Sample Quality Improvement Plan printable pdf download

Sample Quality Improvement Plan

I. Purpose and Scope

This section should describe the purpose for the QI activities conducted by the health

department, including a description of the scope of the activities. The scope may be as

limited as conducting one or two quality improvement efforts or a comprehensive, formal

initiative that is integrated across all sections of the health department. This section could

also describe the alignment with other agency-wide policies such as the strategic plan and

the community health improvement plan.

II. Structure

In this section, describe the structure in the health department for the oversight and

direction of the QI activities. This may be as simple as having the QI team leader report

progress to the agency leadership team or as formal as a separate committee for initiating,

reviewing and recognizing QI efforts. The structure should support the alignment of

agency-wide activities and the performance measurement processes.

Additional information could include the resources for conducting QI activities such as

staff designated to work on QI activities and data analysis resources. The description

should include an explanation of the roles and responsibilities of specific leaders and staff

in the health department, including responsibilities for participation or leadership of the

QI oversight group.

Potential attachments: QI Council Charter, QI organizational chart, diagram of QI

activities related to strategic initiatives and/or health improvement plans.

III. Quality Improvement Activities

This section should list the various QI activities that could include individual QI efforts to

address the results of the 2011 Standards review or numerous activities related to QI

efforts, program evaluation results, outcome and indicator results review and action, QI

training activities, communication plans, and recognition activities. The health

department may also develop a QI Calendar that schedules each of the QI activities for

review by the oversight group. QI projects can be described using the attached QI Project

Description.

Potential attachments: QI oversight/review calendar, list of key program and health

indicators monitored by the QI oversight group, and/or a template for QI project requests.

IV. Evaluation and Revision of QI Plan

This section should describe the process and frequency for review and revision of the QI

Plan. Areas for review and revision could include the structure and resources for QI

Developed by MarMason Consulting, November 2011

Sample Quality Improvement Plan