C815
Quality and Performance Management and Methods
TASK 2 – Passed
Creating a Quality Improvement Plan
Western Governors University
, Lauren can initiate the quality improvement (QI) program by defining areas to address.
She will need to make a list of goals for the QI program, what type of data she will need to
collect and how to gather it, how she plans to implement the initiatives, and how to track the
results. She can also use the Plan, Do, Study, Act model. (Shaw & Carter, 2019)
A1. Lauren should focus on a few areas of improvement, such as making sure that the patients
arrive at the scheduled appointment time and receive the full allotted time for each modality,
staffing concerns, revenue reduction, and patient satisfaction.
A1a.
Lauren can use two types of data in her QI program: qualitative and quantitative.
Qualitative data is any data that can be recorded that is not numerical, while quantitative data is
data that can be measured numerically. (Shah, 2019) Lauren can gather the quantitative data by
verifying the time the patients spend in each therapy appointment, the number of staff on a given
shift, and by analyzing revenue reports for the billed therapies. She can collect qualitative data
on staffing concerns by interviewing staff members regarding why patients are late to their
therapy appointments, and she can have patients fill out a short satisfaction survey after their
therapy appointments.
A1b.
To gather quantitative data Lauren will need for this QI program, she will need to review
the therapy schedule and patient medical records to verify that the sessions are starting on time
and are performed for the entire allocated time slot. She will need to review the shift reports to
see how many staff members are working on any given shift and how they compare to company
policy/ guidelines, and she can analyze revenue reports.
The qualitative data Lauren needs for her QI program would be collected by conducting
short interviews with employees from the therapy department and the nursing units to see if she
can pinpoint the disconnect. Lauren will also review the brief, open-ended patient satisfaction
surveys to help determine how services can be improved.
A2.
The most helpful quality improvement model Lauren can use is the PDSA or the Plan,
Do, Study, Act model, also known as the PDCA, Plan, Do, Check, Act model. According to
Oachs and Waters (2019), this model ensures that “constant evaluation of activities and processes
should occur to ensure quality and identify when change or improvement is necessary.”
A2a.
Plan- During the planning phase, it will be defined what needs to be improved, how the
improvements will be carried out, and to identify data that would need to be collected to see if
the implemented changes produced the desired outcome.
Do- Changes will be initiated, problems will be documented, and data will be gathered.
Study/Check- Review and compare data to see if the initiated changes were effective and
as expected.
This study source was downloaded by 100000902171055 from CourseHero.com on 11-05-2025 19:34:05 GMT -06:00
https://www.coursehero.com/file/248801551/C815-task-2doc/
Quality and Performance Management and Methods
TASK 2 – Passed
Creating a Quality Improvement Plan
Western Governors University
, Lauren can initiate the quality improvement (QI) program by defining areas to address.
She will need to make a list of goals for the QI program, what type of data she will need to
collect and how to gather it, how she plans to implement the initiatives, and how to track the
results. She can also use the Plan, Do, Study, Act model. (Shaw & Carter, 2019)
A1. Lauren should focus on a few areas of improvement, such as making sure that the patients
arrive at the scheduled appointment time and receive the full allotted time for each modality,
staffing concerns, revenue reduction, and patient satisfaction.
A1a.
Lauren can use two types of data in her QI program: qualitative and quantitative.
Qualitative data is any data that can be recorded that is not numerical, while quantitative data is
data that can be measured numerically. (Shah, 2019) Lauren can gather the quantitative data by
verifying the time the patients spend in each therapy appointment, the number of staff on a given
shift, and by analyzing revenue reports for the billed therapies. She can collect qualitative data
on staffing concerns by interviewing staff members regarding why patients are late to their
therapy appointments, and she can have patients fill out a short satisfaction survey after their
therapy appointments.
A1b.
To gather quantitative data Lauren will need for this QI program, she will need to review
the therapy schedule and patient medical records to verify that the sessions are starting on time
and are performed for the entire allocated time slot. She will need to review the shift reports to
see how many staff members are working on any given shift and how they compare to company
policy/ guidelines, and she can analyze revenue reports.
The qualitative data Lauren needs for her QI program would be collected by conducting
short interviews with employees from the therapy department and the nursing units to see if she
can pinpoint the disconnect. Lauren will also review the brief, open-ended patient satisfaction
surveys to help determine how services can be improved.
A2.
The most helpful quality improvement model Lauren can use is the PDSA or the Plan,
Do, Study, Act model, also known as the PDCA, Plan, Do, Check, Act model. According to
Oachs and Waters (2019), this model ensures that “constant evaluation of activities and processes
should occur to ensure quality and identify when change or improvement is necessary.”
A2a.
Plan- During the planning phase, it will be defined what needs to be improved, how the
improvements will be carried out, and to identify data that would need to be collected to see if
the implemented changes produced the desired outcome.
Do- Changes will be initiated, problems will be documented, and data will be gathered.
Study/Check- Review and compare data to see if the initiated changes were effective and
as expected.
This study source was downloaded by 100000902171055 from CourseHero.com on 11-05-2025 19:34:05 GMT -06:00
https://www.coursehero.com/file/248801551/C815-task-2doc/
