Measure(s) to be Enter the State the underlying For each identified root cause, Describe, in Provide the time frame Describe the evaluation addressed. baseline result root cause(s) for the describe the specific actions measurable terms, for the implementation process that your Division for the difference between the your Division will take to the goal to be of all improvement will use to ensure that performance of desired level of achieve improvement in the achieved for the action(s) listed. The measureable each measure. performance of each measure. Actions may include associated begin (B) date performance measure. modifying specific protocols, measure (e.g., “To represents the earliest improvement is achieved. processes, procedures, or increase our date of all activities to internal LHD systems as needed baseline be implemented, while to obtain a change. measurement of the end (E) date 30% to 70%.) represents the date of the latest activity to be implemented for the associated measure. B E
Measure(s) to be addressed. Enter the baseline result for the performance of each measure. State the underlying root cause(s) for the difference between the desired level of performance of each measure. For each identified root cause, describe the specific actions your Division will take to achieve improvement in the measure. Actions may include modifying specific protocols, processes, procedures, or internal LHD systems as needed to obtain a change. Describe, in measurable terms, the goal to be achieved for the associated measure (e.g., “To increase our baseline measurement of 30% to 70%.) Provide the time frame for the implementation of all improvement action(s) listed. The begin (B) date represents the earliest date of all activities to be implemented, while the end (E) date represents the date of the latest activity to be implemented for the associated measure. Describe the evaluation process that your Division will use to ensure that measureable performance improvement is achieved. B E
QI-Project-Tracking-Template.docx