In this section describe the organization for whom your QIP is intended such as “nursing home, physician practice, hospital etc.to provide a context for your targeted population. Then state your aim. Your aim should aligns with the organization’s quality Improvement goal.
The aim should
Examples
Organization’s goal of a physician practice is “To improve preventive care for patients with diabetes”
The QIP Aim may be “We will provide foot exams to 100% of our diabetes patients who came for an office visits by the end of July 31 2016.
In this section, describe the measureable outcome(s) you intend to see. You should literature review of the problem, how the problem is been measured.
For example, for the aim listed above, you will provide a background on how foot exam is been measured in the literature. Is a 20% change in foot exam considered a significant improvement? Whose perspective is important, the patient, the management, health plans or reporting agencies. Will an improvement in this measure negatively impact other parts of the organization? Consider any relevant structure, process and outcome measures.
Describe the processes currently in place that may show any gaps.
Identify opportunities for improvement that may exist (Use process analysis tool such as flow chart, matrices (chapter 3 in your textbook) to identify gaps in the processes of your organization, look for causes of problems that have occurred and opportunity for improvement. Identify the cause of the problem and constrains to any proposed solutions.
For example, in the example used above, some questions to consider during brainstorming to determine the change to make are: Is there a checklist of what services should be provided to diabetes patients during office visit? Is foot exam listed on the checklist? If listed, who is responsible? If foot exam is added to the things the nurse should check when they take vitals, will it cause a lag in the time it takes the nurse to process patients and consequently increase wait times?
After you identify the cause, decide what should be change in the process to achieve your aim. What you decide to change is your intervention, and should be based on your analysis.
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