Physician in a white coat with stethoscope in hand. Patients in the background out of focus.

Accountability

As a publically funded organization, it is important that the South Huron Hospital Association (SHHA) remain accountable to the communities we serve and provide timely, relevant information to the general public on our performance and other public reporting indicators.

In this section you can review our performance as we remain dedicated to quality care and uncompromising standards.

 

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Accessibility

SHHA is committed to being fully accessible. We want our building, as well as our services to be easy to use and understand. We will do our best to support you, whether you come to our hospital, or visit our website.


It is important that you can fully access our services without barriers. Please talk to someone on our healthcare team about your accessibility needs. Your experience matters to us.

 

  View SHHA’s latest Accessibility Compliance Report

Contact Information

Peter Kronenberg
Human Resources Associate
519-235-2700 ext. 5172
peter.kronenberg@shha.on.ca

Accreditation

South Huron Hospital Association is accredited through Accreditation Canada. Its most recent four-year accreditation cycle in October 2017 awarded SHHA the status of “Accredited”.


The final report indicates: “SHHA has met the requirements of the Qmentum accreditation program and has shown a commitment to quality improvement…South Huron Hospital Association is participating in the Accreditation Canada Qmentum accreditation program. Qmentum helps organizations strengthen their quality improvement efforts by identifying what they are doing well and where improvements are needed. Organizations that become accredited with Accreditation Canada do so as a mark of pride and as a way to create a strong and sustainable culture of quality and safety. Accreditation Canada commends South Huron Hospital Association for its ongoing work to integrate accreditation into its operations to improve the quality and safety of its programs and services.”


SHHA’s Pharmacy is accredited through the Ontario College of Pharmacists and undergoes on-site reviews and assessments every two years. SHHA renews its accreditation status annually and is undergoing an assessment in 2021.


SHHA’s Laboratory is accredited through Accreditation Canada Diagnostics every four years as part of the 12-member InterHospital Laboratory Partnership (ILHP). In 2021, SHHA completed a mid-cycle review and each year it completes a laboratory quality improvement plan (QIP) to ensure continued high quality services.


View SHHA’s latest Accreditation Report

 

Broader Public Sector Accountability Act (BPSAA)

In 2010, the Government of Ontario passed the Broader Public Sector Accountability Act (BPSAA). This Act requires hospital Presidents & CEOs to sign a document annually verifying that they will comply with the rules outlined in the BPSAA. These rules relate to the use of consultants, the prohibition against using public funds to pay for lobbyists, and the directives on expense claims and procurement. This document is referred to as an attestation.


View SHHA’s latest BPSAA Attestation


View SHHA’s latest Report on Consultant Use


More information on the Broader Public Service Accountability Act is available on the Ministry of Health and Long-Term Care website.


Energy Conservation & Management Plan

Ontario Regulation 507/18 encourages energy conservation, renewable energy production, and promotes a green economy. This Regulation requires all public hospitals to report their energy consumption and greenhouse gas emissions on an annual basis.


View our Energy Conservation & Management Plan

 

View our latest Energy Consumption & Greenhouse Gas Emissions Report

Expense Reports

The Broader Public Sector Accountability Act requires all public hospitals to semi-annually post expense claims made by designated individuals, including members of the Board of Directors, the hospital CEO, and senior leaders reporting to the CEO.


All expenses are in accordance with SHHA’s Travel, Meal and Hospitality Expense Reimbursement Policy.

 

View SHHA’s latest Expense Report

Financial Statements

The Broader Public Sector Business Documents Directive requires that all public hospitals make their audited financial documents available online.


View SHHA’s latest Audited Financial Statements

Hospital Service Accountability Agreements

Each hospital in Ontario is required to negotiate a Hospital Service Accountability Agreement (HSAA) with their Local Health Integration Network (LHIN). Typically, the HSAA is a two-year contract that stipulates accountability and performance obligations for planning, integration, and delivery of programs and services.


View SHHA’s latest HSAA

 

View SHHA’s 2019-2020 HSAA Amending Agreement

Patient Safety Indicators

Each hospital in Ontario is required to routinely report some key patient safety indicators. These rates can be found below, and will continue to be updated on a monthly or quarterly basis.


More information on these patient safety indicators can be found on the Health Quality Ontario website.

 

Hospital Acquired Infection Rates - Target: 0/1000 patient days

Infection

Apr 2020

May 2020

Jun 2020

Jul 2020

Aug 2020

Sep 2020

Oct 2020

Nov 2020

Dec 2020

Jan 2021

Feb 2021

Mar 2021

MRSA

0

0

0

0

0

0

0

0

0

0

0

0

VRE

0

0

0

0

0

0

0

0

0

0

0

0

Clostridium difficile

0

0

0

0

2.22

2.05

0

0

0

0

0

0

 

Hospital Acquired Infection Rates  - Target: 0/1000 pt days

Infection

Apr 2021

May 2021

Jun 2021

Jul 2021

Aug 2021

Sep 2021

Oct 2021

Nov 2021

Dec 2021

Jan 2022

Feb 2022

Mar 2022

MRSA

0

0

0

 0

 0

 

 

 

 

 

 

VRE

0

0

0

 0

 

 

 

 

 

 

Clostridium difficile

0

0

0

2.10 

 

 

 

 

 

 

 

 

 


Hand Hygiene Rate Prior to Patient Contact - Target 100%

Year Range

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

2020/2021

85

92

89

89

95

91

92

90

95

91

92

88

2021/2022

 87

 83

100 

92 

 93

 88

 

 

 

 

 


 


Hand Hygiene Rate After Patient Contact - Target 100%

Year Range

Apr

May

Jun

Jul

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

2020/2021

89

88

84

85

86

96

96

94

86

96

92

94

2021/2022

88 

86 

96 

89 

89 

96 

 

 

 

 

 

 

Public Sector Salary Disclosure

Quality Improvement

The Excellent Care for All Act (ECFAA), requires all Ontario hospitals to create and make public an annual Quality Improvement Plan (QIP).


The QIP is an organization-owned document, developed with input from patients, hospital leadership, and SHHA’s Board Quality, Utilization & Risk Committee that establishes a plan for quality improvement over the coming year. It is designed to be a lever for change on system-wide quality issues identified by Health Quality Ontario, while also identifying SHHA specific areas for improvement.

 

View SHHA’s latest Quality Improvement Plan

 More information on Quality Improvement Plans can be found on the Ministry of Health and Long-Term Care website.