Accountability Reports

If you have any questions, or would like some more information about our Accountability initiatives, please contact the Public Relations Office

Quality Improvement Plan

Quality improvement is an ongoing priority that helps us continually find new and better ways of doing things so that we can enhance care for patients, increase satisfaction and achieve even better clinical outcomes.

Our Quality Improvement Plan, or QIP, is one tool that we are using to help us document and review our current performance in a variety of areas. With this plan, we will be able to very clearly see our targeted areas for improvement and chart our progress.

Background on the Quality Improvement Plan
Our Plan 2022 - 2023 (click to see document)

Background on the Quality Improvement Plan
Our Plan 2023 - 2024 (click to see document)

In June 2010, the Ontario Government passed the Excellent Care for All Act. This legislation will help support hospitals to further improve the quality and safety of care they provide for members of our community.

2022-23-QIP-Targets-and-Initiatives (click to see document)

2023-24-QIP-Targets-and-Initiatives (click to see document)

One of the ways that the Excellent Care for All Act is helping hospitals
meet our community’s expectations regarding quality, patient safety and accountability is through the public reporting of Quality Improvement Plans (QIP).

How to Read the Quality Improvement Plan
Our Quality Improvement Plan (QIP) is made up of two parts:
1) A document that provides a brief overview of our quality improvement plan, highlighting and listing our hospital’s top priorities for the year.
2) A spreadsheet that includes our improvement targets and initiatives. The spreadsheet includes a core set of indicators that all similar hospitals across the province are working on.

Previous QIPs
Hospital Quality Improvement Plan Narrative 2019-2020 (click to see document)

Hospital Quality Improvement Plan Targets and Initiatives 2019-2020 (click to see document)

Please visit for more information about the legislation and its requirements, including the Quality Improvement Plan.

BPS Attestation

In accordance with the Broader Public Sector Accountability Act, 2010, all Ontario hospitals annually attest to their compliance with consultant reporting requirements, the prohibition on engaging lobbyist services using public funds, and directives issued under the Act relating to expense claims, perquisites, and procurement.

BPSAA Reporting October 1, 2018 - March 31, 2019 (click to see document)

BPSAA Reporting April 1, 2019 - September 30, 2019 (click to see document)

BPSAA Reporting October 1, 2019-March 31, 2020 (click to see document)

BPSAA Reporting April 1, 2020-Sept 30, 2020 (click to see document)

BPSAA Reporting October 1, 2020 - March 31, 2021 (click to see document)

BPSAA Reporting April 1, 2020 - March 31, 2021 (click to see document)

BPSAA Reporting October 1, 2021 - March 31, 2022 (click to see document)

BPSAA Reporting April 1, 2022 – September 30, 2022 (click to see document)

BPSAA Reporting Oct 1, 2022 – March 31, 2023 (click to see document)

Environmental Reporting -- Energy Monitoring

Under Regulation 507/18, every public hospital is required to prepare, publish, make available to the public and implement energy conservation and demand management plans.

Energy Management Plan (click to see document)

Salary Disclosure

The Public Sector Salary Disclosure Act, 1996 makes Ontario’s public sector more open and accountable to taxpayers. The act requires organizations that receive public funding from the Province of Ontario to make public, by March 31 each year, the names, positions, salaries and total taxable benefits of employees paid $100,000 or more in the previous calendar year. The most recent disclosure can be found on the Ministry of Finance website.

Patient Safety Indicators

Patient safety is our number-one priority at West Haldimand General Hospital. A big part of that commitment is routinely monitoring, tracking and reporting our hospital-acquired infection rates. Hospital-acquired infections are spread through bacteria and viruses. These same bacteria and viruses can also be found in the community.

By tracking our infection rates, we can identify where issues exist and take the necessary measures to improve. Information about infection rates is available below.

Infection Prevention and Control Safety Measure Rates (click to see document)

Hospital Service Accountability Agreement (HSAA)

Please see the WHGH HSAA Accountability Agreements below:

Hospital Service Accountability Agreement (HSAA) 2023-24

HSAA Declaration of Compliance