Quality Improvement Plan Indicator Explanation 2025 - 2026

This year, LHSC is focusing quality improvement in five key areas with the following indicators. These indicators were identified using the feedback received from patients, the community and Team LHSC in a survey conducted in the fall of 2024.  

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Length of Emergency Department wait for an inpatient bed

Measuring the length of time waiting for a bed is a full system measure, indicating how well the hospital is working as a whole, often collected in the Emergency Department. This measure looks at the percentage of people who waited in the Emergency Department after being formally admitted into a bed or the operating room at LHSC. This is the length of time, in hours, that 90 per cent of our patients wait in the Emergency Department. A smaller number is better as it reflects a better and more efficient moving system.

Our target: 22 hours or less.   

Icon depicting person waiting in waiting room

Emergency Department wait time to physician initial assessment​  

Measuring the maximum length of time in hours patients visiting the Emergency Department wait to see a physician. This is the length of time it takes 90 per cent of patients to have their initial assessment by a physician. A smaller number is better.  

Our target: Six hours or less. 

Icon depicting a doctor talking to a patient

Patient experience survey question

Patient experience surveys are an important way to measure how our patients feel about their experience. Our patient partners selected the following question to focus on: “Did you receive enough information from hospital staff about what to do if you were worried about your condition or treatment after you left the hospital?”. We will know we are successful if the majority of patients select the most positive response to this question. 

Our target: 65 per cent or more. 

Icon of a medical chart and medication

Discharge medication reconciliation  

Sharing timely information with primary care providers in the community ensures safe transitions. Many patients seek follow up care immediately post discharge from the hospital. Ensuring the best possible medication completion history (fully documenting the medications being prescribed and flagging potential interactions) is important for primary care providers to support their patients. This indicator measures how effective we are at ensuring patients medications list are reviewed and updated when they are discharged.    

Our target: 80 per cent or more. 

Icon of a clock and a droplet that represents Sickle Cell Disease

Average Emergency Department wait time for individuals with sickle cell disease  

Increase awareness of sickle cell disease (SCD) among Emergency Department staff to improve care in the Emergency Department. Work is underway to integrate care more closely with LHSC's Lifespan Hemoglobinopathy Program, which services pediatric and adult patients with SCD. The goal is to gather baseline data and help reduce the time patients with sickle cell disease (who have been identified as higher need/priority) wait for their initial physician assessment.  

Our target: collecting baseline data