Performance & Accountability

Quality improvement

Accreditation Canada 2023: Exemplary Standing

Accreditation Canada is a not-for-profit, independent organization that conducts external peer reviews to assess the safety and quality of health care organizations’ services based on standards of excellence.

In June 2023, CAMH was accredited with Exemplary Standing – the highest rating available by Accreditation Canada – meeting 99.7% of the requirements of the Accreditation Qmentum program. 

Participating in Accreditation demonstrates our commitment to continuous quality improvement, safety and accountability and ensures that we are providing the safest and highest level of quality care possible. 

Read Accreditation Canada’s 2023 Executive Summary Report here. 

Quality Improvement Plan (QIP)

The Excellent Care for All Act (ECFAA) requires all hospitals to develop an annual Quality Improvement Plan (QIP), which is submitted to Ontario Health. The QIP is a formal, documented set of quality commitments that we make to our patients, staff and community. The QIP is developed under a common provincial vision; however, it is organization-specific and designed to build off previous years’ QIPs in a focused and continuous quality improvement approach. The development of our QIP is a collaborative and shared responsibility within our organization. The engagement process involves discussion and feedback from our patients, families, staff, physicians and leadership at multiple tables and levels. The Clinical Quality Committee of the Board of Trustees oversees the preparation of our annual QIP and the Board of Trustees approves the QIP, ensuring that priorities and initiatives are consistent with broader organizational and provincial quality strategies. The QIP consists of three components: Narrative, Workplan, and the Progress Report. Work on the QIP takes place throughout the year, as change initiatives are tested and implemented.

• 2024-25 Quality Improvement Plan (QIP) Narrative
• 2024-25 Quality Improvement Plan (QIP) Workplan
• 2023-24 Quality Improvement Plan (QIP) Progress Report
• 2023-24 Quality Improvement Plan (QIP) Narrative
• 2023-24 Quality Improvement Plan (QIP) Workplan
• 2022-23 Quality Improvement Plan (QIP) Progress Report
• 2022-23 Quality Improvement Plan (QIP) Narrative
• 2022-23 Quality Improvement Plan (QIP) Workplan
• 2021-22 Quality Improvement Plan (QIP) Progress Report
• 2021-22 Quality Improvement Plan (QIP) Narrative
• 2021-22 Quality Improvement Plan (QIP) Workplan
• 2020-21 Quality Improvement Plan (QIP) Progress Report
• 2020-21 Quality Improvement Plan (QIP) Narrative
• 2020-21 Quality Improvement Plan (QIP) Workplan
• 2019-20 Quality Improvement Plan (QIP) Progress Report
• 2019-20 Quality Improvement Plan (QIP) Narrative
• 2019-20 Quality Improvement Plan (QIP) Workplan
• 2018-19 Quality Improvement Plan (QIP) Progress Report
• 2018-19 Quality Improvement Plan (QIP) Narrative
• 2018-19 Quality Improvement Plan (QIP) Workplan
• 2017-18 Quality Improvement Plan (QIP) Progress Report
• 2017-18 Quality Improvement Plan (QIP) Narrative
• 2017-18 Quality Improvement Plan (QIP) Workplan
• 2016-17 Quality Improvement Plan Progress Report
• 2016-17 Quality Improvement Plan (QIP) Narrative and Workplan
• 2015-16 Quality Improvement Plan Progress Report
• 2015-16 Quality Improvement Plan Narrative and Workplan
• 2014-15 Quality Improvement Plan Progress Report
• 2014-15 Quality Improvement Plan
• 2013-14 Quality Improvement Plan Progress Report
• 2013-14 Quality Improvement Plan
• 2012-13 Quality Improvement Plan Progress Report
• 2012-13 Quality Improvement Plan

Balanced Scorecard

The Balanced Scorecard measures performance, at a high level, on a number of key indicators that are selected as one means of telling the story of CAMH’s progress in pursuit of its Strategic Directions, goals and objectives. A dashboard reporting the status of all indicators provides an overview of the organization’s performance on a quarterly basis of continued strategic development as well as the performance and trending of individual indicators.

• Balanced Scorecard Q3 2022-23

Patient and Public Relations

Patient/Client and Family Annual Perception of Care Survey

The Ontario Perception of Care Survey for Mental Health and Addictions (OPOC-MHA) is one of our most important annual endeavours. It provides us with valuable feedback from the patients and families we serve, about some of the many aspects of their experiences of care at CAMH.  The survey helps us understand what we are doing well and where we need improvement. It’s a crucial component in our ongoing quality improvement efforts.

High level themes that we get feedback about include:

1. Access/Entry to Service
2. Therapist/Support Workers/Staff
3. Environment
4. Participation and Rights
5. Services Provided
6. Discharge or Finishing the Program
7. Overall Experience

• 2021 Acute Care Inpatient OPOC Results
• 2021 Acute Care Outpatient OPOC Results
• 2021 Child, Youth, and Emerging Adult Patients OPOC Results
• 2021 Complex Care and Recovery Inpatient OPOC Results
• 2021 Complex Care and Recovery Outpatient OPOC Results
• 2021 Family and Caregiver OPOC Results
• 2020 OPOC Results
• 2020 OPOC Results for Family Members
• 2019 OPOC Results 
• 2019 OPOC Results for Family Members
• 2018 Acute Care Inpatient OPOC Results
• 2018 Acute Care Outpatient OPOC Results
• 2018 Child, Youth, and Emerging Adult Patients OPOC Results
• 2018 Complex Care and Recovery Inpatient OPOC Results
• 2018 Complex Care and Recovery Outpatient OPOC Results
• 2018 Family and Caregiver OPOC Results
• 2017 OPOC Results - Inpatients
• 2017 OPOC Results - Outpatients
• 2016 OPOC Results
• 2016 OPOC Results for family members
• 2016 OPOC Results Report
• 2015 OPOC Results
• 2015 OPOC Results for family members
• 2015 OPOC Results Report
• 2014 CAMH Client Experience Survey Results
• 2014 Client Experience Survey Summary Inpatient Results by Program
• 2014 Client Experience Survey Summary Outpatient Results by Program
• 2013 Results: Inpatients
• 2013 Results: Outpatients

Patient/Client Relations

CAMH is committed to receiving and responding to feedback about the patient/family experience and all matters pertaining to the operation of the hospital. Validation and resolution of complaints expressed by patients and their family members is an essential aspect of patient-centred and family-sensitive care.

Go to the Client Relations page.

Access to Information

The Freedom of Information and Protection of Privacy Act (FIPPA) gives members of the public the right to request access to CAMH records, other than health records.

If you can't find what you are looking for and would like to make an access request, please visit our FIPPA page.

Fair & Just CAMH

Fair & Just CAMH is an organization-wide initiative with the mandate to create a more equitable CAMH. Anti-Black racism and truth and reconciliation with First Nations, Inuit and Métis are key areas of focus for this initiative. We have made a commitment to report publicly on this work.

Energy Demand Conservation Plans

You can view the Energy Conservation Demand Management Plan for CAMH sites as per Ontario Regulation 507/18.

CAMH Brain Health Imaging Centre cyclotrons

CAMH is licensed by the Canadian Nuclear Safety Commission (CNSC) to operate two cyclotrons at its College Street location. To view the full PET Centre Cyclotrons - Public Information and Disclosure Protocol, visit the  Brain Health Imaging Centre page.

The Brain Health Imaging Centre (BHIC) facility will be relocated from its current location at CAMH’s College Street campus to the Research & Discovery Centre, scheduled to open in 2027. BHIC houses two cyclotrons for the production of imaging radiopharmaceuticals fully dedicated to positron emission tomography (PET) research on brain disorders. Two new cyclotrons will replace the existing two in the new building. They will be installed in adjacent underground bunkers on the south side of the Research & Discovery Centre.

Learn more here: https://www.experta-spa.com/en/camh-news-and-stories/the-brain-health-imaging-centre-will-be-relocating