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Seven Competencies for Quality Leadership

by Dr. Joshua Tepper

Improving the quality of health care involves many factors.

Probably the most commonly discussed enabler of quality is data and the associated issues about quantity, type, accuracy, etc.  The role of standards and guidelines are also often referenced. And let’s not forget patient and public partnering as a critical element in quality improvement.

One element that has not had as much attention is the role of leadership. From local quality improvement (QI) efforts to broad system efforts, leadership is a key element needed to enable and sustain quality improvement.  To this end QI training programs like IDEAS includes leadership as a component of the curriculum and in the United States, the Institute of Health Care Improvement has a CEO leadership alliance focused on health care.

 

 

Improving Care: Using Evidence for Change

Dr. Irfan Dhalla

Earlier this week, Health Quality Ontario released a quality standard on diabetic foot ulcers.

Diabetic foot ulcers are a significant health problem. An estimated 1 in 10 people in Ontario have diabetes and up to 25% of these individuals will develop a foot ulcer during their lifetime. Sometimes these ulcers eventually lead to amputation of the foot or lower leg. Diabetic ulcers can also cause pain and limit mobility.

Getting from Situational to System-wide Quality

Variations in care received by Ontario residents, based on where they live or certain demographic factors, can indicate a lack of quality in a health care system.

The recent report prepared for Health Quality Ontario titled Quality Matters: Realizing Excellent Care for All acknowledges the existence of unwarranted variations in care and the negative impact they can have on patients. This was also a key theme in last year’s Measuring Up report from Health Quality Ontario which noted that, while Ontario was generally doing a good job of providing care to all who needed it, “unacceptable variation” still existed by geography and population groups.

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