SAMPLE POLICY WORK

•

Training Program Enhancements:

– Lessons learned from QI activities inform updates to our staff training modules, ensuring that best practices are disseminated throughout the organization. • Case Studies and Success Stories: – Documenting successful QI initiatives and sharing case studies in internal newsletters and meetings reinforces desired behaviors and motivates staff to embrace continuous improvement. i. Implementation Checklist for Quality Improvement Initiatives To facilitate successful implementation of quality improvement activities, the following checklist must be adhered to:

Responsible Party QI Committee / Department Heads Quality Assurance Team

Task

Frequency

Verification Method

Develop quarterly QI Action Plans

Quarterly

Approved QI Action Plan documents, distributed via intranet Survey data reports, electronic dashboards Audit logs, incident reports Digital dashboards, statistical analysis reports Meeting minutes, action item lists PDSA cycle documentation, outcome reports Training records, updated training materials, satisfaction surveys Revised QI policy documents, version logs, distribution records

Conduct regular client satisfaction surveys Perform routine incident and error audits Analyze KPI trends and generate performance reports Hold interdisciplinary QI review meetings Implement PDSA cycles for all targeted interventions Provide staff training updates based on QI findings

Monthly

OHS and QA Teams

Weekly/Monthly

IT & Quality Assurance Teams

Monthly/Quarterly

QI Committee

Monthly

Department Heads / QI Committee

As needed (ongoing)

HR, Training Department, QI Committee

Quarterly/Annually

Update policies and procedures per new regulatory guidance

Compliance Team / Executive Leadership

As needed (upon updates)