For more information about this checklist, including references for each item, see www.health.state.mn.us/lphap .
1
Plan is dated within the past year
Describes the current culture of quality and/or the desired future state of quality in the organization and how this culture aligns with the organization’s mission/vision
Notes key elements of the QI team’s governance structure 2
Includes glossary of key quality terms (common vocabulary)
Describes employee QI training 3
Outlines how organizational QI initiatives and results will be communicated to staff 4
Describes how improvement initiatives are to be identified and/or prioritized
Describes goals, objectives and measures with responsible person(s)/team(s) and time-framed targets identified for the various components of the plan
Describes monitoring of plan: Data collection and analysis process
Describes monitoring of plan: How actions will be taken to make improvements based on progress reports
Describes monitoring of plan: How progress will be reported on the stated goals and objectives
Describes process to assess effectiveness of the plan 5
1 References for the review characteristics include PHAB Standard 5.2 [http://www.phaboard.org/wp-content/uploads/PHAB-Standards-and-Measures-Version-1.0.pdf].
2 Structural elements include but are not limited to QI team membership and rotation, roles and responsibilities, staffing and administrative support or budgeting and use of resources.
3 Types of QI training include but are not limited to new employee orientation, introductory course for all staff, advance training for lead QI staff or continuing education.
4 Forms of communication include but are not limited to newsletters, displays, QI meeting minutes or staff meetings.
5 Describing effectives may include but is not limited to review of the process and progress toward achieving goals and objectives; efficiencies and effectiveness obtained and lessons learned; customer satisfaction with services; or description of how reports were used to revise the QI plan.