Performance

Performance Reporting

Why is it important to publish performance reports?

Bluewater Health is pleased to share reports of our performance not only as a means of communicating and demonstrating the quality of care provided at our hospital and our plans to improve healthcare experiences, but also as an indication of our commitment to accountability and transparency to our community, patients, and staff.

Performance Measures

What is the purpose of measuring and reporting our performance?

Bluewater Health measures and reports performance for many reasons:

To monitor our progress in achieving the desired outcomes of our strategic plan.
To check that our efforts to improve the quality of care at Bluewater Health, as outlined in our Quality Improvement Plan (QIP), are truly resulting in better and safer care.
To comply with Local Health Integration Network (LHIN) and Ministry of Health and Long-Term Care (MOHLTC) requirements for publicly reported patient safety measures as a condition of receiving funding for the care and services we deliver.

Learn more about Bluewater Health’s performance for a single measure aligned with our strategic plan, QIP, or a publicly reported patient safety measure by clicking on it in the list below. Note that in many cases, a measure may align with more than one reason to report performance. Or, review the full report of all 20 measures together by clicking here.

Performance Measure	~Alignment~			Last Updated
Performance Measure	Strategic Plan	Quality Improvement Plan	Publicly Reported Patient Safety Measure	Last Updated
Quality Care
Safe & Effective
Hospital Standardized Mortality Ratio (HSMR)	X		X	12/30/2015
Hand Hygiene	X	X	X	7/10/2019
Clostridium Difficile Infection (CDI)	X		X	7/10/2019
Central Line Infection (CLI)	X		X	1/31/2019
Methicillin-Resistant Staphylococcus Aureus (MRSA) Infection	X		X	11/26/2018
Surgical Safety Checklist Compliance	X		X	11/26/2018
Surgical Site Infection Prevention	X		X	1/31/2019
Vancomycin-Resistant-Enterococcus (VRE) Infection	X		X	11/26/2018
Ventilator-Associated Pneumonia (VAP)	X		X	1/31/2019
Falls	X			1/31/2019
Medication Reconciliation	X	X		9/29/2016
Accessible & Equitable
Surgery, Magnetic Resonance Imaging (MRI), and Computed Tomography (CT) Wait Times	X			11/30/2015
Emergency Department Wait Times for Admitted Patients	X	X		11/30/2015
Cancer Surgery Wait Times	X			2/29/2016
Integrated
Readmissions to Hospital	X	X		5/31/2016
Exceptional Relationships
Patient & Family-Centred Care
Would Definitely Recommend Bluewater Health			X	8/08/2017
Respect for Patient Preferences				12/31/2015
Outstanding Performance
Efficient
Cost per Weighted Case	X			7/31/2015
Total Margin	X			2/29/2016
Inspired People
Employee Rating of Bluewater Health as a Place to Work	X			2/28/2013

How often are performance reports updated?

Different measures of performance are monitored at different frequencies depending on how often new information is available; some are reviewed daily while others may be reviewed weekly, monthly, or quarterly by staff, physicians, managers, executives, and Board members. The performance reports published here will be updated as new information is available (refer to Last Updated column of chart).