title: Continuous quality improvement: a shared governance model that maximizes agent-specific knowledge.
abstract: Motivate, Innovate, Celebrate: an innovative shared governance model through the establishment of continuous quality improvement (CQI) councils was implemented across the London Health Sciences Centre (LHSC). The model leverages agent-specific knowledge at the point of care and provides a structure aimed at building human resources capacity and sustaining enhancements to quality and safe care delivery. Interprofessional and cross-functional teams work through the CQI councils to identify, formulate, execute and evaluate CQI initiatives. In addition to a structure that facilitates collaboration, accountability and ownership, a corporate CQI Steering Committee provides the forum for scaling up and spreading this model. Point-of-care staff, clinical management and educators were trained in LEAN methodology and patient experience-based design to ensure sufficient knowledge and resources to support the implementation.
authors.affiliation: Vanessa Burkoski, RN, BScN, NP-PHC, MScN, DHA, Vice President / Chief Nursing Executive, Quality, Patient Safety and Professional Scholarly Practice.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Burkoski
authors.affiliation: Jennifer Yoon, RN, BScN, Director, Nursing Professional Scholarly Practice, London Health Sciences Centre.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Yoon
mesh_terms: D000046:Academic Medical Centers / Q000458:organization & administration*; D054976:Clinical Governance / Q000458:organization & administration*; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000458:organization & administration; D006286:Health Planning Councils / Q000458:organization & administration; D006801:Humans; D033183:Interdisciplinary Communication; D009864:Ontario; D058996:Quality Improvement / Q000458:organization & administration*