Standards for Canadian organizations

2020 Edition

Performance and Quality Improvement (CA-PQI) 2: Roles and Responsibilities

The organization has sufficient qualified staff, representing different departments and levels of the organization, to conduct and sustain its PQI system.

Interpretation

COA does not expect all staff to be involved in PQI.
2020 Edition

Currently viewing: PERFORMANCE AND QUALITY IMPROVEMENT (CA-PQI)

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Purpose

An organization-wide performance and quality improvement system uses data to promote efficient, effective service delivery and achievement of the organization’s mission and strategic goals.
1
The organization's practices fully meet the standard as indicated by full implementation of the practices outlined in the CA-PQI 2 Practice Standards. Staff have the knowledge and experience needed to implement and coordinate the PQI system, including the ability to implement evaluation methods, as per the requirements of the standard.
2
Practices are basically sound but there is room for improvement as noted in the ratings for the CA-PQI 2 Practice standards; e.g.,
  • Identified staffing and training deficiencies do not significantly compromise the organization's ability to implement its PQI system or sustain it over time; or
  • Job descriptions reflect the required competences, and the organization seeks to hire and/or assign or train people with the requisite skills.
3
Practice requires significant improvement as noted in the ratings for the CA-PQI 2 Practice standards; e.g.,
  • The organization's inability to hire or train staff is presenting a serious challenge to its ability to implement and sustain a PQI system.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the CA-PQI 2 Practice standards.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Job description of staff member(s) responsible for oversight and coordination of the PQI system
  • Tables of contents of PQI training curricula
  • Job descriptions of staff with ongoing PQI responsibilities
  • Documentation tracking staff completion of PQI training 
  • PQI Training curricula 
  • Interviews may include:
    1. PQI personnel 
    2. Managers and program directors 
    3. Relevant personnel

 

CA-PQI 2.01

Staff responsible for implementing and coordinating the organization's PQI system are competent to:
  1. identify indicators of quality practice;
  2. implement internal and external evaluation methods, such as benchmarking, as appropriate to the programs being evaluated;
  3. ensure proper data entry and data integrity;
  4. collect, analyze, and interpret data; and
  5. communicate evidence and findings to staff in a manner that facilitates their active engagement.

Interpretation

PQI may be a shared responsibility as opposed to being under the leadership of a single staff position.
Examples: Organizations that have limited resources or are new to measuring performance can partner with universities or other organizations to gain access to knowledge and expertise related to setting up and sustaining their PQI system, collecting and analyzing data, etc.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • PQI staff have the competency and/or support needed to implement and coordinate the PQI system, but one of the elements is not fully addressed.
3
Practice needs significant improvement; e.g.,
  • PQI staff are not sufficiently competent and/or supported to implement and coordinate the PQI system, e.g., one element is not addressed at all, or two of the elements are not fully addressed.
4
Implementation of the standard is minimal or there is no evidence of implementation at all.

 

CA-PQI 2.02

Staff receive support, as appropriate to their responsibilities, on:
  1. inputting data into the data management system;
  2. using data collection tools and forms;
  3. reading and interpreting reports; and
  4. using data to improve performance.
1
The organization's practices reflect full implementation of the standard.
2
Practices are basically sound but there is room for improvement; e.g.,
  • Most staff receive the support they need.
3
Practice needs significant improvement, e.g.,
  • Staff support is insufficient for at least two of the standard's elements; or
  • Support is not being provided for either element (a) or (b); or
  • The integrity of the data may be compromised due to insufficient staff support.
4
Implementation of the standard is minimal or there is no evidence of implementation at all; e.g.,
  • Staff are not supported and cannot demonstrate competence, and further support is not being provided.