| This self administered assessment poses | | | | accreditation, we are survery ready every day. |
| statements regarding specific attributes that I | | | | ______ We routinely provide quality |
| have determined to be critical quality markers. It | | | | performance information to our Board, our |
| is designed to help you move beyond a "gut feel" | | | | employees and Physicians, and to the community. |
| to see how your organization stacks up against a | | | | ______ Our employees and physicians believe |
| variety of critical dimensions of quality. Hopefully | | | | we have effective and efficient clinical care |
| you will learn something that challenges your | | | | processes. |
| assumptions about what it will take for your | | | | ______ Our care processes are based on |
| organization to establish a true environment of | | | | current medical best practice evidence |
| quality and patient safety. | | | | ______ Our We have the organizational skill and |
| For each of the following statements, score | | | | capacity to develop and implement effective |
| yourself as follows based on your reaction to the | | | | quality performance improvement initiatives. |
| statement: | | | | ______ Our approach to quality assurance |
| - 4 points: Strongly Agree | | | | incorporates concurrent intervention techniques. |
| - 3 Points: Agree | | | | ______ We have tools and technologies that |
| - 2 Points: Disagree | | | | enhance our caregivers' ability to provide quality |
| - 1 point: Strongly Disagree. | | | | care at the point of care. |
| After recording your reaction to all 15 | | | | ______ We have a culture of safety that is |
| statements, add up your total and refer to the | | | | understood and embraced by all employees. |
| evaluation at the bottom of the form. | | | | ______ Our Physicians understand and are |
| ______ The ability to provide demonstrably high | | | | aligned with our Quality Management strategy. |
| quality patient care is a key element of our | | | | _______ TOTAL SCORE |
| Strategic Plan. | | | | 54 - 60 Top Performer. Your organization |
| ______ We have a strong imperative for | | | | understands the core elements of Quality |
| quality improvement in our organization, driven by | | | | Management and is well positioned to remain a |
| our Executive Leadership. | | | | leading quality provider in your market. Quality is |
| ______ We have effectively defined what | | | | inherent in your culture and you are continuously |
| constitutes quality, and have developed a robust | | | | improving your performance. What to do next? |
| set of objective measures to monitor it on a | | | | Consider developing a Quality Innovation or |
| routine periodic basis. | | | | Accelerated Quality Implementation program to |
| ______ We have an aggressive set of quality | | | | infuse a fresh new level of effectiveness into |
| performance goals. | | | | your quality management organization. |
| ______ Our quality measures include | | | | 48 - 54 Aspiring Performer. You are a solid quality |
| consideration of care processes, outcomes and | | | | provider, but the competition is not far behind. |
| resource utilization. | | | | What to do next? Assess how your organization |
| ______ We periodically benchmark our quality | | | | rates against each of the five Critical Quality |
| performance against other organizations and find | | | | Markers to clearly define your organizations |
| that our performance is similar to Top | | | | strengths and weaknesses, and develop your |
| Performers. | | | | Blueprint for Strategic Quality Management |
| ______ With regard to Joint Commission | | | | Success. |