Completing Yo r Q alit Completing Your Quality Improvement Plan
Completing Yo r Q alit Completing Your Quality Improvement Plan Completing Yo r Q alit Completing Your Quality Improvement Plan
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13.07.2015
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Patient Experience SurveyThis coming year's score would have toreach this level before you could sayyou’ve made a statistically significantimprovement:If last year's score was:if collect 100surveys / yr)if 300surveys / yr50% 64% 58% 54%60% 73% 68% 64%70% 82% 77% 74%80% 90% 86% 83%if 1000surveys / yrAssuming same sample size each year.10
More Advanced Analyses• Run chart & run chart rules• Statistical process control charts• Oh Other statistical i tests (e.g. Chi‐sq for trend)11
- Page 1: Completing Your QualityImprovement
- Page 4 and 5: What are Required Indicators?• Fo
- Page 6 and 7: Statistical Variation in Measures
- Page 8 and 9: Rare EventsIf you had a bad eventTh
- Page 12 and 13: Seasonal Variation• Some indicato
- Page 14 and 15: Rare EventsIf you had a bad eventTh
- Page 16 and 17: Ideas for Improvement:Change Sectio
- Page 18 and 19: Example• Our plan: improving the
- Page 20 and 21: Template: Line‐by‐Line StyleImp
- Page 22 and 23: “Improvement Initiative”• Opt
- Page 24 and 25: Falls• Hospitals tracking falls i
- Page 26 and 27: VAP, CLI- Follow BundlesVAP:• Hea
- Page 28 and 29: • Special considerations:C Diffic
- Page 30 and 31: ALC, ED waits, Readmissions• Thre
- Page 32 and 33: HSMR• Possible goals: reduction 5
- Page 34 and 35: Patient Experience ‐ Data• Curr
- Page 36 and 37: Setting Performance Goals and Targe
- Page 38 and 39: Part A- Overview• Provide plain l
- Page 40 and 41: Part A ‐What the organization wil
- Page 42 and 43: Part A ‐ Ideas for ImprovementFro
- Page 44 and 45: How the plan aligns with the other
More Advanced Analyses• Run chart & run chart rules• Statistical process control charts• Oh Other statistical i tests (e.g. Chi‐sq for trend)11
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