Primary Health Care Quality Improvement Project Charter



Primary Health Care Quality Improvement Project CharterTEAM NAMEMANAGER/LEADIMPROVEMENT TITLE IMPROVEMENT TEAM ROLES AND RESPONSIBILITIESPeople involved in designing and leading the changeTEAM MEMBERSROLESRESPONSIBILITIESIMPLEMENTATION TEAM (If applicable)People implementing the change at the team/siteTEAM MEMBERSROLESRESPONSIBILITIESIMPROVEMENT SUMMARYPROBLEM/CONTEXT STATEMENT AIM STATEMENT DESCRIPTION OF IMPROVEMENT PROJECT AND CHANGE IDEASTARGET POPULATION AND SCOPE (INCLUSIONS AND EXCLUSIONS)MEASURESNote: High level overview of key measures, further details to be captured in the Measurement PlanMEASUREDATA SOURCEDATA USE START DATEFREQUENCYProcessOutcome Balancing Which improvement domain does your quality improvement project primarily focus on: (Accreditation Standards, Primary Care Services, 2019)27305000Population Focus: Work with your community to anticipate and meet their needs292101016000Accessibility: Give your patients timely and equitable services266701587500Safety: Keep your patients safe273052032000Worklife: Take care of those who take care of patients279402667000Client-centred Services: Partner with patients and families in their care292103048000Continuity: Coordinate patient care across the continuum304801714500Appropriateness: Do the right thing to achieve the best results298451143000Efficiency: Make the best use of resourcesPLANNING KEY MILESTONES AND DELIVERABLES/TIMELINEROLES RESPONSIBILITIES RESOURCES REQUIREDPROJECT RESOURCES / BUDGETINCLUDE ALL FINANCIAL AND IN-KIND RESOURCESCATEGORYDESCRIPTION AMOUNT (financial and/or % FTE)PERSONNELTRAVELEQUIPMENTSUPPLIES AND SERVICESSTAKEHOLDER ROLES AND RESPONSIBILITIESSTAKEHOLDERS (INTERNAL/EXTERNAL)ROLES RESPONSIBILITIES RISKS AND OPPORTUNITIES RISKSMITIGATION STRATEGIESOPPORTUNITIESSTRATEGIES TO LEVERAGE THE OPPORTUNITIESSUSTAINABILITY PLANNINGAssuming the QI project data demonstrates that the change is an improvement…HOW WILL YOU SUSTAIN YOUR IMPROVEMENT EFFORTS?Developing an Improvement Charter What is an improvement charter?An improvement charter is an essential first step of any quality improvement project [QIP]. The charter sets the purpose, scope, and measures of success for the QIP, and identifies participants and their roles and responsibilities. The charter also specifies how much time and resources are to be invested in the initiative and explains the expected returns. To be effective and meaningful, your charter needs to be thoughtfully planned and crafted. The clearer your direction, the higher your chances of success. Your improvement charter should also be updated regularly, accounting for changing team dynamics and the evolution of your QIP. Timeline and progress updatesDeveloping the improvement charter is meant to be team exercise, updated throughout your improvement journey. Additional worksheets exist to support refinement of your improvement charter. These worksheets focus on key themes such as measurement and costing, stakeholder engagement, communications planning and sustainability/spread.How to develop your improvement charterHere is an explanation of what is required in each section of the improvement charter template.Improvement Team Roles and Responsibilities Indicate each team member that will play a key role in the QIP along with their roles and responsibilities as part of the team. Implementation Team Roles and Responsibilities If applicable, indicate the people implementing the change at the team/site but who may not be formally participating in the project planning.Improvement SummaryProblem/Context Statement: Explain why the issue your QIP is trying to address is a problem right now. Draw on any baseline data – local is preferred, but there may be compelling provincial, national or international data – to make your case.Aim Statement: The aim should have a specific, measurable target and a proposed time for reaching it (What will happen? By when? By how much? For whom?) based on the baseline and best practices. Description: Describe the QIP your team is aiming to design and implement over the course of the project. Include approach to stakeholder engagement and mobilization for change.Target Population and Scope (inclusions and exclusions): Describe the patient population(s) your efforts will target and indicate what will be part of the scope of your QIP and what will not. MeasuresSelect key process, outcome and balancing measures (defined below) that demonstrate whether a specific change will lead to an improvement. You should also include an indication of when the data will be collected. Process measures are the workings of the improvement process; they are the means to an end. They address how key parts or steps of the system are performing and are linked to obtaining outcomes.Outcome measures refer to the end points of care, such as an improvement in function, recovery or survival. They are the voice of the patient and indicate what is ultimately better because of the improvement. Balancing measures refer to changes designed to improve one part of the system that may cause new problems in other parts of the system. May include staff satisfaction, financial implications and restraint rates. Planning Indicate the major milestones and deliverables related to your QIP, along with the roles and responsibilities that each team member will play. Resources / BudgetOutline the resources and budget needed to undertake this QIP. Stakeholder Roles and Responsibilities Identify key individuals and/or organizations involved in decisions related to your QIP. They can play a direct role (the team should interact directly with them to effect change or to anticipate the opportunity to influence); a strategic role (the team should interact directly with them to influence direct stakeholders); or an indirect role (the team could interact with them periodically because they have an indirect stake in the outcomes of your QIP). Identify the responsibilities you anticipate each stakeholder will play as you implement your QIP. Responsibilities may include:Advocacy: Stakeholders may help to build commitment to your agenda and be empowered to advocate for change. Advocacy can help to induce legal changes as well as to promote a cultural shift within governments and with other relevant stakeholders. Evidence support: Stakeholders have experiential knowledge that constitutes valid and legitimate evidence that can help to find innovative and local solutions to complex problems.Setting goals and targets: Stakeholders can help to build momentum and reach agreement on a set of goals and targets. Guidance: Stakeholders can be “value consultants,” offering guidance on how to move forward or provide advice on what options are socially, politically and ethically sound. Risks and Opportunities Risk mitigation planning is the process of developing options and actions to enhance opportunities and reduce threats to QIP objectives. Identify potential risks that may cause barriers for your QIP as well as mitigation strategies to prevent or address these risks. In addition, identify opportunities that the QIP could exploit to its advantage, along with strategies for leverage.Sustainability Planning Indicate how you will sustain your improvement efforts at the conclusion of your project. You may want to consider addressing questions such as: What precisely is being sustained? Who is/are your target population/sites (i.e., who will you need to reach to adopt a new practice)? By when? What milestones will help you to assess progress? ................
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