Implementation of formal quality improvement methods, practice changes or other practice improvement processes
Description
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following:
Train all staff in quality improvement methods;
Integrate practice change/quality improvement into staff duties;
Engage all staff in identifying and testing practices changes;
Designate regular team meetings to review data and plan improvement cycles;
Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or
Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families.
eMeasure ID
First Performance Year
2017
Last Performance Year
Metric Type
boolean
Weight
medium
Sub-category ID
Patient Safety And Practice Assessment
CEHRT Eligibility
Bonus under ACI
Varidation
Implementation of a formal model for quality improvement and creation of a culture in which staff actively participates in one or more improvement activities
Suggested Documentation
1) Adopt Formal Quality Improvement Model and Create Culture of Improvement - Documentation of adoption of a formal model for quality improvement and creation of a culture in which staff actively participate in improvement activities; and 2) Staff Participation - Documentation of staff participation in one or more of the six identified; including, training, integration into staff duties, identifying and testing practice changes, regular team meetings to review data and plan improvement cycles, share practice and panel level quality of care, patient experience and utilization data with staff, or share practice level quality of care, patient experience and utilization data with patients and families