Best Practice Spotlight Organizations (BPSOs) are health-care and academic organizations selected by the Registered Nurses’ Association of Ontario (RNAO) through a request for proposals process to implement and evaluate the RNAO’s best practice guidelines.

It is a dynamic partnership that focuses on making a positive impact on patient care though evidence-based practice. Requests for proposals are released every three years. The Best Practice Spotlight Organization (BPSO) initiative has been a great success. It provides support to organizations that have formally agreed to implement and evaluate multiple RNAO best practice guidelines over a three (3) year period.

First launched in 2003, the BPSO initiative is an off-shoot of the RNAO’s Nursing Best Practice Guideline program which began in November 1999 and has since spread across Canada and to countries around the world.

The Middlesex Hospital Alliance was appointed as an RNAO BPSO Pre-Designate in the spring of 2018. The BPSO program supports the implementation of Best Practice Guidelines (BPGs) through a multi-disciplinary team approach which results in optimizing nursing care, and improved patient and organizational outcomes by promoting a culture of evidence-based nursing practice and decision making.

One component to becoming an RNAO BPSO is the identification and implementation of five BPGs over the next three years at which time MHA will receive our official RNAO BPSO Designation.

Timelines: Implementation of Best Practice Guidelines

Middlesex Hospital Alliance BPSO journey over the next three years. (2018-2021)

Evidence from these BPGs are being incorporated into standards of practice, policies, and protocols across the various professions at Middlesex Hospital Alliance.

For more information on BPSOs, please visit

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