Leadership Standards for Small, Community-Based Organizations
Accreditation Canada's Leadership Standards for Small Community-Based Organizations help Canadian health care organizations achieve excellence in leadership within organizations that have a true commitment to client- and family-centred care. They are based on research and best practices and align with the Framework for the Analysis of Management in Health Care Organizations and Proposed Standards for Practice, researched and developed by J.L. Denis et al. (2006). They address leadership functions across and throughout the organization, rather than individual or position-specific capabilities. The standards specify the requirements for effective operational and performance management supports, decision-making structures, and infrastructure needed to drive excellence and quality improvement with the primary focus being on creating a culture focused on client- and family-centred care.
The approach taken to meet these responsibilities will vary according to the organization's size, structure, and mandate. Hence, these standards, for small community-based organizations, include the applicable requirements for small, non-hospital organizations
Accreditation is one of the most effective ways for organizations to regularly and consistently examine and improve the quality of their services. The standards provide a tool for organizations to embed accreditation and quality improvement activities into their daily operations with the primary focus being on including the client and family as true partners in service delivery
Client- and family-centred care is an approach that guides all aspects of planning, delivering and evaluating services. The focus is always on creating and nurturing mutually beneficial partnerships among the team and the clients/residents and families they serve. Providing client- and family-centred care means working collaboratively with clients/residents and their families to provide care that is respectful, compassionate, culturally safe, and competent, while being responsive to their needs, values, cultural backgrounds and beliefs, and preferences (adapted from the Institute for Patient- and Family-Centered Care (IPFCC) 2008 and Saskatchewan Ministry of Health 2011).
Accreditation Canada has adopted the four values that are fundamental to this approach, as outlined by the IPFCC, and integrated into the standards. The values are:
- Dignity and respect: Listening to and honouring client and family perspectives and choices. Client and family knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care.
- Information sharing: Communicating and sharing complete and unbiased information with clients and families in ways that are affirming and useful. Clients and families receive timely, complete, and accurate information in order to effectively participate in care and decision-making.
- Partnership and participation: Encouraging and supporting clients and families to participate in care and decision making to the extent that they wish.
- Collaboration: Collaborating with clients and families in policy and program development, implementation and evaluation, facility design, professional education, and delivery of care.
The Leadership Standards for Small Community-Based Organizations are grouped into four sections. Each section addresses a key leadership responsibility organizations must have in place as part of their pursuit of quality and safety.
The four sections are:
Creating and sustaining a caring culture: Addresses identifying, strengthening, and communicating the culture and values throughout the organization. In particular, it addresses the need for health care organizations to create a culture that supports a safe and healthy work environment and ongoing quality improvement.
Planning and designing services: Addresses the organization's ability to assess trends in the environment, including the service needs of the populations it serves, and use that information to plan its structures, management systems, and services. It also includes the organization's relationships with stakeholders and its processes to manage change.
Allocating resources and building infrastructure: Addresses managing resources, working with partners to share and optimize resources, allocating resources fairly and according to organizational priorities, human resources and performance management systems, the physical environment, and information systems infrastructure.
Monitoring and improving quality and safety: Addresses the organizational systems and processes needed to deliver safe, high quality services and achieve the organization's goals and objectives, including assessing and improving flow, preparing for disasters and emergencies, and improving client/resident safety on an ongoing basis.