Priority How will we Measure of Accountable Completed or Objective Goal / KPI Source (based on achieve this Timeline success person(s) evaluated risk) (L/M/H) outcome? Refer to the ACHS EQuIPNational Risk Management and Quality Improvement Handbook for examples and further information. Delete this row and the following row prior to submission. State what the Determine the State how the Prioritise the Describe the Define the Document the Identify the Note if the baseline data objective has organisation issue was improvement actions the measure against date of expected position of the against which been completed wants to achieve identified, for according to the organisation will the baseline data completion. person the or evaluated. and why. example via an risk rating of the take to improve that identifies if responsible for improvement Have the audit, GAP issue; whether it the issue / the improvement designing, will be changes / analysis, survey is a Low, Medium process identified; was a success. For implementing, measured. strategies been report, incident, or High risk for example example, an measuring and For example, an implemented? complaint, etc. ,modification of increase in evaluating the improvement in If evaluation is specific protocols compliance rates, improvement. compliance, required, how or processes, or an evaluation updated was the protocols, etc. provision of of the completed change evaluated? training, etc. protocols, etc.
Objective Goal / KPI Source Priority (based on risk) (L/M/H) How will we achieve this outcome? Measure of success Timeline Accountable person(s) Completed or evaluated Refer to the ACHS EQuIPNational Risk Management and Quality Improvement Handbook for examples and further information. Delete this row and the following row prior to submission. State what the organisation wants to achieve and why. Determine the baseline data against which the improvement will be measured. For example, an improvement in compliance, updated protocols, etc. State how the issue was identified, for example via an audit, GAP analysis, survey report, incident, complaint, etc. Prioritise the improvement according to the risk rating of the issue; whether it is a Low, Medium or High risk Describe the actions the organisation will take to improve the issue / process identified; for example ,modification of specific protocols or processes, provision of training, etc. Define the measure against the baseline data that identifies if the improvement was a success. For example, an increase in compliance rates, or an evaluation of the completed protocols, etc. Document the date of expected completion. Identify the position of the person responsible for designing, implementing, measuring and evaluating the improvement. Note if the objective has been completed or evaluated. Have the changes / strategies been implemented? If evaluation is required, how was the change evaluated?
quality_improvement_plan_template_achs_-_acsqhc_-_web_copy_july_2013.docx