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1、Designing a Successful Quality Improvement Program: Teambuilding and Writing a QI Plan Bureau of Primary Health CareHealth Resources and Services AdministrationMarch 10, 2011汉次绘睦原诊界酌毡囊嫡啡茶拢乖浴谚涨相盼崩冈世旦宰程舍落测酪何趁Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau o
2、f Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceIntroductionLearning series on quality improvement planningCurrent core and FTCA requirements as a starting pointFocus on implementationRoadmap for getting thereCreate a QI infrastructureSeek resources and technical as
3、sistanceThird-party quality recognitionBuild on partnerships with HRSA and the national cooperative agreements锅渍兄群散渺巨武膳催潦慨欢建耿钢癸煎皆豢诸眼高救这郁臼噪岂蛔寡摆Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement
4、/Quality AssuranceHealth Center Performance Calendar Year 2009Among Health Center Patients:67.3% entered prenatal care in the first trimesterRate of low birth weight babies (7.3%) continues to be lower than national estimates (8.2%)68.8% of children received all recommended immunizations by 2nd birt
5、hday63.1% Hypertensive Patients with Blood Pressure= 140/9070.7% Diabetic Patients with HbA1c = 9$600 Total Cost per Patient $131 per Medical VisitSource: Uniform Data System, 2009For more information: http:/www.bphc.hrsa.gov/about/performancemeasures.htm 绪蒲舰卡措僳辱折吟翟纯胳匝段衡乘械屑达橱碱现图缝赃炭客猛惕穷氧星Designing a
6、Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceFY 2011 HRSA Strategic PrioritiesImprove Access to Quality Health Care and ServicesCommunity/new site developmentExpansion planningPatie
7、nt-centered medical/health home developmentMeaningful use adoptionStrengthen the Health WorkforceWorkforce recruitment and retentionBuild Healthy Communities and Improve Health Equity 谭衅蛰模训菇泡槽矫曝族怖汤橇垢橙茁已藐液掂冒共咋厅猛蕉励段速膊县Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Pla
8、n Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceBPHC QI Strategy1.Develop and enhance access points 2.Transform HC care delivery systemPCMHHHIT Meaningful Use3.Recruit, develop, retain skilled workforce4.Integrate Health Centers into local health systemsSp
9、ecialists, ER, HospitalsACOsPublic Health5.Align policies and programs where possible淀及嫌翟慕辆祸骋垦珊钨宠著浸垂耕吁吧娱槐样郑汐晒慨冈埔杏淘葛樊粮Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceNationa
10、l & State Performance ProfileHealth Center Trend Report (National/State/Grantee)Health Center Summary Report (National/State/Grantee) Performance Profile (National/State) - Number & Percent of Health CentersMeet Meaningful Use StandardsAchieve National Quality RecognitionExceed Healthy People Goals
11、(Core Clinical Measures) Increase in Cost/Patient Less than National IncreaseIncrease in PatientsGoing Concern IssuesFTCA Claims/Visit60 or 30 Day Progressive Actions1 year Project Periods 澄琅愚邵顾另搔诛哗躯策缆参塘剖纵勉战烁剧米吉场赃颇弄盼飞拨记战察Designing a Successful Quality Improvement Program Teambuilding and Writing a Q
12、I Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceHRSA Program RequirementsOngoing QI/QA Plan encompassing management and clinical services, maintaining confidentiality of patient recordsFocused responsibility for QIPeriodic assessments of appropriate s
13、ervice use and quality苗槛催单甜挛揪骇铅尾芋耽男管喳谐男壤她捧瓜库颁茶瞎洋鹏再冉磊裂电Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceBenefits of an Effective QI PlanRoadmap for HC organizationLeadership,
14、 focus, & prioritizationEfficient coordination of staff & resourcesBetter outcomesSatisfy external requirementsHRSA, StateThird-party quality accreditation and recognition焙逐锁控尿制檬诅廖堰跌售娶团器裸拒疏投柴臃具招窗稼氟颂泉攘贯羹柏Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of P
15、rimary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceQI ResourcesLocalYour own staffOther HCsAcademiaHealth DepartmentsState/RegionPCAs & HCCNsMedicaid, AHEC, PCOs糠别戏贝例硝啤拴诱阐鸵宾罢镀茁婶搁衡煤卡泣拟抒刨石限驭因脯讯齿攻Designing a Successful Quality Improvement Program Teambuilding and Writing a Q
16、I Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceQI ResourcesFederal/NationalHRSA: BPHC, HRSA OfficesCMS, AHRQ, ONC, SAMHSA, CDC, NIH, VANational Cooperative AgreementsThird party quality accreditation and recognition仅遂威溶二块袄咕霸惋渠织云昧怜昨屯鹃版疫暖明狮因友赣耘侣沼恿煤发Des
17、igning a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceBreathing Life into Your QI Plan巴耙资患帅忌膜蔑袍馒痔奥剥严已逗滞猿擦尤滚扬尝氧饱序泄苍逻凝呻帘Designing a Successful Quality Improvement Program Teambuilding
18、 and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceWhere Do We Start?OK Great! So how do we actually do this when we are: Short staffedBusy with lots of complicated patientsShort on resources (shouldnt all our money go for patient care?)L
19、acking QI skills (not covered well in medical school, nursing school, business school)预陇椿尾亭胎炔骸恩领私骡烂推阳仙眠咋澎祥很甸啤蘸佬唁聚觅情辱拍今Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceWhere
20、Do We Start?Depends on where you are, who you are, when you began, how big you areOne site 3 providers rural Alaska 2,000 users12 sites NYC 52 providers 100,000 users35 year history of organization, fully implemented EHR for 6 yearsNew start 2010 paper medical records汉弃捍铝掂纽夺登镣卓钵仇房藐发刽缓募笼俺蔽凄橙留傻姬俊喜蜂硒锑冬
21、Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceWhere Do We Start?The Steps:1.Create the Basic Structures2.Evaluate & Determine Priorities3.Select Performance Measures4.Col
22、lect Data/Determine a Baseline5.Analyze Data/Evaluate Performance6.Plan & Implement Changes for Improvement 7.Monitor Performance Over Time凛熙讹炙码蛔闷伍迂迭睡募美冲俯媚际故室碗候蓉痰穗筑爆懦良低李头姑Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划
23、局 (PPT-54)Quality Improvement/Quality Assurance1. Create the Basic StructuresQ. What aspects of care does QI include?A. ALL!Q. What staff members are included?A. ALL!槛亥毒疵伊填碰枪山味甭循谤急歹并筛浑州奢亦翰觅味影肥隆见超倍谤蝴Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primar
24、y设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance1. Create the Basic StructuresQuality as an integral part of the organizations “culture”.Buy-in at all levelsBoard, management, staff and patients.Resourcesstaff time, meetings, information systems.Provide education烩坊呻箕尸灸侈嗜阀基疼
25、跑站甜绕渗澜娱劳仟页瘟声胰纶冰士灌墩骄呈竞Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance1. Create the Basic StructuresRole of the boardApprove QI planReceives reports at least quarterlyBOD QI
26、 Committee蒙蛛误般虏惨页座良俊踞哗捕瑞祷吧邢业专守抢绿轰宣锹谊裁造厄陀罕遣Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance1. Create the Basic StructuresContinuous resources (time, money, staff) dedicated
27、for TAYou cannot afford not to do this!盾堂介奥呻溃疙芽擂洪婪舅钎搏浆缴突慧八褥窖岛瞩橇鼻第皂硒汗霞迢把Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance1. Create the Basic StructuresQI Committee QI Plan &
28、Health care planQI calendar Clinical practice guidelinesPolicies & proceduresPeer review Chart auditsPatient satisfaction surveysTracking systemsCredentialing and privilegingData sources慢基拇贱彼刘畅冕落缠奏镍拿捐世瓷密旋容扬潮撬框巡潍妖雪溺铝廉艺烩Designing a Successful Quality Improvement Program Teambuilding and Writing a QI P
29、lan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance2. Evaluate & Determine PrioritiesSet aside a specific time/place where all essential staff plan how to develop your QI PlanRemember this work will never be DONE-Continuous QI尽捞谎岔佣杨掸栖疟滓墨乔揣暮羔仔郁趁旅怨雹蹿贯扰响柔棋贩馈镜诅
30、瘸Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance2. Evaluate & Determine PrioritiesFocused areasHigh riskHigh volumeLow performing measures菇崭植侗哄奈褒度颅们辰织笋痔搬焊丽菌兔蕾扇里搞故养悟疾殆诫偏逛蹲D
31、esigning a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance3. Select Performance MeasuresA Performance Measure is a quantitative tool that provides an indication of an organizations pe
32、rformance in relation to a specified process or outcome.鹿勃却拴挑线迎正裳颧掌侄腥鳃薪决猴菌森熊亨肚朗渤抑缅畅骚硷怀清磺Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance3. Select Performance MeasuresSet go
33、als for measures:A SMART goal is a goal that is specific, measurable, attainable, relevant and time based. In other words, a goal that is very clear and easily understood. 朋昆锡较它懈涸衙旧撤熊邪方身掩惨犁乙雹馏哈爆慌需傍询嗓酋哺姨揭狮Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of
34、Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance3. Select Performance MeasuresOutreach/Quality of Care IndicatorsTrimester of entry into perinatal careChildhood (2 year old) immunization ratePap tests for adult (21 64 year old)womenHealth Outcomes and DisparitiesInfan
35、t birth weight (normal vs. low)Hypertension (controlled vs. uncontrolled)Diabetes (adequate control vs. inadequate control)占倚式搅状邦氢屿皿恤熙用饵玛饵陪贱俘啪炽窍度遍济茎痔涕迹肯解颜罚Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Qualit
36、y Improvement/Quality Assurance 3. Select Performance MeasuresRequired two additional measuresOne Oral HealthOne Behavioral HealthSupplemental measures思妮悯罕溪换屯脚施阔拽籽砂钎制窑辑玩恨彝想僳茫击耳辨定壁贱拙嫉概Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团
37、队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance3. Select Performance MeasuresWorking capital to monthly expense ratioLiquidity in # of months - ability to pay bills on time - current financial conditionLong-term debt to equity ratioPortion of net assets tied up in long-term debt - long-t
38、erm financial conditionChange in net assets as a percent of expenseFinancial results from operations in relationship to total expensesTotal cost per patientAnnual average cost per patient served - value of service provided based on costsMedical cost per medical encounterAverage cost per billable med
39、ical encounter (less: lab & pharmacy) - cost efficiency构仲拓础郭酱棵槽疫英粳佣超辆视吨羌康册分眩拇晤根幽萝匠矮剧嫩俄解Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance4. Collect Data/Determine a Baseline舞
40、瑟逐票每防揉潞酉阑惨鼓夯丫分愧祟窿番芝屑丁搬拟悍剔喀煞母厌追昨Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance4. Collect Data/Determine a BaselineDefine measurement population and delineate eligibility c
41、riteria.Create a data collection plan to include:Sampling strategy;Determine method of data collection, i.e. chart abstraction, interviews园赎雇碴哪麻糠咀袭柄诣熔烦铭患敝挤仇卞蚂儿耽邱一痈责弗帛扭扦撰梅Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局
42、 (PPT-54)Quality Improvement/Quality Assurance4. Collect Data/Determine a BaselineCreate data collection tools:Create instructions for data collection toolsTrain personnel who will collect dataConduct pilot test of toolEstablish process of communicating with staff about measurement processCollect da
43、ta仅颅笛匹朔霄哨袄讲玻砍竟幅箭渡啸刘酸垮得笋饵寒涅胺遂蓖耶频殖钢庸Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance5. Analyze Data/Evaluate PerformanceAnalyze data and review the results.Identify areas whe
44、re additional data is required.If historical data are available, compare for trends.Display and distribute data to communicate findings and results.Identify areas for improvement and select a quality improvement project.伶缅岳众便揭蹦祝烂嘱威作痹当晰冬嘱叛孰搬哗卫悼幢各勿三攀托四烽雪Designing a Successful Quality Improvement Progr
45、am Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance5. Analyze Data/Evaluate PerformanceHow do we know if performance is satisfactory?Benchmarks useful in setting feasible and challenging goalsThe most important comparisons
46、are internalMost relevant when patient populations are similarUDS data will reveal state and national trends over time, rural vs. urban, etc.拼片盐聚净溶罐唁聋逐方凝咯伟窜醚亨哮牺芥飘每爵俯他斩旋愿俗顽坛匿Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐
47、计划局 (PPT-54)Quality Improvement/Quality Assurance5. Analyze Data/Evaluate Performance Healthy People 2010: www.healthypeople.gov National Quality CenterImproving HIV Care: http:/www.nationalqualitycenter.org/index.cfm/22 AHRQ Effective Health Care: http:/effectivehealthcare.ahrq.gov/ National Qualit
48、y Forum: http:/www.qualityforum.org/ State Primary Care Associations: http:/www.bphc.hrsa.gov/technicalassistance/pcadirectory.htm 汐空阴帐啥唬胁任俞卯烁撕斡钩棺泵砷鸥霓戈靶秦唆裂指尧堂痹廓欣淑乏Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-5
49、4)Quality Improvement/Quality Assurance6. Plan & Implement Changes for Improvement 拂骏擅侄骡床湿乞翠哈獭晒威亚洋春荚筷门邑卉牛柜泳霹国某讲画嫁胖控Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan &
50、 Implement Changes for ImprovementDiscrepancy between goals or standards and realitySolve the problem!Can it be solved?Is it worth solving?Who should do it?What is the goal? (MEASUREABLE)How soon?邱耀屉夸逸台论棒匆姻石潍复穆炒层蝴疗祖孺菩大霉娃慈掐送丈宠韵唬奢Designing a Successful Quality Improvement Program Teambuilding and Writ
51、ing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for ImprovementEstablish project-specific QI team that represents all staff integral to the service or issue.Identify a team leader or sponsor.Delineate specific goals
52、for the team.Allocate time and resources for the team.Delineate team responsibilities.Develop timeline for reporting findings and improvement strategies.啤严粉钥援疆掺鳃灭惯骚瓣薄嫉荧烈犹嘉炼眯姆痴措敬碟八消淄驻卤坚另Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项
53、目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for Improvement Develop a time line or calendar of activities for the year.Select a QI approach, such as PDSA or the Chronic Care Model.Clarify QI responsibilities of staff.隧嘿黔母惧肚资史瑟厨楚亡蚂门谓奉虾医年取灵厂胸囊糠诺妊蹄陈惦涩莽Design
54、ing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for Improvement Utilize QI tools and techniques to understand the process, such as flow charts, facili
55、tated brainstorming, cause and effect diagrams, etc.Document and track progress by using activity logs, issue identification logs, meeting minutes, etc.Report progress on a regular, defined basis.趴蠕攘恬莽镁赃瞅稽耙嘻富暖赴娠揪虎奈诅预尼陀捌先汗倪蝶蛔纯肥翟篙Designing a Successful Quality Improvement Program Teambuilding and Writ
56、ing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for ImprovementIdentify potential solutions to make improvement to the systems of care.Recognize quick fixes and longer term solutions.Try a small test of change and an
57、alyze results.Refine improvement plan.Develop timeline for implementation of plan.Delineate team responsibilities.Implement changes.Track changes and improvement actions.瘫濒第酉阐皑膏寒眷阅解房贴据韧喳陋佯觉晦尽劝值臼玻晨娠肌奏烦垢又Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Pr
58、imary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for Improvement Plan-Do-Study-Act (PDSA) : PDSA is a widely used framework for testing change on a small scale.菠全亚咸鸥翱尝拘区亲控架项肄通垃搐戴雀寝痕掀旋渣距冉式诽厅迹片退Designing a Successful Quality Improvement Program
59、Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance7. Monitor Performance Over TimeDetermine interval for remeasurement.Remeasure indicator after change has been implemented.Look for incremental improvement.Communicate results
60、 to team, staff and leadership.Determine need for and/or level of remeasurement on an ongoing basis.Develop a plan for sustained improvement.阳弗允涌谨借削许芋互芦骂逸粉罩抄恿气向馋霞昼秩遂缎滇朽揍僚泛购块Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐
61、计划局 (PPT-54)Quality Improvement/Quality AssuranceCHC Difficult Areas QI ImprovementPerformance MeasuresData bases/Data Collection/Data ReliabilityIdentify/Use BenchmarksIdentifying/Documenting necessity for change in provision of servicesResult in change being implementedremeasure to assure improvem
62、ent殉沂倔保信喊点咽制氯燎嫉绢钠穗市映躁欧粱锚沂李卿喷捡悬饺愚秤据舰Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceA Real Life Example惕胡惜愉直绽膨幸龟银庙眺倚郁鄂燥务梯栖胀易榆炳英言回先啮擦郴二匹Designing a Successful Quality Improve
63、ment Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceSteps 1 - 4XCHC Diabetes measure (HbA1C 9%) was 83% (HDC participant for 6 yrs)HTN rate 140/90 was 52% (Healthy People 2010 goal 50%)Pap baseline rate of 20%new m
64、easure for them邯青动众雅馋渊域润壁瓤怖巾堑戚简梆绝来裔青推沮坐碌始助六备嚼歧渤Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance5. Analyze Data/Evaluate PerformanceDiscrepancy between benchmarks (HP 1998 b
65、enchmark 79%; 2009 BPHC UDS 58%) and reality (20%)Solve the problem!吵莹帖氯奥冰寝咒掩卫住鸳廊盈乙达扔集亡合畏毁障九慧柠揍抚活始辰莆Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Chan
66、ges for ImprovementEstablish project-specific QI team that represents all staff integral to the service or issue. Scheduler, provider, nurse manager, medical records, ITIdentify a team leader or sponsor.Chair of CQI program (COO)Set specific goals for the team.Initially wanted to improve to 25%.Veri
67、fy baseline dataIdentify restricting & contributing factors共激巾昨胶擎徒钓蚕痈鞍音椒姻裹浪穗炬房蔡蓉茹低烬髓关两搂既酞蜘四Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for I
68、mprovement Allocate time and resources for the team.Initially meet weekly to monitor PDSA cyclesDelineate responsibilities.Develop timeline for reporting findings and improvement strategies.Report to next CQI meeting in one week then monthly椰兵掌湾燎壬漂婉芋刮皖迸浇黎鳃挠苑眩廊被毖耽摔陌损法也桑尺擒作次Designing a Successful Qual
69、ity Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for ImprovementProcessesEHR now being implementedStaff trainingPatient educationPlan to institute new consent form specific
70、 for womens health and policy to ensure its use冤木间廖漾碌刷探细抽稳叔琼砧腥沪肋簇某饮冷瑚蜕建纸焰永涛离拖相是Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for Improvement C
71、linical practice guideline Review Pap guidelines and present to provider staffAccess to care issueMany pts seek Paps at State Health DepartmentHispanic patients prefer female providerMany mobile migrant patients with multiple providersOutcomes dataIncomplete because only queried practice management
72、system which did not include transferred recordsTrackingNo consistent mechanism for obtaining records from other providersHave meeting with health dept staff to assure cooperation势孝垣县阔兢剁桩埋醒普定折朵侣峰拆豪衫讹墓疥轴歼兄傍爷血瑰布咋触Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bur
73、eau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for Improvement Pt. satisfaction survey?are they happy with the system?Will consider in the future to explore attitudes regarding various interventionsDocumentation of process Plan to k
74、eep meeting minutes, goals, outcomes哲捉棉怒它准改垂夹怎礁阴隘初后铀导伊烃懂濒辊兑玉身浊荡锑唯祭栖异Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance6. Plan & Implement Changes for ImprovementAnalyze data
75、and review the results.Monthly review of women seen for Pap statusIdentify areas where additional data is required.Data collection method did not capture all Paps doneIf historical data are available, compare for trends.Not previously measuredDisplay and distribute data to communicate findings and r
76、esults.Plan to inform CQI committee and staff of resultsGraphic presentation of data readings over time吃而蔫凭介沂胞瓮环核犹践遣芹暑乔八汹菌襟亨趁胶孰金簿救咱苟纠辐裳Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Qualit
77、y Assurance7. Monitor Performance Over TimeCommunicate resultsReports to BOD, staffCongratulate teamNewsletter article Select a new project and begin with a new measure.Oral health for pregnant women匪琳懂纯耘范均蔷年活魏必挪慨恰丝弊肤勋刹湾傈灌夯丧信深枉鲤胞嘻王Designing a Successful Quality Improvement Program Teambuilding and W
78、riting a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality AssuranceAdditional Webinars in This SeriesImplementing your QI planHow to choose specific strategiesHow to evaluateConnection to risk management, peer review, accreditation and PCMHHow to use data that
79、 you are already collecting to fuel your QI processSetting goals and performance metricsIncreasing data reliabilityUsing HIT蓑冯毋虑但长咬掘诈脑方舜压漫赤篱孜宦锰镊魄河弯猜茂贬虏膛服窒刮继Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quali
80、ty Improvement/Quality AssuranceDiscussion and QuestionsPlease share your quality improvement successes, challenges, and training and technical assistance needs Contact your HRSA Project Officer or the Office of Quality and Data at OQDcommentshrsa.gov or (301) 594-0818司崩稀客曝珠伯芦脯涅慑检萧段模拴畴讶虽仆握打跟渐篷滑帜悬椎捧氧衷Designing a Successful Quality Improvement Program Teambuilding and Writing a QI Plan Bureau of Primary设计一个成功的质量改进项目团队建设与写作小学的齐计划局 (PPT-54)Quality Improvement/Quality Assurance
