RNAO Best Practice Spotlight Organization

Continuous Quality Improvement

Name and Position of Designated Lead: Kirsten Pollock, Director of Care
As a designated Registered Nurses Association of Ontario’s (RNAO) Best Practice Spotlight Organization (BPSO), Maple View Lodge is invested in continuous quality improvement and best practices aligned with the RNAO’s Best Practice Guidelines.

Our interdisciplinary teams participate in nurse led quality improvement initiatives across chosen areas of interest and improvement.

The Role of the Best Practice Champion

Our RNAO Best Practice Champion staff members are trained to recognize gaps in care provision, to advocate for change, to disseminate information to their colleagues, who lead or assist with the implementation of best practice recommendations. Key influencers and passionate about the provision of the best possible care, Champions will bring the voice of the resident, family and the front line to practice change.

RNAO Best Practice Guidelines

Established in 2003, the BPSO program supports implementation of Best Practice Guideline’s (BPG’s) at the organizational level. The end goal of this internationally renowned program is to optimize nursing care, resident and organizational outcomes through the use of RNAO BPGs promoting a culture of evidence-based nursing practice and management decision-making. The decision to become a BPSO is one of commitment to quality, evidence based care and goal to become a center of excellence.

Our overall goal: to flourish, motivate, and inspire teamwork and positivity, to make everyone feel like a champion, and to become a Home of Excellence, an Employer of Choice and a Leader of evidence-based best practices, in Southeast Ontario.

This initiative supports LTC Homes in adopting evidence-based practice recommendations that support systematic and consistent approaches to providing quality care for residents.

Benefits of this initiative include:
Enhanced capacity for knowledge transfer
Improved quality of care and resident outcomes
Support for leaders, nurses and staff in LTC Homes in implementing BPGs
Improved quality of work life

Question and Answer

1. Which initial BPG’s were chosen by Maple View Lodge?

Preventing Falls and Reducing Injury from Falls
Promoting Safety: Alternative Approaches to the use of Restraints
Preventing and Addressing Abuse and Neglect of Older Persons: Person Centered, Collaborative, System Wide Approaches
Assessment and Management of Pressure Injuries for the Interprofessional Team
Person and Family Centered Care

2. How do we choose areas to focus on improvements?

Monitoring of results through various systems will help identify areas of improvement comparing Maple views results with other LTC Homes. Maple View participates in Health Quality Ontario’s Quality Improvement Plan (QIP) submission formally reporting on a publically reported platform on an annual basis.

Resident and Family feedback through our surveys
Professional Advisory Committee (PAC) review and selection

3. How do we monitor and measure progress?

This aspect is a key component of the RNAO BPSO program

Monthly monitoring of Quality Indicators in PointClickCare
Quarterly monitoring of NQuIRE reporting system
Quarterly reporting and review by the Professional Advisory Committee

More about the RNAO Best Practice Spotlight Organization® (BPSO) Program

Established in 2003, the BPSO program supports implementation of BPG’s at the organizational
level. The end goal of this internationally renowned program is to optimize nursing care, patient and organizational outcomes through the use of RNAO BPGs promoting a culture of evidence-based nursing practice and management decision-making. The decision to become a BPSO is one of commitment to quality, evidence based care and goal to become a center of excellence.

Designation as a BPSO requires a three year journey with supports and structures to help implement, evaluate and sustain practice changes. With our designation we have now demonstrated sustained use, expansion, spread and mentoring opportunities for our team.
Specific requirements of BPSO Candidacy:

Systematic BPG implementation
Infrastructure
Reporting via NQuIRE
Knowledge exchange
Sustainability planning
Measuring outcomes through standard indicators

The objectives of the BPSO program are to:

Establish dynamic, long-term partnerships that focus on making an impact on patient care through supporting knowledge-based nursing practice;
Demonstrate creative strategies for successfully implementing nursing BPGs at the individual and organizational level;
Establish and utilize effective approaches to evaluate implementation activities utilizing structure, process and outcome indicators; and
Identify effective strategies for system-wide dissemination of BPG implementation and outcomes.

Resident Satisfaction Survey 2025

The results of the 2025 Resident Satisfaction Survey is available by following the link.

Maple View Lodge Cooling and Air Temperature Requirements

Maple View Lodge meets the Ministry of Long-Term Cares' cooling and air temperature requirements maintaining the minimum temperature of 22°C, year-round.

As part of the requirements under the FLTCA and O. Reg 246/22, all resident rooms are served by air conditioning and the first floor temperatures are maintained within the Ministry regulated guidelines using our building automation system. The home has installed temperature and humidity sensors to monitor and capture the required data at which is saved electronically for a minimum of one year. The home has several large spaces with air conditioning that can become designated cooling areas should one of the air conditioners fail within the Resident care areas.

The home has a policy and process for any day the indoor or outdoor temp reaches 26°C (as per Environment & Climate Change Canada’s forecast).

Fans- The decision to use any type of fan will be made on a case-by-case basis in consult with the Homes infection prevention and control lead.

Registered Nurses' Association of Ontario