Appendix A Quality Report (Placement provider) (Date) Concerns/Issues/Safeguarding/Complaints/ HEE HEE Actions/Comments Previous Current QSG Provider Patient Experience Feedback Quality Risk QSG Surveillance or Standards Score Surveillance Level Level1. Please include: Standards Status Include quality From previous Following QSG Improved Description of how issue/s impact/s on patient safety not met improvement QSG meeting meeting and/or patient experience intervention NB QSG to NB QSG to Status Quo Include themes from complaints/ Sis complete complete Deteriorated Date the issue occurred, placement name eg ward, department, and speciality. Best Practice/Quality Improvement HEE Quality Actions/Comments Provider Standards Please include best practice/quality improvements and resulting Standards met/ Please include how this/these best practice/quality outcomes for patients and/or learners exceeded improvements are being shared with other providers across the system
Appendix A Quality Report (Placement provider) (Date) Provider Concerns/Issues/Safeguarding/Complaints/ Patient Experience Feedback HEE Quality Standards HEE Risk Score Actions/Comments Previous QSG Surveillance Level1. Current QSG Surveillance Level Please include: Description of how issue/s impact/s on patient safety and/or patient experience Include themes from complaints/ Sis Date the issue occurred, placement name eg ward, department, and speciality. Standards not met Status Improved Status Quo Deteriorated Include quality improvement intervention From previous QSG meeting NB QSG to complete Following QSG meeting NB QSG to complete Provider Best Practice/Quality Improvement HEE Quality Standards Actions/Comments Please include best practice/quality improvements and resulting outcomes for patients and/or learners Standards met/ exceeded Please include how this/these best practice/quality improvements are being shared with other providers across the system or
Appendix%20A-%20QSG%20reporting%20template%20for%20Placement%20Providers%20Dec%202016.docx