Quality Improvement Quarterly Report



LUHS Quality Improvement Quarterly Report

QUALITY MONITOR

Department/Committee:

Report Prepared by:

Indicator/Monitor:

What are you measuring?

Numerator __________________

Denominator ________________

Goal or Target: ________________

Source of Goal or Target:

Attach graph of data over time (quarters, months, weeks, days). Use a run chart or control chart with a title; label both axes of the graph)

|Analysis of Data and Next Steps: |

|Questions to consider: Is the mean where you want it to be? Would you like to see less variation? Where are you in relation to your goal or |

|target? Are changes needed? Should a project be considered? What are your next steps? |

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LUHS Categories for Quality Indicators

Access

How easy it is for a patient, referring physician or payer to obtain desired services in a timely manner

Clinical

Biological consequences of clinical evaluation and treatment

Key Processes

Significant methods used to provide services

Functional Status

Patient’s ability to perform day to day activities

Satisfaction

How well we are meeting the needs of our customers

Human Resources

Capabilities, satisfaction and availability of those who provide services

Learning and Innovation

How well we are creating new approaches to improving healthcare

Financial Measures

Financial aspects of care delivery

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Report Date: ______ (year)

___ January

___ April

___ July

___ October

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