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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/9-senior-executives.pptx
June 01, 2023 - Goals
Improve patient outcomes
Make perioperative processes more efficient
Make perioperative care … Setting for [Service Line] Surgery
ISCR at [Hospital Name] 10
Use your Gap Analysis and Goal Setting … Top Three Goals
List your ISCR team’s top three goals for the ISCR program at your hospital. … These are the goals your ISCR Core Team identified using your latest assessment from the Gap Analysis … and Goal Setting Form.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-dorr-samal.pdf
May 19, 2020 - support
• Self-management data collection
• Education
• Shared decision making
• Motivational support
• Goal-setting … Proactive Plan of Care + ++
Monitor, Follow Up, and Respond to Change ++ +++
Support Self-Management Goals … Goals:
What brings you joy? … Increase walking 5 times per week
Goals:
What brings you joy?
What matters in life? … MCCs via HIT solutions
Need to integrate these care plans with the voice of the person and their goals
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6q.html
June 01, 2014 - Across settings
As coordination needs change
Assess needs and goals …
Monitor, follow up, and respond to change
Support self-management goals … Frequency of communication, shared goals, shared knowledge, and mutual respect were significantly associated … Across settings
As coordination needs change
Assess needs and goals …
Monitor, follow up, and respond to change
Support self-management goals
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.docx
January 01, 2010 - Listen to and honor the patient’s and family’s goals, preferences, observations, and concerns. … You can:
Elicit patient and family goals at admission and note progress toward those goals each day
Involve … Elicit the patient and family’s goals for when and how they leave the hospital, as appropriate. … Who: All clinical staff
Discuss the patient, family, and clinician goals and progress toward discharge … Once goals are set at admission, revisit these goals to make sure the patient and family understand how
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Tool_1_IDEAL_chklst_508.pdf
January 01, 2010 - Listen to and honor the patient’s and family’s goals,
preferences, observations, and concerns. … You
can:
• Elicit patient and family goals at admission and
note progress toward those goals each … own words to be sure
that you explained things well
Listen to and honor the patient and family’s goals … Elicit the patient and family’s goals for when
and how they leave the hospital, as
appropriate … Once goals are
set at admission, revisit these goals to make
sure the patient and family understand
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6i.html
June 01, 2014 - Across settings
As coordination needs change
Assess needs and goals …
Monitor, follow up, and respond to change
■
Support self-management goals … not specified : 17
Facilitate transitions:
Across settings: E9
Assess needs and goals … : 4, 9
Monitor, follow up, and respond to change: 9, 11, 12
Support self-management goals: 9, … of the survey contains 17 items spanning 5 areas: (1) individualized assessment, (2) collaborative goal
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.html
June 01, 2014 - Across settings
□
As coordination needs change
Assess needs and goals …
Monitor, follow up, and respond to change
■
Support self-management goals … 23, 24, 38
Monitor, follow up, and respond to change: 9, 18, 20, 35, 49
Support self-management goals …
Monitor, follow up, and respond to change
■
Support self-management goals … , 23
Monitor, follow up, and respond to change: 13a, 13d, 17a, 21c
Support self-management goals
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/interview-protocol-qi-ny.pdf
June 02, 2025 - How important is it to set organizational goals for quality measures? … PROBE: What is the process for deciding practice goals? Who is involved? … What guides the selection of
goals and quality measures for the practice? … PROBE: How are the goals communicated to others in the practice?
8. … PROBE: How will HHNYC help you meet goals related to new policies?
2.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
June 02, 2025 - Set goals.
Develop a plan that specifies:
o what changes the practice will make. … Primary Care Practice Facilitator
Training Series
2
Aligning QI Work with Practices’ Goals … Goals of primary care practices typically fall into
three categories:
Improving quality of patient … representations of how multiple changes build upon each other
to get a practice to reach a particular goal … strategies and activities they believe or that the evidence tells them will
help them reach a particular goal
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www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6g.html
June 01, 2014 - Across settings
As coordination needs change
□
Assess needs and goals …
■
Monitor, follow up, and respond to change
Support self-management goals … Across settings
□
As coordination needs change
□
Assess needs and goals … ■
Monitor, follow up, and respond to change
■
Support self-management goals … transitions:
Across settings: I 11a
As coordination needs change: I 18
Assess needs and goals
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/team-roster.docx
March 01, 2017 - collaboration
Energized; positive attitude
Data driven
· Understand and clearly articulate program goals … Administrative Champion
Senior policy and delivery support
Energized; positive attitude
· Align project goals … with organizational goals.
· Sponsor and visibly support the team to make the work a priority.
· Commit … Frontline Champion
Resourceful
Problem solver
· Inspire others to commit to goals and interventions … PHYSICIAN CHAMPION
NURSE CHAMPION
FRONTLINE CHAMPION
INFECTION PREVENTIONIST
Advocate for project goals
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www.ahrq.gov/evidencenow/projects/heart-health/about/index.html
April 01, 2021 - About Advancing Heart Health
Background and Stories from the Field
Background
Goals
Components … The goal of this initiative was to strengthen our Nation’s primary care system and its ability to adapt … Goals
AHRQ launched EvidenceNOW: Advancing Heart Health , a $112 million effort and one of AHRQ’s … largest primary care research projects to date, in 2015 with four primary goals:
Help practices implement
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www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet5.html
October 01, 2014 - Center for Health Improvement of the PCC wanted to continue the emphasis on patient self-management and goal … setting, spread the intervention to its other clinics, and use goal setting for additional chronic diseases … ' goals and the monitoring and tracking of goals by clinic team members. … Clinic teams developed action plans for implementing the goal-setting intervention within their clinics … training at the end of the session to a smaller group of participants on using the new EMR to document goals
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/infectionprevchcklst.doc
June 02, 2025 - Identify and mitigate barriers to achieving the project goals.
11. … Ask clinicians what is difficult in achieving the project goals.
12. … Collaborate to remove barriers to achieving the project goals.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - QI Team Goals Page 10
V. … Creating SMAART Goals
While creating your team’s goals, please consider the SMAART methodology. … Set stretch goals. A "stretch" goal is one to reach for within a certain time. … o CPCI Baseline* Target Goal:
o
Percentage of
o CPCI Baseline* Target Goal:
Our individual goals … Goals 3:
Individual Goals 4:
Cycle conclusions 1:
Cycle conclusions 2:
Cycle conclusions 3:
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
October 01, 2014 - lead to these goals is helpful. … self-management, then an appropriate measure might track weight loss or whether patients have a self-management goal … To demonstrate that the State is achieving this goal, Pennsylvania agreed on a measurement strategy with … The former represents an absolute improvement goal, the latter a relative improvement goal. … The State should set realistic goals for improvement and be ready to adapt these goals as the measure
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www.ahrq.gov/teamstepps-program/curriculum/intro/teach.html
August 01, 2023 - Teaching Goals
It's critical to lay groundwork for the time you spend with trainees learning TeamSTEPPS … As you begin your training, aspire to achieve the following goals to lay the foundation for the remainder … These goals relate to how you present yourself and other faculty, how you define the relationships you … Relationship Goals
It's crucial to create a relationship characterized by mutual respect, enjoyment … You can’t achieve this goal if you present yourself as the instructor and your trainees as passive listeners
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www.ahrq.gov/evidencenow/summary.html
September 01, 2017 - Goals
The goals of EvidenceNOW are ambitious and include--
Helping primary care practices implement … Our goal is that each of these practices will meet the national target of 70 percent of all patients
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6c.html
June 01, 2014 - Across settings
■
As coordination needs change
Assess needs and goals …
□
Monitor, follow up, and respond to change
■
Support self-management goals … Across settings: Outcomes: 2b-I; Care Coordination Needs: 3; Focus Encounter: 6
Assess needs and goals … Across settings
As coordination needs change
Assess needs and goals … □
Monitor, follow up, and respond to change
□
Support self-management goals
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/evaluation/evidence-now-improving-capacity.pdf
January 01, 2018 - EvidenceNOW: Helping Small Primary Care Practices
Build Capacity for Quality Improvement
One of the main goals … 15.2%
“Our practice uses teams for quality improvement”
59%
But, fewer practices
were setting goals … NG
LY
D
IS
AG
RE
E
ST
RO
NG
LY
A
GR
EE
33.3% 25.6% 10.4%12.3%18.4%
“Our practice sets goals … Local and national evaluations will explore whether
EvidenceNOW was able to achieve both goals.