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Qmentum International Link between Standards and Priority Processes Priority Processes are defined as critical areas and systems that are known to have a significant impact on the quality and safety of care and services. Priority Processes are not a part of the measurement system in that they are not rated or scored in any way. These Priority Processes will focus the on-site survey conducted by Accreditation Canada surveyors. Note that not all Priority Processes will apply in all organizations; the selection of Priority Processes is clearly linked to the standards being used by the organizations. Priority Process Description Link to Standards System-Wide Processes and Infrastructure 1. Planning and service design Developing and implementing the infrastructure, programs and services to meet the needs of the community and populations served. • Governance • Effective Organization 2. Emergency preparedness Dealing with emergencies and other aspects of public safety. • • • • 3. Communication Communication among various layers of the organization, and with external partners and stakeholders. • Governance • Effective Organization 4. Integrated quality management Continuous, proactive and systematic process to understand, manage and communicate quality from a system-wide perspective to achieve goals and objects. • Governance • Effective Organization • Medication Management 5. Resource management Monitoring, administration, and integration of activities involved with the appropriate allocation and use of resources. • Governance • Effective Organization 6. Human Capital Developing the human resource capacity to deliver safe and high quality services to clients. • Governance • Effective Organization 7. Principle-based care and decision-making Identifying and decision-making regarding ethical dilemmas and problems. • Governance • Effective Organization 8. Patient Flow Assessing the smooth and timely movement of clients and family through service and care settings. • Sector/service standards 9. Physical environment Providing appropriate and safe structures and facilities to successfully carry out the mission, vision, and goals. • Effective Organization • Infection Prevention and Control • Sector/service standards Emergency and Disaster Preparedness Effective Organization Infection Prevention and Control Emergency Departments March 31, 2010 Priority Process Site-Specific Services 10. Clinical Leadership* 11. Competency* 12. Episode of care* 13. Decision support* 14. Impact on outcomes* 15. Medical devices/ equipment 16. Medication Management Description Providing leadership and overall goals and direction to the team of people providing services. Developing a highly competent multidisciplinary team with the knowledge, skills and attitudes to develop, manage, and deliver effective and efficient programs, services, and care. Healthcare services provided for a health problem from the first encounter with a health care provider through the completion of the last encounter related to that problem. Information, research and evidence, data, and technologies that support and facilitate management and clinical decision-making. The identification and monitoring of process and outcome measures to evaluate and improve the quality of services to clients and the impact on client outcomes. Machinery and technologies designed to aid in the diagnosis and treatment of healthcare problems. Multidisciplinary provision of medication to clients. 17. Infection Prevention and Measures practiced by organizations, staff Control and service providers, and clients and families to prevent and reduce transmission and acquisition of infections. 18. Diagnostic services (DI and Availability of diagnostic imaging and Lab) laboratories to provide health care practitioners with information about the presence, severity, and causes of health problems, and the procedures and processes use by these services. 19. Blood services Safe processes to handle blood and blood components, from donor selection and blood collection through to providing transfusions. 20. Surgical procedures Delivery of safe surgical care to clients, from preparation and the actual procedure in the OR, to the post-operative recovery area and discharge. * Part of a bundle of priority processes that will be reapplied in each sector/service area. Link to Standards • Sector/service standards • Sector/service standards • Sector/service standards • Sector/service standards • Sector/service standards • Select criteria in certain sector/service • • • • • sections Effective Organization Sterilization and Reprocessing Operating Room Procedures Infection Prevention and Control Managing Medications • Infection Prevention and Control • Diagnostic imaging • Laboratory and Blood Services • Biomedical Laboratory Services • Blood Banks and Transfusion Services • Surgical care • OR procedures March 31, 2010