Quality Improvement Plan Page 8
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32CROUSE HOSPITAL QUALITY IMPROVEMENT PLAN 2013
identify, prioritize, measure, and act upon opportunities
for improvement.
Employee &
We promote an environment that fosters safe use of
Patient Safety
equipment, work processes and the administration of
medications in order to ensure safety to our patients
and employees
.
QUALITY GOALS AND OBJECTIVES
The following are the goals and objectives of the Quality Improvement Plan:
1) Continually evolve a structure that efficiently and effectively promotes
performance improvement throughout the organization.
2) Integrate the improvement efforts of the medical staff, hospital administration,
and the hospital staff into a collaborative quality improvement model.
3) Plan and prioritize improvement efforts based on input from our customers,
clinical leaders, current research and our own experience over time.
4) Align quality improvement efforts with the organization’s mission, vision and
values.
5) Use performance measures and quality indicators to evaluate statistically
clinical and organizational performance, processes and outcomes. Measures
include safety measures, clinical measures, financial efficiency measures and
service measures.
6) Maintain a “facts-driven” QI program that systematically monitors important
processes and outcomes at the aggregate level while supporting a rigorous
sentinel event program that captures events that require root cause analysis,
peer review or other corrective action.
7) Develop and adhere to processes that assure compliance with all regulatory and
oversight agencies.
8) Provide education, support, consultation and guidance to administration and
clinical staff in their monitoring, evaluation and improvement processes.
9) Utilize a systematic approach to performance improvement that prioritizes
improvement initiatives.
10) Collaborate with our physician partners to develop mechanisms for monitoring
and improving the quality of patient care and organizational functions across
the emerging Crouse delivery system.
Monitor the effectiveness of the QI program and make revisions as necessary
11)
.
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