Quality Improvement Plan Name of Your Group
Date of the Plan Teamwork Quote from Week 2
Section 1 Introduction Introduction: Program or Issue Background and Purpose Statement (Restate your group’s proposal and purpose statement from Week 3 here.) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
Definitions (Define the key clinical and quality terms used in the quality improvement plan so that there is a consistent language among team members. Refer to the U.S. Department of Health and Human Services: Developing and implementing a QI plan: Introduction link in Week 3 for guidance.)
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Section 2 Leadership and Organization Team Sponsor
Date of the Plan Teamwork Quote from Week 2
Section 1 Introduction Introduction: Program or Issue Background and Purpose Statement (Restate your group’s proposal and purpose statement from Week 3 here.) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
Definitions (Define the key clinical and quality terms used in the quality improvement plan so that there is a consistent language among team members. Refer to the U.S. Department of Health and Human Services: Developing and implementing a QI plan: Introduction link in Week 3 for guidance.)
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Section 2 Leadership and Organization Team Sponsor
The key to the success of the quality improvement process is sponsorship and leadership. The following describes how the team sponsor provides support to quality improvement activities. (Refer to Chapter 12 of Understanding Teamwork in Healthcare for guidance on the team sponsor’s role.)
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Quality Improvement Committee This committee develops the quality improvement plan and activities. (List the names of group members and their roles on the committee. The membership should include representatives from the clinical and management areas as well as a recipient/family member for adult settings and a family member for children settings. Indicate the team leader. Refer to Chapters 3, 4, and 5 of Understanding teamwork in healthcare for guidance on the roles of committee members.)
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Section 3 Quality Intervention Identify the recurring quality problem and determine how the problem results from existing processes and procedures. Devise a flowchart or map of the process. After the process is mapped, it becomes clear what interventions are needed. Define the intervention that will address the problem and who will be involved (whose behavior will change as a result of the quality intervention). (Refer to the U.S. Department of Health and Human Services: Developing and implementing a QI plan: Introduction link in Week 3 for guidance.) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
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Quality Improvement Committee This committee develops the quality improvement plan and activities. (List the names of group members and their roles on the committee. The membership should include representatives from the clinical and management areas as well as a recipient/family member for adult settings and a family member for children settings. Indicate the team leader. Refer to Chapters 3, 4, and 5 of Understanding teamwork in healthcare for guidance on the roles of committee members.)
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Section 3 Quality Intervention Identify the recurring quality problem and determine how the problem results from existing processes and procedures. Devise a flowchart or map of the process. After the process is mapped, it becomes clear what interventions are needed. Define the intervention that will address the problem and who will be involved (whose behavior will change as a result of the quality intervention). (Refer to the U.S. Department of Health and Human Services: Developing and implementing a QI plan: Introduction link in Week 3 for guidance.) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
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Section 4 Training Plan Describe how the training will be delivered; for example, train-the-trainer, TeamSTEPPS, or another method. (Refer to the About TeamSTEPPS link in Week 11 for guidance.) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
Section 6 Evaluation Plan Describe how your group will evaluate the impact of training, who will be responsible for developing the evaluation, how the results will be communicated, and who is responsible for approving the evaluation plan. (Refer to the U.S. Department of Health and Human Services: Developing and implementing a QI plan, Part 5: Implementing a QI plan in Week 12 for guidance.)
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Section 4 Training Plan Describe how the training will be delivered; for example, train-the-trainer, TeamSTEPPS, or another method. (Refer to the About TeamSTEPPS link in Week 11 for guidance.) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
Section 6 Evaluation Plan Describe how your group will evaluate the impact of training, who will be responsible for developing the evaluation, how the results will be communicated, and who is responsible for approving the evaluation plan. (Refer to the U.S. Department of Health and Human Services: Developing and implementing a QI plan, Part 5: Implementing a QI plan in Week 12 for guidance.)
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Section 7 Communications Plan Develop a plan for communicating to leadership, staff, and community stakeholders what will be done and how the goal will be achieved. The communication may take place through the following methods: posters displayed in common areas, newsletters, handouts, participation in department meetings, or reports to community groups, for example. (Refer to the U.S. Department of Health and Human Services: Developing and implementing a QI plan, Part 5: Implementing a QI plan in Week 12 for guidance.)
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Adapted from: New York State Office of Mental Health, Office of Quality Management (2005). Quality improvement plan. Retrieved
from http://www.hrsa.gov/quality/toolbox/methodology/developingandimplementingaqiplan/part6.html U.S. Department of Health and Human Services, Health Resources and Services Administration, Developing and
implementing a QI plan. Retrieved from http://www.hrsa.gov/quality/toolbox/methodology/developingandimplementingaqiplan/index.html
Section 7 Communications Plan Develop a plan for communicating to leadership, staff, and community stakeholders what will be done and how the goal will be achieved. The communication may take place through the following methods: posters displayed in common areas, newsletters, handouts, participation in department meetings, or reports to community groups, for example. (Refer to the U.S. Department of Health and Human Services: Developing and implementing a QI plan, Part 5: Implementing a QI plan in Week 12 for guidance.)
_________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 2
Adapted from: New York State Office of Mental Health, Office of Quality Management (2005). Quality improvement plan. Retrieved
from http://www.hrsa.gov/quality/toolbox/methodology/developingandimplementingaqiplan/part6.html U.S. Department of Health and Human Services, Health Resources and Services Administration, Developing and
implementing a QI plan. Retrieved from http://www.hrsa.gov/quality/toolbox/methodology/developingandimplementingaqiplan/index.html