Implementing, Evaluating, and Sustaining Quality Improvements - Background, Rationale, and Suggested Implementation Strategies

Background, Rationale, and Suggested Implementation Strategies

Implementing Quality Improvements
  • Prioritize interventions with multidisciplinary sepsis committee and determine the intervention that is required
  • Implement comprehensive educational campaign
  • Build necessary components into EMR(i.e., order sets, BPAs, screening tools, etc)
  • Engage key stakeholders to support and prioritize interventions
Evaluation of Effectiveness
  • After 3 months of guideline use, obtain provider feedback from multiple groups(including hospitalists, internal medicine, emergency department, etc.), and modify accordingly.
  • Meet monthly, initially to develop systems and processes. Ongoing meetings to review data, define problem areas, identify underlying causes of problem areas, and determine interventions for improvement.
  • Provide resources, including data analytics and information technology support, to operate the program effectively.
Sustaining Improvement
  • Provide audit and feedback directly to teams regarding compliance with bundles
  • Use internal patient outcome data to assist with decision-making throughout the organization.
  • Create performance boards to communicate improvement results to staff and leadership
  • Host improvement huddles at short, regular meetings among staff to anticipate problems, review performance, and support a culture of improvement

 

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