A female nurse cares for a patient in the cardiac day/night unit at LHSC’s University Hospital.

Clinical Services Renewal

LHSC supports the need for health system transformation to build a stronger and sustainable model for health care in Ontario. As health-care leaders with a legacy of innovation, LHSC wants to help define the future by renewing our clinical services. The Clinical Services Renewal (CSR) initiative is our proactive approach to leadership – working in close collaboration with system partners – to drive transformation.

The Clinical Services Renewal strategy is comprised of three key work streams:

1. Clinical Strategy

The purpose of the Clinical Strategy work stream is to conduct a comprehensive review of LHSC’s clinical programs in the context of local, regional and provincial priorities today, as well as ensuring we can effectively meet future population health needs.

There is tremendous transformation underway in Ontario’s health sector. Now is the time to help lead positive change to create a better system of health. This means redesigning the way we deliver care inside and outside the hospital, working closely with our community and regional partners to develop new models of care.

Integral to this approach is alignment with provincial health policy priorities, meaning delivering care closer to home where appropriate, building on community capacity and supports that reduce reliance on acute hospital services, and developing solutions that ensure a high-quality, sustainable health system for generations to come.

2. Internal Improvement

The Internal Improvement work stream will review key processes within the hospital and implement improvement opportunities across five dimensions of quality: integrated, safe, timely, effective, and patient- and family-centred. Work in this stream will focus on key areas at LHSC with high intensity and/or high complexity, where improvements can be tested, monitored and evaluated.

The purpose of this work is to help LHSC find new and innovative ways to improve both the patient experience and quality of care we provide. It will also help create efficiencies that will decrease our overall costs.

3. Partnering in Transformation

The Partnering in Transformation work stream represents collaborative work conducted with community and regional health providers and support services. Together, we will assess the most frequent users of our health-care system—those requiring chronic disease management (patients with chronic obstructive pulmonary disease, congestive heart failure, and diabetes) as well complex patient populations like the frail elderly and mental health and addictions, and patients with acute complexities—and we will:

  • Develop patient- and family-focused strategies that improve health care supports available to them closer to, or in, the home
  • Streamline transitions in care across the continuum
  • Improve patient population health, and
  • Reduce their degree of reliance on acute care hospital services.

It is expected that the new service delivery models developed will result in improved patient experiences and efficiencies that will improve quality, safety and costs.

This work stream will also assess the Quality-Based Procedures (QBPs) defined by the Ministry of Health and Long-Term Care as part of Ontario's Health System Funding Reform. QBPs are specific medical procedures where there is evidence for an established standard of care and yet there is great variation throughout hospitals in clinical outcomes, costs and efficiencies. For 2013/14, QBPs focused on stroke, vascular, chronic obstructive pulmonary disease and congestive heart failure, for which hospitals are funded based on efficiency and best practices. The aim of QBPs is to standardize care, improve quality, and increase integration of services across the health-care system, allowing patients to receive the best care, managed in the most appropriate location, with the right level of support.

Norma Wood, charge nurse, takes a patient’s history at a new workstation on wheels in the surgical prep unit at LHSC’s University Hospital.

Healthcare Undergoing Optimization (HUGO)

This initiative, part of the Enabling Technology plan, is enhancing patient safety and quality of care through evidence-based care, standardization, bar-coding technology to reduce medication errors, automation and process flow change as we advance towards the electronic patient record...Read moreread more

Cultural Transformation

LHSC is working to transform our culture so that patients will have a better experience, staff and physicians will enjoy a better work environment, and LHSC will be a high-performing organization...Read moreread more

A nurse and physiotherapist in LHSC’s Critical Care Trauma Unit.