Amanda Turkiewicz

Quality Improvement

Quality in health care means delivering the right care to the right person at the right time.  This requires using available evidence to guide treatment decisions while at the same time avoiding unnecessary interventions, which either have no benefit or may actually place patients at risk.  The guiding principle of delivering quality in healthcare is to remember that the needs of the patient come first.  As Don Berwick, a pioneer of healthcare quality improvement (QI) has said:  "every patient is the only patient".

The domains of quality in healthcare were outlined in a 2001 report from the Institute of Medicine (IOM) called "Crossing the Chasm" and include:  safety, effectiveness, patient centered care, timeliness, efficiency, and equity.  These domains serve as a framework for which efforts to improve delivery of care are built.

Why do this in CF?

The Toronto adult CF program has developed tremendous quality improvement experience beginning in 2008 through the CF Foundation Leadership collaborative as the only non-American participating site.  This QI work has continued through to the 2014 Cystic Fibrosis Canada Learning and Leadership Collaborative in which experiences were shared with CF centres across the country and will be presented at the NACF (North American Cystic Fibrosis) meeting in Atlanta.

Engaging in CF care and embedding QI into our clinical care reminds us that everybody in healthcare has two jobs, as quoted by Paul Batalden: to go to work every day to do our work and then to improve it.

What projects are ongoing at our clinic?

Click on the projects below for more information. You can also speak with the CF team in clinic to find out more.

1. Clinic Flow

2. Depression and Anxiety Screening

3. Medication Review

4. Email

5. Continual Website Updates

6. Social Media Clinic Use

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