OSMH is a regional leader for obstetrical practices within North Simcoe Muskoka Local Health Integration Network (NSM LHIN) 12 and WPSHC.

The problem: Too often hospitals work in silos. OSMH has led regional efforts to identify opportunities to-integrate obstetrical practices within hospitals and community partners.

The impact: Within LHIN 12, there has been a shift in culture from improving as an individual hospital to improving as a region. Rather than comparing hospital performance, the goal has transitioned to combining strengths, jointly reviewing evidence-informed research, and becoming a united region in which a labouring mother can enter any hospital and receive the same level of exceptional care.

The history/events: The NSM LHIN Caearean section/Induction Standardization event led to the development of the NSM Induction Standardization Subcommittee, led by OSMH. This multi-disciplinary committee worked to develop one shared, regional document, the “NSM LHIN Induction of Labour Policy and Procedure” which replaced 32 hospital policies, 30 of which were outdated. All aspects of labour induction were standardized. Patient education pamphlets were developed to ensure consistency of education.

The outcomes:

  • Improved efficiency
  • Standardized practice
  • Regional partnerships
  • Increased quality – For the BORN Key Performance Indicator: proportion of women who were induced as post-dates and were less than 41 weeks gestation at delivery, the regional policy implementation has been effective in reducing the regional NSM LHIN and WPSHC rate from 31.4% in fiscal year 2012-2013 to 14.6% in fiscal year 2015-2016. • Development of the NSM LHIN Clinical Standardization Toolkit to inform future regional standardization projects.
  • Increased knowledge/capacity to apply LEAN quality improvement principles and methodology

OSMH has also been a key leader in the development of the Near North Baby-Friendly Initiative (BFI) committee, the first Ontario regional committee working jointly for the pursuit of BFI designation.

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