Commitment to Quality

February 9, 2016 (ratified November 28, 2017)

Policy Statement:

The Board of Directors is committed to the highest quality of care, support and client / resident experience, as well as excellent customer service for all stakeholders.


  1. Through the establishment of a Quality Committee (hereafter referred to as the “Committee”) the Board of Directors will be assured of the high quality of safety, resident / client experience, services and organizational effectiveness.
  2. Through the use of the Mission Score Card the Board will establish benchmarks and monitor on a quarterly basis progress to be assured of the achievement of strategic goals and service outcomes.
  3. Risk Management strategies will be established and reviewed annually to effectively mitigate and manage factors contributing to clinical, service and organizational risk.
  4. The Board of Directors will obtain reasonable assurance as to the adherence to regulatory standards and legislated requirements established by law and accrediting bodies.
  5. A set of clearly defined benchmarks for improving the client experience will be established by Management and results will be regularly monitored at meetings of the Committee.
  6. The Committee will review actions taken by Management to ensure that customer feedback and improvements are implemented to meet annually established targets and to support continuous quality improvement.
  7. The Committee will oversee the establishment of an annualized Quality Improvement Plan and monitor progress to determine achievement of outcomes, track variances and outline strategies for improvement.
  8. The Committee will provide the Board of Directors with a regular Quality Report, recommending changes, improvements and actions as appropriate.
  9. The Committee will comprise members as outlined in the Terms of Reference for the Quality Committee of the Board of Directors.
  10. The Committee shall meet at least on a quarterly basis and at the call of the Chair of the Committee.