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Excellent Care for All Act Updates

Patient Declaration of Values


Update - as of November 12, 2010

The Excellent Care for All Act (ECFAA) requires all hospitals to have a patient declaration of values in place that :


What this Means for Hospitals

Hospitals that already have a patient declaration of values in place are not required to develop a new one, as long as the declaration was developed through public consultation.

Hospitals that do not have a patient declaration of values in place, or have a declaration of values that was developed without public consultation must :

A recent survey of Ontario hospitals found that 84% of hospitals currently have a patient declaration of values, but that only 42% of these were produced through public consultation. As a result, many health care organizations will need to conduct a public consultation process and develop a declaration of values based on that process.

What is "public" consultation?

In the context of developing a patient declaration of values, "public" is defined as patients, their caregivers, and stakeholders such as patient advocacy groups, the broader public residing in the hospital's community, and other relevant individuals and organizations.

Naming Conventions

At this time, the name of the declaration document is not relevant for compliance with the ECFAA. The patient declaration of values can have other names, such as a bill of rights, philosophy of care, patient code of conduct or similar. What is important is that the declaration must be publicly available, it must have been created in consultation with the community served by the hospital, and it must include content appropriate to a patient declaration of values.

Documentation

The consultation process should be documented with reasonable detail about the people and groups that were consulted and the methods of data collection and analysis that were used.

Distinguishing the Patient Declaration of Values from other organizational statements

The patient declaration of values is distinct other from typical organizational documents such as mission, vision and an organizational values statements. Hospitals will need to appropriately distinguish between their patient declaration of values and these other organizational declarations.

The consultation process

Consulting Ontarians in the development of a patient declaration of values will both inform and empower them. It will provide an opportunity for public engagement, clarify what Ontarians can expect from health care organizations, and highlight the importance of a patient-centred approach to health care.

The Patient Declaration of Values Guidance Document outlines general best practice principles to guide hospitals through the consultation process. These are not intended to constitute specific compliance requirements.

The process of creating a patient declaration of values may in many ways be almost as important as the final declaration itself, because it will create and improve relationships throughout the hospital’s community.

Is your hospital "compliant"?

There are three basic scenarios that exist with respect to hospital compliance with the ECFAA Section 7.(1)(a), (b) and Section 7(2).

Compliance Scenario One :
A hospital has a publicly available patient declaration of values
If that declaration of values was produced after consultation with the public, that hospital is compliant.

Compliance Scenario Two :
A hospital has no publicly available patient declaration of values
If as of December 8, 2010, that hospital will have/has commenced consultation with the public concerning a draft patient declaration of values, and as of June 8, 2011 that hospital will have/has finalized a patient declaration of values based on that consultation and made it available to the public, that hospital is compliant.

Compliance Scenario Three :
A hospital has a publicly available patient declaration of values, but it was not produced after consultation with the public
If as of December 8, 2010, that hospital will have/has commenced consultation with the public concerning a new draft patient declaration of values, and as of June 8, 2011 that hospital will have/has finalized a new patient declaration of values based on that consultation and made it available to the public, that hospital is compliant.

What could be included in a patient declaration of values?
The Patient Declaration of Values Guidance Document lists themes and core values of patient-centred care that were developed through consultation with a broad array of experts and public representatives. They are meant to be used for example and reference only.

Learn more

For further details, including a summary of the process undertaken to make these recommendations, please see the Patient Declaration of Values Guidance Document

Related Legislation

Section 7.
(1) Every health care organization that does not already have a publicly available patient declaration of values produced after consultation with the public shall,

a) within six months of becoming subject to this section, consult with the public concerning a draft patient declaration of values; and
b) within 12 months of becoming subject to this section, finalize the patient declaration of values and make it available to the public.

For More Information

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