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
Ideas for Improvement:Change Section of Template• Consider:– What are the best practices to optimize?– How will I measure whether or not these practiceshave been optimized?– What does successful implementation of bestpractices look like (in measurable terms?)16
Distinction Between“Targets” and “Goals”• Goals: what an organization aspires toachieve• Hospitals encouraged to set “stretch goals”• does not need to be tied to exec compensation• Target: a specific goal which is also tied toexec compensation• For this year, may wish to focus on specific outcomes orprocesses which are more within direct control ofexecutive team17
- 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 10 and 11: Patient Experience SurveyThis comin
- Page 12 and 13: Seasonal Variation• Some indicato
- Page 14 and 15: Rare EventsIf you had a bad eventTh
- 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
Ideas for <strong>Improvement</strong>:Change Section of Template• Consider:– What are the best practices to optimize?– How will I measure whether or not these practiceshave been optimized?– What does successful implementation of bestpractices look like (in measurable terms?)16
Change language