Women's College Hospital - Health Care for Women, Revolutionized

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Public Accountability, Quality and Performance

Accountability Agreements 

Being accountable to our patients and community is essential to earning your trust and building a reputation for excellence. "Accountability" means making the right clinical and managerial decisions, managing resources efficiently, measuring our performance and doing that in an open and transparent manner.

One of the foundations of accountability in the Ontario health-care system is the agreement each provider enters into with the Local Health Integration Network (LHIN) in order to qualify for funding from the Ministry of Health and Long-Term Care.  The Hospital Services Accountability Agreement (H-SAA) sets out the standard framework of the relationship between the hospital and the LHIN as well as the specific performance requirements for the hospital.  The H-SAA for Women’s College Hospital for 2008 - 2018 is available here. The Multi Sector Service Accountability Agreement (MSAA) between the LHIN and Women's College Hospital for 2017/2018 is available here


Executive Compensation

WCH Vision for Quality

Everyone at Women’s College Hospital has the best care and health possible.

At WCH we are committed to providing the safest and highest quality care possible.  Our quadruple aim quality framework guides all of the work that we do to achieve the best possible health outcomes, improve the patient and workforce experience, and ensure equity and access for all - all while achieving the best use of resources.


What is Quality Improvement in Healthcare? 

Quality improvement (QI) describes a variety of proven tools, methods, and approaches to accelerating improvement in healthcare. In QI, teams work together towards a common improvement aim, test promising change ideas on a small scale, make modifications based on rapid feedback, and systematically spread successful initiatives.

All QI models are based on the principles of (a) focusing on the client or patient, (b) understanding systems and processes, (c) teamwork, and (d) being guided by data.

This fun whiteboard video by Dr. Mike Evans explains why QI matters in healthcare and how it’s done. 

The Women’s College Hospital Quality Improvement Plan

The Women’s College Hospital Quality Improvement Plan (QIP) is one of the tools we use to communicate and track our performance.  It outlines our quality and safety priorities in terms of specific goals, targets, and actions.  Each year, in accordance with the Excellent Care for All Act, we post our QIP publically and submit it to the provincial government to help improve care across the health system.  It’s our commitment to ensuring the care and services we provide to our patients and the community are safe, effective, person-centred, timely, equitable and efficient.  

Our 2018-2019 QIP outlines eight priority quality goals:



  1. AAfter-visit summaries: Ensure our patients receive enough information for care at home.
  2. AACU referrals: Reduce avoidable emergency department and inpatient admissions through referrals to our Acute Ambulatory Care Unit (AACU).


  1. Medication reconciliation: Improve medication safety by implementing medication reconciliation in additional clinical areas.
  2. Workplace violence incidents: Enhance workforce safety by implementing workplace violence prevention strategies.

Patient Centered

  1. myHealthRecord activations: Engage patients in their care by having them register for our online patient portal.


  1. Equity survey response rate:Capture robust demographic information from our patients that can be used to improve care>


  1. Referral appointment wait times: Reduce wait times for scheduling appointments for new referrals.


  1. Imaging centre calls: Provide access to the right level of care for specialized medical imaging through our call centre.


 View our 2018-2019 Quality Improvement Plan:

  • For a one page overview of the 2018.19 QIP see our WCH Quality Goals
  • For an overview of our quality goals and how the plan was developed see our QIP Narrative
  • For a detailed description of our quality goals, measures, targets and improvement plans see our WCH QIP Workplan
  • For an update on our performance of last year's quality goals see our WCH Progress Report

Where to Learn More

  • For more information on quality improvement in healthcare, visit Health Quality Ontario
  • For more information on the Excellent Care for All Act, visit ECFAA

For helpful tips on how to stay safe in the hospital and at home, visit our Patient Safety page.

WCH publically reports several wait time and patient safety indicators.  For more the most recent results, visit System Performance on the Health Quality Ontario web site.


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  • Fully affiliated with:
  • University of Toronto

  • A member of:
  • Council of Academic Hospitals of Ontario (CAHO)