Quality and Evaluation in a Comprehensive Health Organization

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An innovative approach to delivering health care is being developed in several Ontario communities. The Ontario Ministry of Health has been guiding and assisting a number of communities as they pursue development of the comprehensive health organization concept (CHO). The CHO initiative has been evolving over the past five to six years and is driven primarily by enthusiasm and work at the grassroots community level. This short report describes the initial framework for quality and evaluation in a CHO. Given that there are no CHOs operational as yet (the first two are scheduled to open in northern Ontario in 1995), there is tremendous opportunity to develop a comprehensive approach to quality and evaluation that uses I wide range of tools and methodologies.

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