These hospitals have different focuses and priorities, but the QI programs for both reflect the overarching goal of improving the quality of care (encompassing patient experience, safety, and hygiene). But health systems can learn from successful clinical quality improvement projects and implementing key principles of their success. With lives at stake and specific standards that must be met, hospitals are held more accountable for excellence than your typical organization. Below are three successful clinical examples of quality improvement in healthcare covering a wide range of issues facing many health systems today. Targeting processes such as chronic obstructive pulmonary disorder readmissions and medication reconciliation at discharge, these quality initiative examples are very different from SHSC, but still focused on improving care overall. The IDPH has adopted the Lean Six Sigma (LSS) quality improvement methodology using Kaizen events and the Plan-Do-Study-Act (PDSA) (image of cycle found below) as the framework in implementing continuous quality improvement initiatives. Work as Systems and Processes – An organization needs to understand its own delivery system and key processes, rather... 2. The Quality Improvement program requirements for MA organizations are described in 42 CFR 422.152. Sharp Health Plan’s advocates a collaborative approach to foster a culture of patient safety, reduce medical errors, and promote high quality care. And yet more and more hospitals are proving that theory wrong. Our QIP is focused on creating a positive patient experience and delivering high quality health care. UC San Diego’s QI project was based on improving hospital discharges. Here are four key principals that the healthcare systems can consider for quality improvement: 1. Successful efforts rely on the routine collection and analysis of data. The QI project included creating a board-level commission, establishing a best-practices group, replacing critical leaders, and introducing new clinical guidelines and policies to improve safety, communication, and transparency. Study. Beth Israel was able to reduce readmissions, lengths of stay, incidents of deep vein thrombosis, infections, and complications, as well as patient mortality rates. A QI program is a set of focused activities designed to monitor, analyze, and improve the quality of processes in order to improve the healthcare outcomes in an organization. Quality services are services that are provided in a safe, effective, recipient- centered, timely, equitable, and recovery-oriented fashion. Best-practice rural hospitals ensure that all staff have a clear understanding of the hospital’s QAPI Plan … Set goals. Designed for practice teams working with practice facilitators to improve the ABCS (aspirin, blood pressure, cholesterol, and smoking cessation) of heart health, the worksheet has practices discuss how things currently work and identify improvements they want to make, set “SMART” (specific, measurable, actionable, realistic, and time-bound) goals, and generate a list of testable changes needed to achieve them. Implementing a quality plan creates a culture of quality where growth can be managed, and business can be marketed more effectively. Beth Israel is an excellent example of how tangible changes can result from a QI project. Many health plans across the United States have embraced the Triple Aim as an organizing framework to optimally serve their members. Peach State Health Plan believes quality is an organizational value synonymous with performance and incorporates monitoring, evaluation and analysis of: Resource: Action Plan Worksheet (Word, 22 KB, 2 pages). improving patient safety or lowering patient mortality). National Public Health Improvement Initiative Through this program, CDC supports state, tribal, local, and territorial health departments to make fundamental changes and enhancements in their organizations and implement practices that improve the delivery and impact of public health services; National Quality Strategy External Quality Improvement. (Remember, programs are ongoing, long-term, and proactive initiatives that span the organization.) 3 The delivery of healthcare with improved outcomes and lower cost through continuous redesigning of work processes and systems. To sign up for updates or to access your subscriberpreferences, please enter your email address below. The QI Plan is a basic guidance document about how a public health department will manage, deploy, and review quality throughout the organization. A Quality Improvement Plan (QIP) is a formal, documented set of quality commitments aligned with system and provincial priorities that a health care organization makes to its patients/clients/residents, staff and community to improve quality through focused targets and actions. The organization continuously strives to ensure that: Information about Quality Improvement ESHC is a SAFE hospital that provides a high level of QUALITY care. Mount Sinai’s “Lose the Tube” project focused on improving metrics around one specific medical device: catheters. Make sure you customize each program and process that you implement based on your organization's goals. Implement the following best practices to develop an organization-wide quality-focused culture 1. Session #2: "How to leverage resources to design a successful health center QI program” Designing a Successful Quality Improvement Program: Teambuilding and Writing a QI Plan (PPT - 3.3 MB; Seiji Hayashi, the Bureau of Primary Health Care’s Chief Medical Officer, will outline BPHC’s strategy to guide and support health center QI planning. The template includes instructions to the author, boilerplate text, and fields that should be … Contact us to learn more about how our software can help healthcare organizations. This is the step in which the components of the plan are implemented. The project successfully reduced CAUTI rates from 2.67/month to .2/month. The right data in the right format, at the right time, in the right hands. This Word worksheet helps primary care practices create action plans for seven high-leverage changes to implement evidence, in alignment with Key Driver 2: Implement a data-driven quality improvement process to integrate evidence into practice procedures. Sharp Health Plan focuses on monitoring clinical performance indicators, provider credentialing and coordination of care to ensure a safe delivery system. Permissions: Used with permission of Healthy Hearts Northwest. 5600 Fishers Lane The outcomes were nothing but positive. The QI project was aimed at decreasing the number of catheter-associated urinary tract infections (CAUTI) in the hospital. This step involves identifying a goal or purpose, formulating an intervention or theory for change, defining... Do. Results also showed better communication with the patient’s support network to ensure the transition of care went smoothly after they left the hospital. Content last reviewed November 2018. Through the development of the plan, the organization demonstrates a public commitment to improving the quality … Despite their proliferation and importance, quality improvement programs aren’t something a patient would necessarily notice or observe in a hospital. Agency for Healthcare Research and Quality, Rockville, MD. Our Quality Improvement Plan (QIP) is one of the tools we use to track our performance in a selection of high-priority areas, including patient safety, timely access to effective care and building an integrated health system with our community partners. UC San Diego was able to improve the quality and consistency of discharge instructions. https://www.ahrq.gov/evidencenow/tools/qi-action-plan.html. This was a targeted intervention aimed at changing processes and the leadership structure to improve patient care. The IHI Framework for Improving Health Equity can serve as a foundation for change in health care. Health Plan Accreditation (HPA) Learn how to measure, analyze, report and improve health care quality. However, previous studies have indicated that methodological problems are frequent in PDSA-based QI projects. From Oklahoma State Department of Health Quality Improvement Plan Broadly speaking, the below are best practices for most QI programs. They take place in the background of most day-to-day operations. Quality Improvement Examples: Organization-Wide, Ongoing Programs Patient engagement. The Peach State Health Plan Quality Improvement (QI) program is based on the principles of continuous performance improvement (CPI) which is adopted and utilized throughout the organization. Enter: quality improvement projects in healthcare. Healthcare systems working to improve clinical quality face the difficult challenge of aligning changes across the organization. See if you should add any from this list of 108 healthcare measures and metrics. This project was undertaken simultaneously with the hospital’s efforts to improve medication reconciliation processes. All FEHB plans support quality with educated health professionals, hospitals, nursing homes, clinics, accurate medical records, and open communication. In comparison to the programs above, the following are examples of quality improvement projects in hospitals. After a series of news stories revealed medical errors and poor quality healthcare at Beth Israel, the hospital embarked on a quality improvement program to address the issues. Because healthcare is s… Based on findings from the above exercise, set concrete and measurable goals in the … Rockville, MD 20857 4 Institution of origin: Kaiser Permanente Washington Health Research Institute. Version Number: 1.0 Version Date: Notes to the Author [This document is a template of a Quality Management Plan document for a project. NCQA Health Plan Accreditation evaluates how well a health plan manages all parts of its delivery system – physicians, hospitals, other providers and administrative services – in order to continuously improve the quality of care and services provided to its members. Something as simple as more regular and systematic check-ins was able to dramatically reduce infection for Mount Sinai. Courses prepare quality improvement staff for the NCQA Accreditation process, including program standards, the survey process, and documentation preparation. Designed for practice teams working with practice facilitators to improve the ABCS (aspirin, blood pressure, cholesterol, and smoking cessation) of heart health… Continual and sometimes subtle, these efforts are the primary means for improvement in the industry. Quality Management Plan. Telephone: (301) 427-1364, Health Care Quality Improvement (QI) Action Plan Template, https://www.ahrq.gov/evidencenow/tools/qi-action-plan.html, AHRQ Publishing and Communications Guidelines, Healthcare Cost and Utilization Project (HCUP), Quality Indicator Tools for Data Analytics, United States Health Information Knowledgebase, Funding Opportunities Announcement Guidance, AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research, Public Access to Federally Funded Research, Grant Application, Review & Award Process, Study Sections for Scientific Peer Review, Getting Recognition for Your AHRQ-Funded Study, AHRQ Research Summit on Diagnostic Safety, AHRQ Research Summit on Learning Health Systems, Key Driver 2: Implement a data-driven quality improvement process to integrate evidence into practice procedures, U.S. Department of Health & Human Services. The main focus is on how we deliver our products and services to our customers and how we ensure that they are aligned with customers’ needs. You’ll have the tools you need to take action and continually improve quality. By gathering and analyzing data in key areas, a hospital can effectively implement change. In healthcare, this culture will encompass patient safety, improvements in the quality of services and most importantly, patient satisfaction. The vision of the Ottawa Hospital is to provide each patient with world-class care, exceptional service, and compassion that we would want for our loved ones. For its 8th annual QI plan, Sunnybrook Health had four strategic goals that were supported by multiple activities to improve the quality of service. Safety. Acknowledgements: Healthy Hearts Northwest, Agency for Healthcare Research and Quality EvidenceNOW Initiative, Internet Citation: Health Care Quality Improvement (QI) Action Plan Template. Click To Tweet. Within this site, we provide the Quality Improvement program requirements and relevant HPMS memos and resource information. Quality improvement is a structured approach to evaluating the performance of systems and processes, then determining needed improvements in both functional and operational areas. The hospital had realized that catheters were being given to patients who didn’t need them, and that they were being left in too long. Many programs are organization-wide, ongoing, and long-term (as you’ll see in some of the quality improvement examples later in this article). With lives at stake and specific standards that must be met, hospitals are held more accountable for excellence than your typical organization. The QI Plan is a detailed, and overarching organizational work plan for the health care organization's clinical and service quality improvement activities. What you SHOULD do once you’ve implemented those quality improvement programs, is find a way to report on them. A Quality Improvement Plan is a formal blueprint on how a health care organization will address quality issues and meet its quality improvement goals. This webpage contains information related to the MA Quality Improvement program. This is measured in several ways, including patient surveys. The missing ingredients over the past decades have been strategic intent and a sharply focused equity lens. Furthermore, it has been difficult to establish an association between the use of PDSA and improvements in clinical practices and patient outcomes. We've defined QI programs and provided some current examples of quality improvement in leading healthcare organizations in the US and Canada. Concerned specifically with a hospital's more cyclical activities, such programs aim to continually increase levels of performance (e.g. The indicators align with JBH’s strategic plan and accreditation requirements. Are you tracking the right KPIs? This Word worksheet helps primary care practices create action plans for seven high-leverage changes to implement evidence, in alignment with Key Driver 2: Implement a data-driven quality improvement process to integrate evidence into practice procedures. If clinicians are going to … OPM's definition and evaluation of quality care is strengthened by your health plan selection, feedback, and health improvement. QI projects are reactive and more focused on intervention. Health Plan Medicare Preferred (THPMP) ; Tufts Health Public Plans (THPP): Together (MA); RITogether; QHP Direct : Project Description: Collect and utilize Race, Ethnicity and Language (REL) data in order to find and address any health care inequities, to create new quality improvement initiatives In compliance with the Ontario’s Excellent Care for All Act which came into law in June 2010, The Ottawa Hospital (TOH) is pleased to share its Quality Improvement Plan. The cycle has four parts: Plan. Sunnybrook created an external website to support patients, as well as an internal website to guide... Compassionate care. Definitions of quality improvement Improvement in patient outcomes, system performance, and professional development that results from a combined, multidisciplinary approach in how change is delivered. Not all healthcare organizations operate in the same way, so there's never a one-size-fits-all approach. These are examples from leading healthcare organizations. It’s important to note that QI programs are distinct from process-specific QI projects, which are designed to address and intervene on a specific issue. In this section, we provide two examples of quality improvement in healthcare that are specifically related to programs. 1901 N. Moore Street, Suite 502 | Arlington, VA 22209 | 866-568-0590 | [email protected], Copyright © 2020 Ascendant Strategy Management Group LLC d/b/a ClearPoint Strategy |. The QI Plan is generally developed by executive and clinical leadership and in many organizations must be approved by the organizations governing body such as a Board of Directors. Quality improvement uses a deliberate approach to analyzing performance and a systematic method to improve it. Healthcare systems and processes cancoexist with personalized care—the organization’s “back-end” operations can impact the individual patient’s well-being to an extent that quality improvement measures can be implemented. Quality Improvement Plans provide a meaningful way for ESHC to clearly articulate our accountability to our community, patients and staff. An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care, Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects. (Facility’s Name) is committed to the ongoing improvement of the quality of care its consumers receive, as evidenced by the outcomes of that care. (Note that these are not absolutes, but general guidelines.). Quality Assurance and Quality Improvement activities in that Quality Assurance activities inform the Quality Improvement process. QI projects are shorter term and more reactive than programs. Assess the quality and appropriateness of all Home Health care Use standardized tools and methodology to demonstrate improvement Evaluate the adequacy of clinical documentation utilizing standardized audit tools Measure, analyze, and track quality indicators, including unexpected occurrences and/or … Quality Assurance activities yield data from multiple sources, which, after analysis, is integrated and utilized for planning and guiding administrative and … AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund. Quality improvement tools and methods are well suited to an effort to improve equity in health and care. Quality improvement programs are critical because they drive: With lives at stake and specific standards that must be met, hospitals are held more accountable for excellence than your typical organization. Over five months, a new system of nursing documentation and physician orders was implemented that ensured patients in need of catheters were appropriately cared for. Having a strategic management system like ClearPoint in place allows you to track your metrics for patient outcomes and patient care, identify areas that need improvement, and measure QI efforts and the resulting changes. Because healthcare is so personalized to the patient, it’s sometimes considered hard to apply quality improvement processes. Now more than ever, government and insurance reimbursement for patient care are based on health outcomes rather than procedures undertaken. The Quality Improvement Plan is aligned to the Agency Strategic Map and Plan, Oklahoma Health Improvement Plan and Step UP Performance Management System to assure a continuous quality improvement culture throughout the agency. Background: The Plan-Do-Study-Act (PDSA) method is widely used in quality improvement (QI) strategies. Three of the top areas of focus for 2018/2019 included: JBH’s 2018/2019 quality improvement plan comprises 10 indicators the hospital identified as critical areas of importance. […] CMS Conditions of Participation requires CAHs and PPS facilities to implement, maintain and evaluate their own Quality assurance / performance improvement (QAPI) program to monitor and improve patient care and incorporate quality indicator data related to hospital readmissions and hospital-acquired conditions. That you implement based on health outcomes rather than procedures undertaken successful clinical quality face the difficult challenge of changes! 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