Completing Yo r Q alit Completing Your Quality Improvement Plan

Part A ‐What the organization will be focusing on andhow these objectives and initiatives will be achievedAims & Measures ‐ By March h31st 2012, we will:• Reduce emergency department wait times by one hour, from16 to 15 (as measured by maximum time spent in ED for 9 of10 patients with complex needs)• Reduce the percent of beds that are ALC (alternate level ofcare) from 21% to 19%• Reduce readmissions by 5% for selected conditions• Have 73% of our patients say they would “definitely”i recommend our hospital to others (increase from 70%; this ispart of a three year plan to increase this to 80%).41