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Chantal Lauzon, PT

In 2015-2017, CPA embarked on a Quality Physiotherapy campaign. The final outcome was a toolkit to enable members to explore each dimension of quality at their own pace.

A committee representing all facets of physiotherapy in Canada has adapted the definitions of Quality from the Institute for Health Improvement (IOM) to the context of our profession. 

Definitions of Dimensions of Quality Physiotherapy

  • Quality Physiotherapy: the degree to which physiotherapy services for individuals and populations increase the likelihood of desired patient outcomes. It is consistent with current professional knowledge, and expressed through the following dimensions: safe, effective, patient-centered, timely, efficient, and equitable. (adapted from IOM)
  • Safe: care that reduces risk of unintended harm to patients as a result of physiotherapy services.
  • Effective: care that is informed by evidence that aims to achieve optimal outcomes and includes the routine use of outcomes measures.
  • Patient-Centred: care that is developed in partnership with patients, that is respectful and responsive to individual patient needs, values, and preferences.
  • Timely: care that is provided according to patient needs and minimizes negative consequences of delays.
  • Efficient: care that optimizes use of available resources to achieve desired patient outcomes.
  • Equitable: care where quality does not vary because of characteristics such as gender, age, ethnicity, culture.


Since this toolkit was published, the IHI has addressed the addition of a fourth aim to the original triple aim (2007). Some organizations are choosing to add a fourth aim; the examples shared are health equity, joy in work, and organizational preparedness. 


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