Continuous Quality Improvement Committee 

Terms of Reference 

Purpose

  • Review adherence of the organization to quality standard.  

  • Monitor outcomes and targets from the Organizational Operating Plan and make recommendations for improvement.  

  • Functions under a continuous learning and quality improvement framework, using guidance documents and requirements from Ontario Health. 

Accountability and reporting relationships

The Continuous Quality Improvement Committee reports to the Board of Directors quarterly. The Board representative(s) will provide a report quarterly at the Board meeting. The Director of Programs & Services will provide a report quarterly at the Full Staff meeting.  

Responsibilities and opportunities

  • Monitors the Operational Plan Summary each quarter.  

  • Monitors performance against targets and outcomes. 

  • Investigates and reviews any indicators that are not meeting target (10% variance). 

  • Provides input into improvement targets and actions. 

  • Reviews Senior Friendly Care Work Plan and includes in the quarterly quality report to the Board.  

  • Oversees Client Experience Survey Findings and includes in the quarterly quality report to the board.  

  • Develops a quality report to submit to the Board for Q2, Q3 and Q4 aligning with the OHRS reporting schedule.   

Members

Members of the Committee will include

  • 2 Board Members 

  • Director of Primary Care 

  • Manager of Administration & Finance 

  • Director of Programs & Services 

  • Manager of Community Programs & Services 

  • Executive Director 

Ad Hoc Membership

  • CRCHC Clients 

  • Community Members 

  • Staff 

Officers  

Chair – Director of Programs & Services 

Duties: 

  • Call and chair meetings  

  • Develop the meeting agenda and materials 

  • Review and revise meeting minutes  

  • Completion of quarterly quality report 

  • Submission of annual Quality Improvement Plan to Ontario Health 

  • Completion of annual report summarizing the committee’s activities and achievements during the year   

Meetings

Frequency: Minimum 3 Times per Year (November, March, and June) of 1.5 to 2 hours each.  

Length of Meeting:  1.5 hours 

Decision-making

This Committee is responsible for decisions and activities as delegated by the board. The Committee will strive for consensus and will use voting when there is no clear agreement. 

Quorum

At least 60% of the members must be present for a meeting to take place.  

Minutes

The Director of Programs & Services will be responsible for distributing minutes 2 weeks prior to each meeting. Minutes will be sent by email to all members of the Committee and will be available to board members upon request.  

Records retention

The Committee’s records are governed by CRCHC’s Records Retention Policy (ADMIN-01). 

Review 

The Committee will review these terms of reference every year by September and approve any revisions.