BLUEWATER HEALTH MANAGEMENT ACCOUNTABILITIES

Strategic Theme / Strategic Goal / Resource(s) / Inputs/Indicator / Status / Outcomes
What impact?
Quality Care / Ingrain Patient Safety / Accreditation Coordinator
Patient Safety Service
Accreditation Team Leads / Accreditation ROPs and high Priority gaps are identified and associated action items are in place
Participation in accreditation related meetings
Exceptional Relationships / Embed Patient and Family Centred Care / Patient Advocate
BPSO Manager / Number of employees attend PT Family Centred Care education
Activities re BPSO
#of Patient Experience Partners involved in program
NRC Picker results specific to your area (where applicable)
Optimize Partnerships / Participation in external partnerships or members of networking groups
Outstanding Performance / Achieve Financial Health / Finance
Performance Management / Performance Indicator successes or challenges
(Monitor tracking against your target performance monitoring indicator)
Recovery Plan progress
Review monthly financial reports to ensure in-line with budget. If over budget, prepare recovery plan for getting back in-line with budget
Assessment for need for capital investment? (Assess capital needs in preparation for capital budget. Would a capital investment help improve regular operations?)
Staffing projections and budget variances?
Investigate staffing costs by reviewing the bi-weekly payroll information in ESM.net. How is staffing adjusted to reflect patient census and acuity?
Human Resources / Absence Management:
All required Absence Support Program(ASSP) meetings held and completed;
Quarterly analysis reports posted and referenced at huddles;
Follow up with “trending” employees;
Daily phone calls completed;
Attendance tracking sheets completed and sent to OHS
All ASP letters distributed to employees;
# of employees requiring attendance counseling (# of employees in ASP);
Inspired People / Develop our People / Learning Management / Essential education compliance:
Manager:
Employees
(% of department) who are current in their essential education
HWPT / Share one activity you and your ambassador have undertaken to address employee engagement results
Human Resources / PDP:
# of PDPs completed (% of staff)
Occupational Health and Safety / Agenda item on Staff meetings
# of inspections completed;
# of injuries;
# of Risk Pro incidents and follow up;
# and frequency of WSIB claims (incl. lost time);
Organization Development / Discuss the education you have accessed:
1)internally / Demonstrate at least 2 examples of transfer of knowledge in within 6 months of attending
2)externally
Organization Development
Learning Services / #employees received department orientation
Employee staff meetings #
Identify unit /department education
External education accessed by employees
A Culture of Innovation / Create a Lean Culture / Lean training; Huddle boards; tickets / # of staff who have completed Lean Belt training (white, yellow or green)
# of staff attended a Lean lunch and learn;
# of Process Improvement ideas (tickets) implemented
# of staff & physicians involved in process improvement initiatives ( VSM, RIE, PDSA etc.)
# of documented Standard Work implemented