Key Elements of a Key Elements of a Quality Improvement Quality Improvement

Management PlanManagement PlanTitle I Quality Management ProgramTitle I Quality Management Program

Quality Learning NetworkQuality Learning NetworkMental Health Providers Mental Health Providers

May 17May 17thth, 2004, 2004Johanna Buck, Quality ConsultantJohanna Buck, Quality Consultant

QI Management PlanQI Management PlanLearning ObjectivesLearning Objectives

• To understand the purpose and To understand the purpose and primary elements of a quality primary elements of a quality improvement management planimprovement management plan

• To be able to begin a draft of a To be able to begin a draft of a quality improvement management quality improvement management planplan

QI Management PlanQI Management PlanElementsElements

• Quality StatementQuality Statement• Quality Improvement InfrastructureQuality Improvement Infrastructure• Annual Quality GoalsAnnual Quality Goals• Staff InvolvementStaff Involvement• Consumer InvolvementConsumer Involvement• EvaluationEvaluation

QI Management PlanQI Management PlanElementsElements

• Quality StatementQuality Statement • Describes the purpose of the HIV Describes the purpose of the HIV

quality program, e.g. “to provide the quality program, e.g. “to provide the highest quality mental health care to highest quality mental health care to HIV positive patients in the HIV positive patients in the Westchester, NY area”.Westchester, NY area”.

QI Management PlanQI Management PlanElementsElements

• Quality Improvement InfrastructureQuality Improvement Infrastructure• Describes how the quality program is

staffed and structured in order to get the work done.– Leadership – who is ultimately responsible?Leadership – who is ultimately responsible? Typically a Quality Committee.Typically a Quality Committee.– Membership – who participates routinelyMembership – who participates routinely– Meeting structure – when, where, system Meeting structure – when, where, system

for documentationfor documentation

QI Management PlanQI Management PlanElementsElements

• Annual Quality Goals Annual Quality Goals • The “real” work is completed during QI

projects and the plan should provide the following information about the yearly projects:– Annual quality goals – select one or more areas Annual quality goals – select one or more areas

for improvementfor improvement– Quality improvement teams – identify staff Quality improvement teams – identify staff – Performance measurement – how will data be Performance measurement – how will data be

collected and evaluatedcollected and evaluated

QI Management PlanQI Management PlanElementsElements

• Staff InvolvementStaff Involvement• All staff should be kept informed of

quality initiatives.– Communication – meetings, bulletin Communication – meetings, bulletin

board, newsletters, reports to board, newsletters, reports to internal/external groupsinternal/external groups

– Education – how is quality training Education – how is quality training provided – manuals, workshops.provided – manuals, workshops.

QI Management PlanQI Management PlanElementsElements

• Consumer InvolvementConsumer Involvement• Strategies to involve consumers in

quality should be identified.

QI Management PlanQI Management PlanElementsElements

• Evaluation Evaluation • A process for evaluating and making changes

to the quality program should be described.– Quality projects – make sure that process for Quality projects – make sure that process for

selecting and conducting projects that are selecting and conducting projects that are worthwhile is working and that improvements are worthwhile is working and that improvements are sustainablesustainable

– Quality improvement plan- did the plan provide Quality improvement plan- did the plan provide the vision and organization to get the work done?the vision and organization to get the work done?