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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - Gather baseline data and set improvement goals
6. … Also discuss and determine which related process measures to target in order to achieve improvement goals … this new initiative
Discuss where the team is now and set both process measure and outcome measure goals … and adapted order sets to align with your ISCR pathway
· Collected baseline data
· Set improvement goals … Refer to the goals set during kick off meeting in month 3.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-blank-temp.html
May 01, 2017 -
Slide 7: The Goal … goal>
Slide 8: Data Comparison
Slide 9: Data Comparison
Goal:
Observed performance … :
Current performance: Below Goal by X or Goal Achieved
Slide 10: Cause of the Problem
Goal by X or Goal Achieved
Slide 16: Additional … :
Observed performance:
Current performance: Below Goal by X or Goal Achieved
Slide 21: Conclusions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.docx
May 25, 2016 - Instructions
Indicate whether goals set for each best practice on the project charter were successfully … Goal achieved? |_| Yes |_| No
b. Goal achieved? |_| Yes |_| No
c. Goal achieved? … Goal achieved? |_| Yes |_| No
e. Goal achieved? |_| Yes |_| No
f. Goal achieved?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.pdf
June 05, 2016 - Indicate whether goals set for each best practice on the project charter were successfully
implemented … . _____________________________________ Goal achieved? … . _____________________________________ Goal achieved? … . _____________________________________ Goal achieved? … . _____________________________________ Goal achieved?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.pdf
June 05, 2016 - Indicate whether goals set for each best practice on the project charter were successfully
implemented … _______
____________________________________
____________________________________
_
_
_
Goal … Goal achieved? Yes No
c. Goal achieved? Yes No
d. Goal achieved? Yes No
e. … Goal achieved? Yes No
f. Goal achieved? Yes No
2.
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www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
December 01, 2014 - For each HAC, the incidence, preventability, cost, and additional mortality were assessed; and a goal … to the previously referenced 2010 OIG estimate) is shown in the table, as is the basis for the PfP goal … Estimates, Goals, and Projections for HACs at the Launch of PfP initiative in 2011
PfP Hospital-Acquired … National Incidence of HACs (2010)
Estimated HAC Preventability as of 2010/2011
PfP Goal at Launch … of Program (Percentage of Preventable HACs)
Combined Goal for HAC Reduction (Preventability x Goal
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-blank-template.pptx
April 21, 2014 - goal>
Quality Improvement Study Template | ‹#›
AHRQ Safety Program for Ambulatory Surgery … :
Observed performance:
Current performance: Below Goal by X or Goal Achieved
Data Comparison … Framework
12
Change Data
Pre-Intervention
Post-Intervention
Some improvement - below goal … :
Observed performance:
Current performance: Below Goal by X or Goal Achieved
Quality … :
Observed performance:
Current performance: Below Goal by X or Goal Achieved
Quality
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www.ahrq.gov/patient-safety/resources/match/matchtab4.html
August 01, 2012 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
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www.ahrq.gov/patient-safety/resources/match/matchtab2.html
August 01, 2012 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
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www.ahrq.gov/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
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www.ahrq.gov/patient-safety/settings/hospital/match/table-4.html
July 01, 2022 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/table-4.html
July 01, 2022 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/table-2.html
July 01, 2022 - home medication list documented and reconciled at admission
Denominator: # of patients admitted
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … of patients with medications reconciled upon transfer
Denominator: # of patients transferred
GOAL … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal … current compliance]
Insert plans to close the gap between the actual compliance percentage and the goal
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www.ahrq.gov/prevention/curriculum/diabnotebk/diabnotebk212.html
October 01, 2014 - Self Management Goal Sheets
4. Pre-Visit Questionnaire
9. … to 3 weeks
Schedule Nurse BP visit 4 weeks after starting HCTZ
Notify clinician if BP not at goal … If not at goal, avoid increasing above 12.5mg HCTZ; add another agent
____________________________ … BP visit after patient takes new dose of ACE/ARB for 2 weeks
If BP or medication dosage not at goal … Record Dosage goal
Nursing actions for BB
Nurse BP visit every 2 weeks X 6 as needed
Nurse checks
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/diy-run-chart-tool.xlsx
June 21, 2021 - the colored cells under the respective "Numerator" and "Denominator” column headings.
4 To add a goal … line on the run chart, enter a number on the first cell of the “goal” column; the remaining cells in … Line
Debbieh: Consider using your own site's internal goal or a national/regional benchmark
Jul'12 … Line
Debbieh: Consider using your own site's internal goal or a national/regional benchmark
Jul'12 … :
Average Days
Debbie Hoyer: Insert the numerator of your measure here
Goal Line
Debbieh: Consider
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/hypertension-care-plan.pdf
August 24, 2018 - (1= Not confident 10=Very confident)
1 2 3 4 5 6 7 8 9 10
Personal Goal Plan
The goal I have chosen … is:
Barriers to achieving this goal:
Benefits of achieving this goal:
Plan to work on this goal: … provider will give input on the following:
My current blood pressure is:________________________ My goal … 1=Not Confident, 10=Very Confident: Off
Personal Goal:
Barriers to achieving this goal:
Benefits … of achieving this goal:
Plan to work on this goal:
What are you currently doing to manage your blood
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
May 01, 2017 - Slide 8: The Goal
In this case, our goal is to achieve 100 percent completion rate for all elements … Is this goal aligned with the overall goals of your organization? … You want make sure you have a goal. In this case we set a goal of June 1. … We're below our goal by about 27 percent. … Now look, here we are at goal.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
April 21, 2014 - That's what we do on this next slide, the goal. … Is this goal aligned with the overall goals of your organization? … You want make sure you have a goal. In this case we set a goal of June 1. … We're below our goal by about 27 percent. … Now look, here we are at goal.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
May 01, 2017 - 5/2015
3
2
67%
3/6/2015
6
3
50%
Totals
23
12
52%
Slide 8: The Goal … : 100%
Observed debrief completion rate: 52%
Current performance: Below goal by 48%
Slide 12 … Slide 17: Data Comparison
Debrief completion rate goal: 100%
Observed debrief completion rate: … Slide 22: Data Comparison
Debrief completion rate goal: 100%
Observed debrief completion rate: … 100%
Current performance: Goal achieved 100%
Slide 23: Conclusions
The goal of 100% debrief
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
June 01, 2015 - Surgery
Implementation Guide Appendix K – Quality Improvement Study Framework
8
Data Comparison
Goal … Implementation Guide Appendix K – Quality Improvement Study Framework
10
Debrief completion rate goal … : 100%
Observed debrief completion rate: 52%
Current performance: Below goal by 48%
Data Comparison … : 100%
Observed debrief completion rate: 73%
Current performance: Below goal by 27%
Data Comparison … Surgery
Implementation Guide Appendix K – Quality Improvement Study Framework
20
Data Comparison
Goal