Quality Improvement Plan (QIP)

Narrative for Health Care

Organizations in Ontario
March 16, 2023
2 NARRATIVE QIP 2023/24 Org ID 91419 | Minto-Mapleton FHT

OVERVIEW
The Minto-Mapleton Family Health Team is excited to share its
2023/24 Quality Improvement Plan that focuses on three main
areas: preventative screening, patient use of opioid medications
and patient involvement in decision-making. The biggest room for
improvement for our Team rests with our preventative care
screening, specifically colorectal screening, breast screening and
cervical screening. As a result of COVID, many patients have fallen
behind with their preventative screening and our goal for the up
and coming year is to get back to pre-COVID screening rates. We
will be using our own data to help monitor our progress as the
reports that we receive externally are often dated and not
reflecting the current situation. We will also be expanding our
digital communications in 2023/24 which will provide a greater
opportunity to inform our patients and remind them of the
importance of getting their preventative screening updated. We will
expand our electronic patient survey which allows us to regularly
receive patient feedback on a timely basis. Quality improvement
remains a priority for the Minto-Mapleton FHT and our Quality
Committee has agreed to meet quarterly to monitor our progress
and tweak our initiatives along the way, as needed. We look
forward to reporting on our progress as the year unfolds.
 3 NARRATIVE QIP 2023/24
PATIENT/CLIENT/RESIDENT ENGAGEMENT AND
PARTNERING
In many ways, COVID has shifted the way in which we engage with
our patients and residents to get their ideas and feedback. Over the
past year, we have moved to more electronic means and launched
an electronic patient survey that goes out to all patients who visited
the clinic in the previous month to see one of our providers or team
members (for those patients where we have email consent). We are
very pleased with the diversity of patients who have been able to
respond to the electronic survey and will continue to expand our
use of the survey in 2023/24. We will also continue with receiving
feedback from our patients and community members at the
completion of our group programs so that we can evolve our
programming to better meet our patients' needs.
PROVIDER EXPERIENCE
Over the past several months, the MMFHT has engaged providers in
our strategic planning work to update our current plan. Focus
groups with staff have revealed issues related to increased
workload, increased stress, and inequitable compensation. In
addition, the needs of our patients are increasing in complexity and
staff are needing to prioritize work based on the amount of
resources available. Our updated Strategic Plan has identified
Provider wellness and the need to invest in our Team as a key
priority. In 2023/24, the MMFHT will be implementing initiatives
aimed at helping our Team members to feel valued, supported and
positive about their work at the MMFHT.
Org ID 91419 | Minto-Mapleton FHT
WORKPLACE VIOLENCE PREVENTION
We are fortunate at the MMFHT to have few workplace violence
incidents. Through the work of our Joint Health and Safety
Committee (JHSC), we have established a workplace violence policy
and developed procedures which are reviewed annually. Any
incident is reviewed by our Committee and actions are taken to
help prevent future incidents and keep our staff safe and healthy.
Preventative measures are reviewed by our JHSC at our staff
meetings and we remain open to hearing about ideas that continue
to improve our workplace safety. Each year, the MMFHT's
Executive Director reports to the Board on the number and type of
incidents that occur.
PATIENT SAFETY
The MMFHT has developed an incident reporting form where
incidents that affect or could affect patient safety are documented.
We have begun using the form to include "near misses" so that we
can review and share our learnings with other staff to help prevent
the "near misses" from turning into an actual incident. To date, we
have used our Joint Health and Safety Committee to review patient
safety related incidents and share our learnings back from MMFHT
staff at staff meetings.
 4 NARRATIVE QIP 2023/24 Org ID 91419 | Minto-Mapleton FHT

HEALTH EQUITY
Our Guelph Wellington Ontario Health Team (OHT), of which we are
a core partner, is currently developing a Health Equity
Questionnaire. Once the Questionnaire is ready, we will plan to
SIGN-OFF
It is recommended that the following individuals review and sign-off on your
organization’s Quality Improvement Plan (where applicable):

make it available in our EMR, so that we can start to populate I have reviewed and approved our organization’s Quality Improvement Plan on
equity-related information in our patient records. We will also be ______________________
looking at an electronic version of the form that patients will be
able to fill out themselves and have the information included in
their patient record.
Board Chair
CONTACT INFORMATION
Shirley Borges, Executive Director, Minto-Mapleton FHT.
Quality Committee Chair or delegate
sborges@mmfht.ca

Executive Director/Administrative Lead

Other leadership as appropriate