The goal of this module is to highlight the important role of an effective QI plan in improving performance of your organization’s health care systems. The module provides examples of how your organization can establish a QI plan and describes the basic elements necessary for the successful development and implementation of an organizational QI plan.
A QI plan is a detailed, and overarching organizational work plan for a health care organization's clinical and service quality improvement activities. It includes essential information on how your organization will manage, deploy, and review quality throughout the organization. A QI plan is generally developed by executive and clinical leadership and, in many organizations, must be approved by the organizations governing body such as a Board of Directors. It is updated regularly to reflect what your organization is doing to improve quality. A QI plan generally outlines the specific clinical focus areas for the current and subsequent calendar years. Often, it is developed as an outgrowth of the evaluation of the previous year's QI activities, organizational priorities and organizational program requirements.
An effective QI plan includes the following key elements:
Before developing a QI plan, it is important to have an understanding of your organization’s current status regarding quality improvement. An assessment of current activities in your organization will help you identify strengths and weaknesses as well as barriers to sustain QI efforts.
Some of the commonly identified barriers to sustaining a QI project are:
Below are key points that will help address these barriers.
Identify the external requirements your organization may need to fulfill before developing a QI plan. These external requirements may be the funding organization’s quality requirements or standards for obtaining accreditation. For HRSA grantees there are often key deliverables based on program requirements. If your program is currently funded by HRSA, you should consult its Web site and links to Bureaus and Offices for required guidelines and measures when developing the organization’s QI plan. See the links below for performance measure information specific to that bureau or office:
There are a number of organizations that survey and accredit a wide range of health care organizations that meet their quality and safety standards/requirements. The accreditation requirements can be found in the organizations’ links listed below:
You will need Adobe Acrobat® Reader™ to view PDF files located on this site. If you do not already have Adobe Acrobat® Reader™, you can download here for free.