full term.

 

Venous Leg Ulcers

Care for Patients in All Settings

Status: Final

This quality standard focuses on care for people who have developed or are at risk of developing a venous leg ulcer. It addresses all settings, including primary care, home and community care, long-term care, and acute care.

The following quality standards have been published as final.


 

Behavioural Symptoms of Dementia

Care for Patients in Hospitals and Residents in Long-Term Care Homes

Status: Final

This quality standard addresses care of behavioural symptoms for people living with dementia. It focuses on care for people who are in an emergency department, admitted to a hospital, or in a long-term care home.

 

Dementia

Care for People Living in the Community

Status: Final

This quality standard addresses care for people living with dementia in the community. It focuses on primary care, specialist care, hospital outpatient services, home care, and community support services. It also provides guidance on support for caregivers of people living with dementia.

 

Diabetic Foot Ulcers

Care for Patients in All Settings

Status: Final

This quality standard focuses on care for people who have developed or are at risk of developing a diabetic foot ulcer. It addresses all settings, including primary care, home and community care, long-term care, and acute care.

 

Heavy Menstrual Bleeding

Care for Adults and Adolescents of Reproductive Age

Status: Final

This quality standard addresses care for people of reproductive age who have heavy menstrual bleeding. It does not apply to people with non-menstrual bleeding or with heavy menstrual bleeding occurring within 3 months of a pregnancy, miscarriage, or abortion.

 

Hip Fracture

Care for People With Fragility Fractures

Status: Final

This quality standard addresses care for adults aged 50 years and older undergoing surgery for fragility hip fractures. Fragility fractures are fractures caused by low-energy trauma, such as falls from a standing height.

 

Major Depression

Care for Adults and Adolescents

Status: Final

This quality standard addresses care for people who have major depression. It applies to adults and adolescents who have suspected major depression, and it considers all care settings. It does not apply to women with postpartum depression or to young children.

 

Opioid Prescribing for Acute Pain

Care for People 15 Years of Age and Older

Status: Final

This quality standard addresses care for people 15 years of age and older with acute pain who have been prescribed or are considering opioids. It applies to all care settings. It does not address opioid prescribing for chronic pain or end-of-life care, or address opioid use disorder.

 

Opioid Prescribing for Chronic Pain

Care for People 15 Years of Age and Older

Status: Final

This quality standard addresses care for people 15 years of age and older with chronic pain who have been prescribed or are considering opioids. It applies to all care settings. It does not address opioid prescribing for acute pain or end-of-life care, or address opioid use disorder.

 

Opioid Use Disorder (Opioid Addiction)

Care for People 16 Years of Age and Older

Status: Final

This quality standard addresses care for people 16 years of age or older (including those who are pregnant) who have or are suspected of having opioid use disorder. It applies to all services and care settings including correctional facilities.

 

Palliative Care

Care for Adults With Progressive Life-Limiting Illness

Status: Final

This quality standard addresses palliative care for people who are living with a serious, life-limiting illness, and for their family and caregivers. The goal of palliative care is to relieve pain and suffering, and to improve a person’s quality of life. This quality standard focuses on care for people in all settings, including home and community, hospice, hospital, and long-term care.

 

Pressure Injuries

Care for Patients in All Settings

Status: Final

This quality standard focuses on care for people who have developed or are at risk of developing a pressure injury. It addresses all settings, including primary care, home and community care, long-term care, and acute care.

 

Schizophrenia

Care for Adults in Hospitals

Status: Final

This quality standard addresses care for people aged 18 years and older who have schizophrenia. It focuses on care for people who are in an emergency department or admitted to a hospital.

 

Venous Leg Ulcers

Care for Patients in All Settings

Status: Final

This quality standard focuses on care for people who have developed or are at risk of developing a venous leg ulcer. It addresses all settings, including primary care, home and community care, long-term care, and acute care.

 

Vaginal Birth After Caesarean (VBAC)

Care for People Who Have Had a Caesarean Birth and Are Planning Their Next Birth

Status: Final

This quality standard addresses care for people who have had a Caesarean birth and are planning their next birth. The quality standard focuses on care for people who are pregnant with one baby who is head-down and at full term.

The following quality standards are currently under development.


 

Anxiety Disorders

Care in all Settings

Status: In Development

This quality standard addresses care for people with anxiety disorders, including generalized anxiety disorder, specific phobia, social anxiety disorder, and panic disorder. It addresses care for people of all ages (with some limitations in the paediatric population owing to a lack of guideline evidence). The standard addresses all care settings, with a particular focus on primary care and community-based care.

 

Early Pregnancy Loss

Care in All Settings

Status: In Development

This quality standard addresses care for people experiencing spontaneous pregnancy loss prior to 13 weeks gestation. The scope of this standard applies to all care settings and includes diagnosis, management, and psychosocial aspects of care for early pregnancy loss. It does not address therapeutic abortion.

 

Chronic Obstructive Pulmonary Disease (COPD)

Care in the Community for Adults

Status: In Development

This quality standard addresses care for people with chronic obstructive pulmonary disease (COPD), including the assessment of people who may have COPD. It provides guidance on the diagnosis, management, and treatment of COPD in community-based settings. The scope of this quality standard applies to primary care, specialist care, home care, and long-term care.

 

Chronic Pain

Care for Adults

Status: In Development

This quality standard addresses care for people with chronic pain. It applies to all care settings. This quality standard provides guidance on multidisciplinary therapies for chronic pain. It does not address opioid prescribing for chronic pain.

 

Glaucoma

Care in All Settings

Status: In Development

This quality standard addresses care for adults 18 years of age and older with primary open angle glaucoma or who are at risk of developing primary open angle glaucoma. The scope of this quality standard applies to all care settings and includes assessment, diagnosis, and management.

 

Heart Failure

Care in the Community

Status: In Development

This quality standard addresses the diagnosis and management of heart failure in adults aged 18 years and older, with a focus on management in community and outpatient settings.

 

Low Back Pain

Care for Adults With Acute Low Back Pain

Status: In Development

This quality standard addresses care for those 16 years of age and older with acute low back pain, with or without leg symptoms.

 

Obsessive-Compulsive Disorder

Care in all Settings

Status: In Development

This quality standard addresses care for people with obsessive-compulsive disorder. It addresses care for people of all ages (with some limitations in the paediatric population owing to a lack of guideline evidence).

 

Osteoarthritis

Care for Adults With Osteoarthritis of the Knee, Hip, or Hand

Status: In Development

This quality standard addresses care for adults 18 years of age or older diagnosed with or suspected as having osteoarthritis of the knee, hip, or hand (i.e., thumb or fingers). It includes all settings and care providers.

 

Schizophrenia

Care in the Community

Status: In Development

This quality standard focuses on community-based care for people aged 18 years and older with schizophrenia. It addresses care provided in the community, including primary care, outpatient clinics and programs, rehabilitation, and community supports.

 

Transitions in Care

From Hospital to Home

Status: In Development

This quality standard addresses care for people discharged from hospital to home.

After a draft quality standard has been prepared, it is posted for a three-week consultation period to solicit feedback from organizations, physicians, patients, others with lived experience, and the public.


All feedback received is taken into consideration by an advisory committee before a quality standard is finalized.

Topics for quality standards are identified through public suggestions, consultations with experts and emerging health issues.


The following topics have been approved and development is set to begin soon.


  • Alcohol Use Disorder

Advisory Committee members represent perspectives and areas of expertise in specific topic areas. Open calls for committee members will be posted below for approximately two weeks.


Those interested in supporting the development of standards of care will be asked to fill in an application form and complete a conflict of interest statement.


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