Quality Improvement Plan Template Page 4
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16Section 2
Leadership and Organization
Leadership. The key to the success of the Continuous Quality Improvement process is
leadership. The following describes how the leaders of the ( Facility’s Name) Facility’s Name
provide support to quality improvement activities.
The Quality Improvement Committee provides ongoing operational leadership of
continuous quality improvement activities at the Facility’s Name. It meets at least monthly or
not less than ten (10) times per year and consists of the following individuals: (List titles of
committee members. The membership should include a recipient/family member for adult settings and
a family member for children settings. Indicate the Chairperson of the Committee.)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
The responsibilities of the Committee include:
Developing and approving the Quality Improvement Plan.
As part of the Plan, establishing measurable objectives based upon priorities
identified through the use of established criteria for improving the quality and safety
of Facility’s Name services.
Developing indicators of quality on a priority basis.
Periodically assessing information based on the indicators, taking action as
evidenced through quality improvement initiatives to solve problems and pursue
opportunities to improve quality.
Establishing and supporting specific quality improvement initiatives.
Reporting to the Board of Directors on quality improvement activities of the Facility’s
Name on a regular basis.
Formally adopting a specific approach to Continuous Quality Improvement (such as
Plan-Do-Check-Act: PDCA).
The Board of Directors also provides leadership for the Quality Improvement process as
follows:
Supporting and guiding implementation of quality improvement activities at the
Facility’s Name.
Reviewing, evaluating and approving the Quality Improvement Plan annually.
(Describe how leadership will support Facility’s Name’s QI Program.)
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
The Leaders support QI activities through the planned coordination and communication of
the results of measurement activities related to QI initiatives and overall efforts to
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