To address the first of six components of the RDMI (leadership and governance), we have formed the Executive Steering Committee that is responsible for creating and maintaining an environment for the execution of the plan.
Risk stratification, the fourth component of RDMI, is aimed at the provision of proactive patient care with a focus on co-morbidity management while increasing the utilization of home-based dialysis therapies where medically appropriate.
The fifth component of RDMI is the implementation of effective strategies that maintain seamless patient care coordination, communication and integration of health care service delivery throughout the trajectory of care.
Part of the RDMI involves the use of the messages learned from the book Who Moved My Cheese?
One aspect of the work being done in the DCCP is that the team charged with the RDMI is to assist staff to build change competencies.
As we begin work in each of the areas, the RDMI team presents background information about the initiative, as previously discussed.
Through the transition work within the RDMI we are utilizing clinical practice guidelines and published research findings to create or revise policies, procedures, and education programs that are evidencebased.
On an organizational level, the adoption of SOAPEE (the Quality Improvement initiative), the bid to be a Registered Nurses' Association of Ontario (RNAO) Best Practice Spotlight Organization, and the signing of a Memorandum of Agreement with Baxter to embark on the RDMI have been clear messages that quality at St.
During the RDMI transition work, staff is encouraged to look at what is currently happening and to express a vision of the future.