Type of Practice


Hogarth Riverview Manor (HRM), the largest long-term care home in Ontario with a licensed capacity of 544 beds, initiated the practice of ‘Quality Improvement Huddles’ in November 2020 to support their quality journey ‘iCare’. The name iCare is rooted in the fundamental premise that implementing quality and safety everyday is the responsibility of every staff member.

The quality huddles are based on the principles of lean management and have a clearly defined purpose – to provide a platform for clinical and non-clinical team members to collaborate to overcome day-to-day operational challenges, reduce departmental silos, generate ideas to improve unit performance, prioritize work, celebrate experiments, and promote resident centered care.

Conducted on an 8×4 foot whiteboard and facilitated using a structured problem solving methodology, 15 minute scheduled quality huddles are held daily across all 15 units of HRM.
Implementation of 938 improvement tickets from January 2021 to June 2022, and the ritual of recognizing and celebrating staff for their work daily during huddles, has enabled HRM to perform better than the provincial average on several resident care metrics; manage compliance to ministry requirements; align strategic priorities with the frontline work; and create a culture of continuous quality improvement.

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