| 1. |
JCIA |
| 2. |
physician gainsharing and pay for performance programs |
| 3. |
IHI |
| 4. |
GOAL DEPLOYMENT |
| 5. |
see below |
| 6. |
Primarily developed in house, but with many of the recommendations and initiatives from IHI. |
| 7. |
PDSA |
| 8. |
Homegrown |
| 9. |
Bridges to exceleence |
| 10. |
Institue for Clinical Systems Improvement |
| 11. |
combination |
| 12. |
traditional process improvement (FOCUS-PDCA) |
| 13. |
PDCA and FMEA |
| 14. |
Strengths based whole system change |
| 15. |
targeted deficiencies |
| 16. |
SPC, Dashboards, Core Measures |
| 17. |
icsi programs |
| 18. |
PDCA-IHI |
| 19. |
Inst Health Improve. |
| 20. |
unsure |
| 21. |
Malcolm Baldridge, CMS Premier |
| 22. |
Baldrige |
| 23. |
developed in house according to recognized need |
| 24. |
Quality and Safety goals are generated at the grass roots and at senior leadership |
| 25. |
Homegrown, including Six Sigma and Lean Management |
| 26. |
ISO-9000, NCQA Assessments |
| 27. |
I apply what I have learned through ACPE |
| 28. |
Chronic Disease Collaborative |
| 29. |
see below |
| 30. |
rrt ssip med rec |
| 31. |
benchmark - Md. study AHRQ JCAHO CMS etc |
| 32. |
Internal quality improvement program and committee. |
| 33. |
combinations of the above |
| 34. |
while tracking all the national safety measures, we are more interested in our own programs, devised to correct our own particular weaknesses |
| 35. |
Oglethorpe Award program |
| 36. |
PDCA , Rapid Cycle |
| 37. |
Process flow outline; process improvement teams; individual permission to recommend and champion efficiency changes |
| 38. |
C2Q Tenet Proprietary |
| 39. |
5 million lives saved program |
| 40. |
Baldrige Principles, Patients First Program of the State Hospital Association, including Leapfrog and the NQF 30 safe Practices for Better Health Care. |
| 41. |
P&P |
| 42. |
complication, LOS tracking |
| 43. |
CECS |
| 44. |
Use of consultants selected by main office |
| 45. |
mix of baldridge, six sigma, jcaho - adapted |
| 46. |
T Q M |
| 47. |
Balanced Scorecard |
| 48. |
I am unaware of any programs |
| 49. |
corporate secret |
| 50. |
combo of 1 and 2 |
| 51. |
System quality measures JCAHO core measures |
| 52. |
NCQA |
| 53. |
Performance Appraisal |
| 54. |
Corporate driven quality initiatives |
| 55. |
PDSA |
| 56. |
IHI tools for quality improvement and 100,000 lives saved campaign standards |
| 57. |
homegrown |
| 58. |
HEDIS |
| 59. |
homegrown measures |
| 60. |
Lean Six Sigma |
| 61. |
ADPIE |
| 62. |
borrowing best of breed approaches |
| 63. |
composite |
| 64. |
PDSA |
| 65. |
We have our own risk quality program |
| 66. |
VHA Inititives using High Performance Development Model (HPDM) |
| 67. |
process management as taught by Brent James at Intermountain Health Care (with some TPS and Lean thrown in) |
| 68. |
do not know |
| 69. |
internal CQI process |
| 70. |
Leapfrog, NCQA |
| 71. |
Internally generated |
| 72. |
we participate in several with insurers, CMS, etc. |
| 73. |
We use proprietary in house programs |
| 74. |
Service Excellence |
| 75. |
no specific name |
| 76. |
IHI Measures and programs |
| 77. |
customer satisfaction surveys, competitive grants, ongoing clinical research activities |
| 78. |
scip |
| 79. |
institute for healthcare improvement |
| 80. |
Try hard to comply with Core measures, IHI (Don Berwick) and Leapfrog initiatives |
| 81. |
Quality work groups, deming/juran |
| 82. |
PDCA variant |
| 83. |
VHA |
| 84. |
CQI |
| 85. |
FOCUS PDCA |
| 86. |
BSC |
| 87. |
pdca |
| 88. |
We use a standard approach that I developed based on six sigma, balanced scorecards, Deming, Donebidian, Rummler, Brache and change management approaches. |
| 89. |
Life Wings; Studer Group; Solucient; Midas |
| 90. |
not yet familiar with programs in my hospital |
| 91. |
Six Sigma and IHI Collaboratives |
| 92. |
older FMEA, PDCA tools |
| 93. |
PDSA |
| 94. |
strong, MD led QMC actions, aviation model in surgery |
| 95. |
Internal Systems |
| 96. |
IHI, GWTG, ACC, STS, CMS, CRUSADE, etc. |
| 97. |
Unsure |
| 98. |
A combination of many of the above. |
| 99. |
Organizational Directives |
| 100. |
developing our own programs |
| 101. |
Keystone, Ascension Health priorities for action |
| 102. |
Homegrown |
| 103. |
Institute of Clinical Systems Improvement (ICSI) |
| 104. |
ICSI |
| 105. |
We use parts of all of these programs |
| 106. |
PDSA; Guideline workgroups |
| 107. |
Clinical Microsystems |
| 108. |
TQM, Balanced Scorecard |
| 109. |
home grown |
| 110. |
IHI-PDCA |
| 111. |
Quality Assurance monitoring |
| 112. |
Adaptation of Baldrige Principles, and Leapfrog (includng NQF Safe Practices), Magnet Hospital Status |
| 113. |
IHI, evidence based nursing practice |
| 114. |
Use classic PDSA techniques, participate in several IHI inititiatives. |
| 115. |
We have an active institution wide and departmental quality monitoring program that looks at a wide variety of statistical and incident-based measures. |
| 116. |
home grown |
| 117. |
TQI |
| 118. |
flying by the seat of our pants |
| 119. |
military program |
| 120. |
Premier |
| 121. |
I am not sure which programs we use but we have more excel spreadsheets than you can shake a stick at. |
| 122. |
combination of techniques |
| 123. |
IHI Quality improvement model (PDSA cycles) |
| 124. |
Crosby and Disney |
| 125. |
IHI methodology |
| 126. |
pdsa and rapid cycle. IHI influence |
| 127. |
Internal |
| 128. |
internal best practices |
| 129. |
PDCA |
| 130. |
microsystems |
| 131. |
KP internal QOR |
| 132. |
IHI |
| 133. |
PDCA |
| 134. |
unknown |
| 135. |
national quality measures |
| 136. |
Home grown "Service Excellence" campaign. |
| 137. |
NCQA, Avatar, PDSA |
| 138. |
"Toyota System" |
| 139. |
don't know |
| 140. |
we follow most CHCA initiatives |
| 141. |
PDCA |
| 142. |
IHI |
| 143. |
pdac |
| 144. |
il. lincoln foundation/IHI init./multiple collabs. |
| 145. |
pillars of strength |
| 146. |
rapid cycle IHI processes |
| 147. |
SCIP Initiative |
| 148. |
well-established committee structures with channeling of issues to Quality Council who in turn creates QI teams to do rapid cycle QI |
| 149. |
PDCA, IHI collaborative |
| 150. |
We use Lean, Six Sigma, or PDSA depending on the particular problem |
| 151. |
? |
| 152. |
unknowen |
| 153. |
Not sure |
| 154. |
PDCA PI |
| 155. |
xxxxxxxx |
| 156. |
IHI, six sigma, lean processes, other |
| 157. |
Physician champions, rapid medical evaluation programs in ED, hospitalist programs |
| 158. |
Independent consulting firms |
| 159. |
100K lives, VHA collaboratives |
| 160. |
Locally generated |
| 161. |
Internal Data Review |
| 162. |
IHI PDCA |
| 163. |
PDCA with statistical process control |
| 164. |
home grown medication error reduction |
| 165. |
bbb |
| 166. |
Focus on astisfaction and locally identified material quality measures. |
| 167. |
attention to public reporting, core measures, etc. |
| 168. |
Govt facility (fed resources dictates the process) |
| 169. |
We monitor,as well as staff, our quality of care and discuss any lapses that may have been brought to our attention. |
| 170. |
IHI programs |
| 171. |
homegrown measures for quality improvement |
| 172. |
VHA and Greeley |
| 173. |
CareScience. |
| 174. |
Model for Improvement |
| 175. |
TeamCare, a bottom up collaboration involving the entire practice |
| 176. |
Studer Group |
| 177. |
Lean Six Sigma |
| 178. |
rapid cycle |
| 179. |
Our own performance measure system |
| 180. |
AIM_PDSA |
| 181. |
IHI |
| 182. |
JCAHO |
| 183. |
Classic PDCA cycles |
| 184. |
Adoption of what fits us. |
| 185. |
PDCA |
| 186. |
IHI, Rapid cycle PDSA |
| 187. |
core measures |
| 188. |
Fast PDCA |
| 189. |
USPHS guidelines + "homegrown" monitoring thru EMR |
| 190. |
Clinical Programs - homegrown |
| 191. |
Collaborative-like efforts |
| 192. |
IHI programs/National Patient Safety Goals |
| 193. |
Too much trouble to fill in these boxes! |
| 194. |
Pillars of Quality |
| 195. |
core measures |
| 196. |
Many |
| 197. |
We promote data feedback |
| 198. |
PDSA cycle improvements |
| 199. |
Premier Hospitals Measures |
| 200. |
Continous Process improvement |
| 201. |
Georgia Oglethorpe Award |
| 202. |
A hodgepodge. |
| 203. |
NCQA |
| 204. |
ISO |
| 205. |
PDSA |
| 206. |
Failure mode and effects analysis, monitors, tracers RCA's etc |
| 207. |
Tenet programs |
| 208. |
CECS |
| 209. |
Quality Improvement |
| 210. |
PDSA, Lean, IHI |
| 211. |
FDA/COLA/NYS DEPT OF HEALTH |
| 212. |
NCQA, HEDIS, SixSigma, internal algorithms |
| 213. |
IHI and initiatives of our own system |
| 214. |
CORE measures (CSMS) |
| 215. |
PDSA |
| 216. |
FOCUS PDSA |
| 217. |
local committee |
| 218. |
Coordination of each Depts. quality committee |
| 219. |
we are using CQI process |
| 220. |
unknown to me |
| 221. |
PDSA |
| 222. |
Stringent peer review |
| 223. |
will follow care strandards such as MQIC (Michigan based guidelines) |
| 224. |
Quality is a culture, not a program |
| 225. |
combination |
| 226. |
Institute for Healthcare Imrovement |
| 227. |
We are using some of all of these. |
| 228. |
a lot of UHC and Leapfrog process measures and standards |
| 229. |
Crosby |
| 230. |
IHI & other collaboratives |
| 231. |
Microsystems. |
| 232. |
Several of these |
| 233. |
Combo of Lean & 6 Sigma |
| 234. |
Juran |
| 235. |
PDCA methodologies |
| 236. |
100,000 lives campaign |
| 237. |
Baldridge; adding six sigma and lean later |
| 238. |
IHI, Ascension Health |
| 239. |
don't know |
| 240. |
IHI rapid cycle PDSA |
| 241. |
organization measures/performance improvement |
| 242. |
human factors training in the OR, we've also looked at lean processes but have not implemented that program to date |
| 243. |
mix of several different programs |
| 244. |
hand waving, smoke and mirrors, and feel good meetings |
| 245. |
Care management initiatives |
| 246. |
homegrown |
| 247. |
UHC, SHM |
| 248. |
Hardwiring excellence-Quint Studer |
| 249. |
.Varity of "home grown" |
| 250. |
quality initiatives for specific clinical entities |
