A good example of this is the geriatric outreach program that moved from acute care to the community, following discussion with program staff. Goals within a strategic framework are used to plan service delivery. Outcomes of goals are measured by indicators that link to a balanced score card reporting format. Progress is monitored and when indicated the EMT will introduce changes, with various team members assuming accountability for specific responsibilities. The EMT has established population advisory groups which provide feedback and input into care and service.
Medical leaders participate in provincial medical director meetings.
NSHR participates in provincial networks such as child health and this has lead to the introduction of youth clinics, based on evidence of best practices. Partnerships with municipal family services are in place. There is good liaison with other health organizations in the lower mainland. The discharge planning team is active in identifying gaps in meeting client needs following discharge. All of these mechanisms are good examples of promoting continuity in care and service delivery and facilitating a client centred approach.