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Quality Improvement Plan

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Niagara Health is committed to providing all of our patients, their families, staff, physician, students, learners and volunteers Extraordinary experiences. Our hospital’s Quality Improvement Plan (QIP) outlines our organizational goals, priorities and action steps for quality improvement.

What is the QIP?

The Excellent Care for All Act (ECFAA) came into effect in Ontario in June 2010. This legislation requires all hospitals to create and make public annual Quality Improvement Plans. Many significant improvements have been made since our first plan was developed in April 2011.

ECFAA sets out a number of requirements for hospitals including:

  • establishing quality committees;
  • implementing patient and care provider satisfaction surveys;
  • developing a declaration of values with public consultation;
  • establishing a patient relations process to address and improve the patient experience; and
  • involving patients and families in the development of QIPs

Our 2024/25 Quality Improvement Plan

Our 2024/25 Quality Improvement Plan (QIP) connects and integrates our quality improvement and safety commitments to our patients, families and community set out in our 2023-2028 Strategic Plan.  Our Purpose is clear as we work towards Transforming Care, every person who comes to Niagara Health should receive the best care, every time.

The key areas of focus for the Hospital QIP are as follows:

  • Improving access and flow to services by enhancing our ambulance offload processes.
  • Ensuring we keep our patients safe through medication reconciliation practices.
  • Reaching out to patients regarding their experience at discharge, to ensure a safe discharge.
  • Providing a focused effort for staff training on Diversity, Equity, and Cultural Sensitivity.

The key areas of focus for our Long-Term Care QIP are as follows:

  • Provide a focused effort for staff training on Diversity, Equity and Cultural Sensitivity. 
  • Ensure a resident-centred environment, so that residents feel free to express their opinions in all matters.
  • Ensure that residents feel that the staff listen to their care needs and experience.
  • Focused efforts to ensure that pressure injuries are managed appropriately. 

QIP Narrative 2024/25

NH QIP Workplan 2024/25

LONG-TERM CARE QIP Workplan 2024/25

Our performance to date

Tracking our progress and performance enables us to build on the areas where we are doing well and identify the areas where there is room to improve.  Through our QIP, our community will be able to very clearly see our targeted areas for improvement and will be able to chart our progress.

QIP Hospital Progress Report 2023/24



Niagara Health