Continuous Quality Improvement
The purpose of Continuous Quality Improvement programs in Home Care is to improve health care by identifying problems, implementing and monitoring corrective action and studying its effectiveness. CQI programs focus on system issues- studying specific root causes and analyzing objective aggregate data to identify improvements in organizational structure and function. The Home Care, Hospice & Palliative Care Alliance of New Hampshire hosts CQI Affinity groups in Concord. CQI topics may include: evaluation of the completed studies and audits, access to care, grievances, infection control and disaster drills.
Meetings are the 4th Thursday of each month.
- Zoom Meetings are from 9:00 am to 10:30 am, https://zoom.us/j/95470024809
- Onsite meetings are from 9:00 am to 11:00 am, at the NH Hospital Assoc. 125 Airport Road, Concord unless otherwise noted.
- Zipped File – May 2018
- Attachment A -OASIS C2- OASIS D- Change Table
- Attachment B – CMS 10545 OASIS 2019Z
- Attachment C – Itemized List of Data Elements
- CMS 10545 Supporting Statement OASIS Dz
- CMS- Overview of the Patient Driven Groups Model
- HH PAE Table Measures OASIS D
- CMS Tables - Quality Measures for HH
- AE UTI
- AE Wounds
- AE Meds
- AE Increase Pressure Ulcer
- AE Increase Pressure Ulcer
- AE HypoHyperglycemia
- AE Falls
- AE Decline Oral Med
- AE DC Wound Med
- AE DC Toilet
- AE DC Behavior
- AE ADLs
- Potentially Avoidable Event Follow Up Report
- COPD - Zone
- Clinician Med Rec Education from CRVNA
- A3 Med Education worksheet
- Physician Attestation of Face to Face Encounter Worksheet for Home Care
- CQI- CASPER Report 11
- CQI Page-2-Chapter2-OASISC1-ICD10
- Lean Worksheet- A3
- CQI minutes
- EnFit Newsletter
- homecare checklist
- member list
- CQI Minutes 1-5-2006
- Patient Safety in the Home - IHI Workbook
- 5S Visual Management, Huddles & Dashboards: Lean presentation- Sept 2017
- CQI Notes 2017.2
- CQI Notes 2017.1
- Quality Improvement Board Orientation
- Quality is defined as meeting and/or exceeding the expectations of our customers.
- Success is achieved through meeting the needs of those we serve.
- Most problems are found in processes, not in people. CQI does not seek to blame, but rather to improve processes.
- Unintended variation in processes can lead to unwanted variation in outcomes, and therefore we seek to reduce or eliminate unwanted variation.
- It is possible to achieve continual improvement through small, incremental changes using the scientific method.
- Continuous improvement is most effective when it becomes a natural part of the way everyday work is done.
Core Steps in Continuous Improvement
- Form a team that has knowledge of the system needing improvement.
- Define a clear aim.
- Understand the needs of the people who are served by the system.
- Identify and define measures of success.
- Brainstorm potential change strategies for producing improvement.
- Plan, collect, and use data for facilitating effective decision making.
- Apply the scientific method to test and refine changes.
Institute for Health Care Improvement Managing Data Webinar