Renfrew Victoria Hospital awarded two-year BPSO® designation

September 19, 2022

 The RVH physiotherapy team

The Renfrew Victoria Hospital physiotherapy team: Stefanie Coughlin, Cheryl Laking, Stephanie Wright, Jenn St. Michael, Jennifer Campbell and Andrew Ritchie, took the lead on some Best Practice Guidelines such as Falls, as part of RVH’s RNAO Best Practice Spotlight Organization (BPSO) designation work.


The Registered Nurses’ Association of Ontario (RNAO) recently informed RVH leadership that the hospital has been awarded BPSO® Designation for 2022-2024, and is eligible to continue in the program.

The Best Practice Spotlight Organization (BPSO®) program supports designated organizations’ ongoing work to implement, sustain and evaluate best practice guidelines that will enhance clinical and health outcomes. RVH was first accepted into the BPSO program in 2015.

“We’re proud of our long-standing partnership with RVH and commend them on their dedication to evidence-based practice that has endured despite the pandemic and health human resource challenges,” stated Susan McNeill, RN, BScN, MPH, Associate Director, Guideline Implementation and Knowledge Transfer, RNAO.

The letter from RNAO congratulated RVH on its outstanding work, noting the “continued support to nursing and the interprofessional team to build capacity, maximize clinical excellence through use of RNAO’s Best Practice Guidelines, and evaluate outcomes is commendable.”

Recent activities that helped earn the designation were:

  • establishment of Best Practice Champion Working Groups and a Best Practice Leadership team that meet regularly
  • collaboration and co-creation of initiatives with our Patient and Family Advisory Council (PFAC)
  • implementation of falls Best Practice Guidelines (BPG) – led by the RVH Physiotherapy team
  • implementation of an “Up for Meals” initiative on the Complex Continuing Care unit to increase functional mobility for appropriate patients and reduce falls
  • implementation of the Adopting eHealth Solutions BPG
  • using nurse Champions as EPIC (electronic health information system) Super Users.


Past BPSO initiatives have included screening for delirium, dementia and depression in older adults, decision support for adults living with Chronic Kidney Disease, women abuse: screening, identification and initial response in the ED, and assessment and management of pain.

“Congratulations to everyone involved! We’re very proud of this accomplishment… it’s a great example of the work staff and physicians do every day for patients and improving their care!” said Julia Boudreau, RVH CEO, noting that staff continued to make BPSO work an RVH priority in the midst of many other pressures.

Over the next two years, BPSO activities at RVH may include:

  • re-examining the Pain BPG to see how the EPIC system can help with collection and reporting of data
  • re-examining the Woman Abuse: Screening, Identification and Initial Response BPG
  • continue participation in the NQuIRE data system to identify indicators that align with the BPGs that are being implemented and begin reporting evaluation data to the NQuIRE data system.


“We have many champions of patient and family centred care, frontline staff and others, who are very engaged in this program. We look forward to the initiatives that will be implemented over the next two years to improve the patient and family experience and outcomes,” noted Chris Ferguson, RVH VP of Patient Services and Chief Nursing Executive.

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For more information, please contact:
Julia Boudreau, CEO,
Renfrew Victoria Hospital & St. Francis Memorial Hospital
613-432-4851, ext. 260