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The situation in London is also increasingly strained with a decision to reduce surgeries being made late last week as the children’s hospital was up to 115 per cent occupancy. On Wednesday morning, 20 kids were waiting in the emergency department for a bed in the hospital. Hospitals are full at 100 per cent occupancy so anything above that requires opening beds not funded by the province and finding a way to staff them. But a surge of viral illness over the last two months has left pediatric care in crisis in Ontario.
Thrive Group is a non-profit, charitable organization that acts as the umbrella organization for charities with a health care focus by sharing best practices and back office resources. It consists of thousands of nurses and other health providers, within Ontario and globally, in all roles and health sectors, who are passionate about evidence-based practice and improving care and health. These champions are dedicated practitioners who raise awareness of BPG's, have an understanding of change management processes, motivate their colleagues, and influence the uptake of BPGs among workplace peers. We look forward to continuing the work of developing Best Practice Champions and Implementation of Best Practice Guidelines as we move forward!
Best Practice Spotlight Organizations (BPSO)
The RNAO BPSO team, including BPSO Coaches and evaluation specialists, review each report and meet with every BPSO individually to provide feedback and linkages to resources to support rapid learning and improvement. Through NQuIRE, RNAO collects, analyzes and reports quality indicator data submitted by health service organizations participating in the BPSO program. NQuIRE supports BPSOs to make effective and sustained practice improvements by providing organizational BPG-directed care processes and resultant clinical outcomes. With NQuIRE data reports, BPSOs are able to track their progress by linking evidence-based practice with quality-of-care outcomes, supporting rapid learning and quality improvement to optimize clinical, organizational, and health system outcomes. The Best Practice Spotlight Organization® (BPSO®) designation was launched as a key knowledge translation strategy in 2003. It is targeted to support the uptake and sustainability of best practice guidelines to optimize outcomes at the individual, organizational and health system levels.
"I just love being able to share my knowledge and skills with my colleagues so that together we can make sure we provide the best care possible to all our residents." "• I just can't say enough about all of your staff. The reception, the activity staff, the laundry staff, the cleaners and the nursing staff were so good to my Mom and kind to me." "The staff at AbleLiving are very kind and go beyond to ensure my husband was able to stay connected with our family."
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BPSO designation is an opportunity for health service and academic organizations to formally partner with RNAO, or a Host organization over a three to four-year period to achieve designation. Following this period, the partnership is renewed biennially, based on the achievement of required deliverables. The goal is to create evidence-based practice cultures through systematic implementation and evaluation of multiple RNAO clinical BPGs. The host model is best suited for organizations that have a capacity to supervise, on behalf of RNAO, the full BPSO designation program for a group of health and/or academic settings within a country, region, community or particular specialty.
These organizations work directly with RNAO/BPSO Host to meet the BPSO requirements of designation. Provide a forum for knowledge exchange, support and collaborative activities within specific jurisdictions. On that Friday, McMaster was already caring for 14 kids requiring the highest level of critical care on a pediatric intensive care unit funded for 12. The blaze was just 19 minutes away from one of the best places in Ontario for children to receive care — Hamilton is one of four cities in the province to have a specialized children’s hospital.
Nursing Quality Indicators for Reporting and Evaluation® (NQuIRE®)
In this model, the BPSO Host enters into a formal agreement with RNAO to deliver and oversee the RNAO BPSO designation in the country or region where it is located. The BPSO Host is responsible for selecting their BPSO Direct organizations; providing orientation, education and support; monitoring progress; and evaluating outcomes. Best Practice Spotlight Organizations are health-care and academic organizations selected by the Registered Nurses’ Association of Ontario to implement and evaluate the RNAO’s best practice guidelines. St. Peter’s is committed to continuous quality improvement and is thrilled to work in partnership with the RNAO to ensure the advancement and delivery of best practices in the health care sector and in our home. RNAO’s BPG Order Sets are evidence-based interventions and clinical decision support resources derived from the RNAO’s clinical BPGs. They enable the integration of the best available evidence into daily clinical practice using technology to facilitate access at the point-of-care.
Host organizations sign a contract with RNAO to oversee the BPSO Directs in their jurisdiction. Hamilton-Wentworth District School Board voted Monday to ask students and staff to wear masks in schools again to combat the spread of viruses overwhelming pediatric care. Seniors are also vulnerable to the fall surge of viral illnesses with the city reporting five COVID deaths from Nov. 15 to Nov. 22. Children’s Healthcare Canada, the Canadian Paediatric Society and the Canadian Association of Paediatric Nurses have appealed to the provincial and federal governments to fix the crisis. Their joint call to action was released on Friday — the same day the Hamilton child was sent to London.
Additional Resources
This work helps us build upon the existing quality platform and continuously evaluate and improve programs, policies and processes for better outcomes for residents, families and staff. The goal is to optimize outcomes through the use of evidence-based practice and robust staff engagement. The BPSO OHT focuses its efforts on uptake of best practices across all sectors of the OHT ensuring spread and scale into cultures of excellence. Results are closely monitored and continuous learning is facilitated by coaches to ensure success and sustainability of achievements. Collaborate with RNAO to create a tailored BPSO program to honour Indigenous ways of knowing and to support holistic community wellness.
AbleLiving Services provides independent living support solutions for adults and seniors with disabilities. Through a variety of in-home and communal living options, clients can access a range of services that enable them to remain in their homes and familiar community environments. These services are delivered in Mississauga, Burlington, Hamilton, Stoney Creek, Binbrook, Paris and Hagersville.
Another key element of the RNAO's BPSO Evaluation Model is the MyBPSO report that each BPSO, whether provincial, national or international, submits twice per year during the pre-designate phase and annually for designate organizations. These reports provide an opportunity for BPSO leads, champions and teams to reflect on their progress towards achieving the BPSO deliverables, and results in a documented story of their evolution as a BPSO. The standardized, online MyBPSO template asks questions about organizational demographics as well as key deliverables related to capacity development, implementation, evaluation, dissemination and sustainability planning. The database of qualitative data resulting from the submission of MyBPSO reports provides RNAO and its BPSO partners a mechanism to analyze qualitative outcomes, and identify areas to continuously strengthen the program.
BPG Order Sets support the evaluation of guideline implementation by providing a mechanism to link specific interventions to corresponding evidence-based NQuIRE indicators. At St. Peter’s Residence we provide a home-like environment for all our residents and family members with special attention to high quality, person centred care. Whether you prefer to socialize in our café, enjoy regular entertainment, or participate in our many recreation programs, there is something for you at St. Peter’s. Our highly trained staff deliver care and services in a way that meets individual needs and preferences.
Focus on evidence based education, to impact faculty teaching, student learning, and patient/client outcomes. Idlewyld Manor on the west Mountain has had 30 test positive and two die in an outbreak declared Nov. 4. There have been 60 cases at Arbour Creek Long Term Care Centre in Stoney Creek since Oct. 20, and 40 infections at Meadowlands Retirement Community in Ancaster since Oct. 13. RNAO provides a cutting-edge multilevel and multifaceted approach to implementing BPGs in order for BPSOs to achieve sustainable change in practice. The direct model is best suited for single organizations wishing to apply to RNAO to engage in a three-year partnership.
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