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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