SAMPLE POLICY WORK

– Identify resources (staff, budget, technology) required for addressing each issue. – Assign responsibilities and deadlines for action items. • Documentation: – Create a Quality Improvement Action Plan document outlining all planned interventions, goals, KPIs, and responsible parties. – Publish this plan on the internal QI portal and distribute it to the QI Committee and department heads.

Step 2: Do •

Implement Corrective Actions: –

Initiate the interventions as per the approved QI Action Plan. – Execute the action plan on a small scale initially if possible to test effectiveness. • Staff Involvement: – Inform all affected employees of the changes via internal communications. – Provide training where necessary to equip staff with new procedures. • Data Collection: – Monitor relevant KPIs continuously during the implementation stage. – Use digital dashboards to track real-time performance indicators and compile daily logs.

Step 3: Study •

Review Outcomes: –

Analyze data collected during the implementation phase to assess whether the corrective actions meet the pre ‑ defined objectives. – Conduct focus group discussions and gather qualitative feedback to supplement quantitative data. • Compare with Benchmarks: – Compare the results against internal targets, historical data, and external benchmarks to evaluate the success of implemented changes. • Documentation: – Generate a QI Outcome Report summarizing the findings, lessons learned, and areas that may need further intervention. – Present the report in monthly QI Committee meetings for broader organizational dissemination.

Step 4: Act •

Institutionalize Successful Changes: – If outcomes meet or exceed targets, update Standard Operating Procedures (SOPs) to reflect the new, improved practices. – Add the successful corrective actions to the permanent operational manual and training modules.