HLTH325 Quality Improvement Process Planning Template

HLTH325 Quality Improvement Process Planning Template
Action Plan for Leaders to Support a QI Team and Sustain a “QI Culture”
Department:
I. Current Condition
QI Project and Team QI Culture What strengths does your QI team have that will make them
successful?
The QI team is effective and comprises of dedicated and enthusiastic
team members who work together in order to reinforce innovation
within the healthcare organization. The QI team comprises of a
number of strengths that include effective communication, fostering
a healthy work environment, effectively identifying the barriers and
adapting measures to remove the barriers and making use of
coaching and training to the workforce to promote quality. In
addition to this, the QI team within the organization has a strong set
vision that aspires to promote continuous improvement in terms of
quality.
 What barriers or challenges will the QI team encounter?
While introducing a change within the organization, a number of
hindrances can be encountered in terms of resistance from
employees. This is on account of a difference in opinion between the
workforce and the management. This case hold true for the QI team
of the Eastern Memorial Hospital as well. On introducing a change,
for instance, implementation of a new electronic health system or a
new technology, the first step adapted by the QI team is to conduct
training. On multiple occasions, a number of obstacles have been
encountered from employees who are unwilling to absorb the critical
nuances of using a new system and do not prefer training. These
situations hinder the process of quality improvement.
 What specific support will the QI team need to ensure they are
successful?
The specific support required by the QI team would include ready
acceptance from the employee workforce. In addition to this, it
would also need a proactive approach from the employee workforce
to work collectively in order to live up to the vision and mission of the
hospital.
 What is your agency doing well to support a culture of QI?
The organization aspires to promote continuous quality
improvement. This is done by the organization by establishing a
strong QI team and regularly conducting quality evaluation of the
ongoing work process.
 What two areas would you most like to improve?
The organization has faced a few issues of patient dissatisfaction and
compromised quality of care in the past. In order to foster
improvement in these areas, the healthcare organization would need
to improve in the following areas:
1. Establish a strong therapeutic relationship with the patients
2. Improve communication between patients and care
professionals.
 Why is it important to improve these areas?
It is extremely important to improve the above mentioned areas so as
to improve the quality of care in order to acquire positive patient
outcome. In addition to this, improving upon the mentioned areas
would also help in fostering holistic care and promoting a smooth work
process.
II. Measures: What Will Indicate Progress?
QI Project and Team QI Culture
 List two measures that will show the team is moving in the right
direction toward success.
By March 2014, the team will ...
1.
The team will receive constructive feedback from
patients discharged from the hospital
The team will provide compulsory feedback to the care
professionals and monitor the performance of the
employees based upon key performance indicators
(KPIs)
2.
 List two measures that will show the agency is moving in the right
direction toward success.
By March 2014, the agency will ...
1.
The agency would present a statistical report based upon
the level of patient satisfaction
2.
The agency would present a comparison report based
upon the patient satisfaction level with data collected
from the previous 2 years