Example Data Sources to Analyze Performance, Identify Areas of Risk, and Solicit Feedback/Input Data Benchmarks to Who will Data Data will be Communicate Frequency of collection analyze this analyze analysis communicated data analysis communication frequency data source the data? frequency with via applicable clinical board members guidelines Data caregivers board meetings identified best HR community bulletin boards Sources weekly practices weekly weekly leadership Executive. dashboard monthly national data monthly monthly team leadership newsletters quarterly corporate data quarterly quarterly QAA families posters annually state data annually annually committee residents QAPI meetings Suggestions facility identified staff staff meetings performance volunteers indicators Abuse, Neglect, Board members, Reporting Maltreatment reports Identified best Leadership QAPI committee, weekly requirements, As needed, weekly weekly practices team state reporting meetings agency, CMS Quality state and national Leadership Executive leadership, QAA and IDT Measures (long-stay monthly monthly Monthly and quarterly data team board members, staff meetings and short-stay) Complaints Identified best Leadership Board members, weekly practices, weekly meetings As needed, weekly team QAPI committee organizational date Leadership Bulletin boards, Residents, families, Falls weekly Organizational data team, QAA weekly dashboard, QAA and Monthly staff, committee IDT meetings Leadership Monthly or Staff meetings, Monthly or sooner if Medication errors monthly Organizational data team, QAA asap if adverse Board members, staff dashboard, QAA needed Committee drug event Meeting Leadership Board members, Staff meetings, Rehospitalization Organizational, state monthly team, QAA monthly Exec. leadership, dashboard, QAA Monthly Rates and national data committee staff meetings
Example Data Sources to Analyze Performance, Identify Areas of Risk, and Solicit Feedback/Input Data Sources Data collection frequency Benchmarks to analyze this data source Who will analyze the data? Data analysis frequency Data will be communicated with Communicate data analysis via Frequency of communication Suggestions weekly monthly quarterly annually applicable clinical guidelines identified best practices national data corporate data state data facility identified performance indicators HR leadership team QAA committee weekly monthly quarterly annually board members caregivers community Executive. leadership families residents staff volunteers board meetings bulletin boards dashboard newsletters posters QAPI meetings staff meetings weekly monthly quarterly annually Abuse, Neglect, Maltreatment reports weekly Identified best practices Leadership team weekly Board members, QAPI committee, state reporting agency, Reporting requirements, meetings As needed, weekly CMS Quality Measures (long-stay and short-stay) monthly state and national data Leadership team monthly Executive leadership, board members, staff QAA and IDT meetings Monthly and quarterly Complaints weekly Identified best practices, organizational date Leadership team weekly Board members, QAPI committee meetings As needed, weekly Falls weekly Organizational data Leadership team, QAA committee weekly Residents, families, staff, Bulletin boards, dashboard, QAA and IDT meetings Monthly Medication errors monthly Organizational data Leadership team, QAA Committee Monthly or asap if adverse drug event Board members, staff Staff meetings, dashboard, QAA Meeting Monthly or sooner if needed Rehospitalization Rates monthly Organizational, state and national data Leadership team, QAA committee monthly Board members, Exec. leadership, staff Staff meetings, dashboard, QAA meetings Monthly