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Risk Management

Risk management in Southern Health-Santé Sud (SH-SS) is a multi-faceted approach to proactively identify risks and establish measures to prevent the risk before it happens or mitigate the likelihood and impact. There are multiple pieces to the puzzle.

Graphic of risk management policy

Regional Corporate Risk

In compliance with the Provincial Risk Management Policy (HCS.200.4 – revised and approved in 2022), Southern Health-Santé Sud compiles a regional risk report annually based on the Provincial Risk Management Framework. The annual risk report is approved by the Board of Directors, submitted to Shared Health and Manitoba Health.

HIROC Risk Assessment Checklist

The aim of the HIROC Risk Assessment Checklist Program is to improve patient safety by assisting our organization in identifying and prioritizing areas of improvement. It is a self-assessment tool for compliance with a number of actionable evidence-based mitigation strategies to effectively address top risks leading to medical malpractice claims. Each year, our Senior Leadership Team chooses regional programs to participate in the Risk Assessment Checklist following a three-year cycle. Each year the programs complete or updates a set of risk modules, which are then submitted to HIROC for review and feedback. In the current cycle (2022-2025) the region chose two programs: Acute Care and Long Term Care modules.

Quality Improvement Plans

Quality improvement plans are a formal set of goals and actions that teams make to improve specific outcomes, practices, processes, and/or quality issues. It is not an all-encompassing list of everything teams are working on towards priorities. They align with the strategic priorities of our 2023-2028 Strategic Plan.

Quality Improvement Plan Template
Quality Improvement Plan Guide
Quality Improvement Plan Education

Team Plans

If you are unable to access the Teams Plans, please contact

LEAN

For more info. contact

Lean Six Sigma is a process improvement methodology that can be used to improve processes and quality across the spectrum of services we provide to deliver health care. Lean Six Sigma training is available on an annual basis to staff who are interested in learning introductory tools and concepts to entry level facilitation skills.

Ethics

Quality, Planning & Performance

Ethics is the application of a rational process for determining the most morally desirable course of action when making a decision.

Remember, ethics is not:
• a process of giving “correct” answers
• about being right or wrong or
• about judging and blaming.

Common ethical issues may include situations when:
• client/family goals conflict with the health care team goals
• staff member goals conflict with the provider’s goals
• co-worker’s actions conflict with your beliefs
• there are competing demands for human, financial and/or physical resources

Southern Health-Santé Sud has an Ethics Committee with the purpose of enhancing the integration of ethics into processes, policies and procedures.

Ethical Decision Making
Framework & Worksheet for Ethical Decision Making
Ethical Decision Making Resource Guide
Ottawa Personal Decision Guide Form
Ottawa Personal Decision Guide for Two

Also see Quality, Planning & Performance policies & forms

Tracking Ethical Dilemmas (Self-learning)

Healthier people. Healthier communities. Thriving together.
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