Preparing a plan for action for improvement is as important as executing the plan.
Preparing a plan for action for improvement is as important as executing the plan. In this assessment, review hospital survey data and prepare a plan of action to positively move forward.
Evaluation Title: Action Plan
Assume the role of the manager of the QI Department in a hospital. Recently, the Healthcare Facilities Accreditation Program (HFAP) conducted a survey on the hospital.
The survey results have been made available.
Instructions:
Open and review the pdf of survey results entitled, \\\”Mastering the Standards for Survey Success: The 2018 HFAP Quality Review (Links to an external site.).\\\”Open and review the pdf of survey results entitled, “HFAP Top Cited Standard level Deficiencies of 2012.”Identify three standards that were cited.
Create an action plan for each citation. The action plan should include:
The standard with expectations
A timeline for implementation
Details as to how the hospital can reduce this issue so when the organization comes through for a recheck in 3 months, the citation will be eliminated.
Complete additional research on this topic, utilizing a minimum of 4 sources support ideas presented.
Reference:
Mastering the standards for survey success: The 2018 HFAP quality review. (2018). Retrieved from https://www.hfap.org/wp-content/uploads/2019/07/2018_HFAP_Quality_Report.pdf
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