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Quality Plan Part I

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Submitted By mercerja
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QI Plan Part I
Julie Mercer
NUR/588
May 27, 2013
Cynthia M. Hughes, DHA, MSN, BSN, RN, C

QI Plan Part I
For more than a decade, Via Christi has sponsored a variety of initiatives designed to improve the quality of care provided. These efforts have engaged staff, patients and physicians at all levels within the hospital to measure and improve the quality and safety of patient care. At times these initiatives have seen success and failures, but with the recent push for our “big aim” quality is the major focus. The physicians, nurses, other clinicians and administrative leaders overwhelmingly agreed that Via Christi should adopt the goal of reducing serious safety events by 80 percent over the next three years.
Performance Measurement and Quality Improvement
Performance measurement is known as the collecting and analysis of data to determine how an organization will reach its potential (The Joint Commission, 2013). Often this type of analysis is seen in engineering, with the recent push in Via Christi, Lean design and Six Sigma black belts have joined the team in quality. A good example of performance measurement is through The Joint Commission. They have outlined a set of performance development methodology that is considered the "gold standard" in health care today. By meeting these measure hospitals can function at an optimal level regarding quality care.
“Quality improvement consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups” (U.S. Department of Health and Human Services, 2013). It would be hard to not have quality improvement and not have some type of performance measurement to guide the work. Therefore, you need quality improvement to have some type of quality measurement.
Via Christi's Mission, Services, Goals
Via Christi provides a wide range

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