2017 Quality Improvement Activity Sustainability Plan

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Sustainability is about ensuring that the improvements you have made will last. In order for these enhancements to be lasting, we must establish a plan for sustainability. We all want these changes and improvements to become part of the culture in your facility.
 
To successfully complete this sustainability plan, please take a moment to consider all of the processes you have put into place during the Quality Improvement Activity your facility participated in.
 
  • What can be done to ensure the most successful interventions will become part of the culture in your facility?
  • How will you ensure that these steps will continuously support your current processes?
  • Will this require that you modify training in your facility?
  • How will you track these interventions to ensure improvements in performance measures are sustained?
  • If you have a corporate partner, what is their role in supporting this sustainability plan? 
 
STEP 1: Complete this survey within 10 business days of receipt.

STEP 2: Before submitting this survey, save and print a copy of this Sustainability Plan to keep at the facility. Right click on your mouse, select the print option. Then click on the Submit Sustainability Plan button.

STEP 3: Obtain the signature and approval on the printed Sustainability Plan of one of the following: Regional Manager, Director of Operations, or other Corporate Leader.

STEP 4: Send your signed Sustainability Plan to the Network by fax: (972) 331-3659. 

STEP 5: Complete this process for EACH QIA your facility participated in ONLY at the time it is requested by the QIA project lead.

STEP 6: Lastly, IMPLEMENT your plan and incorporate progress and results in monthly QAPI meetings.

You will have TEN business days from receipt of this survey to complete your sustainability plan.

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* 1. Please select the Quality Improvement Activity your facility participated in this year. If your facility participated in more than one QIA, then complete a Sustainability Plan for each QIA.

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* 2. Facility Name

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* 3. Enter your first and last name.

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* 4. Enter your email address.

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* 5. What is your title? (i.e. Facility Administrator, Clinic Manager, etc.)

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* 6. Does this facility/organization have a Regional Manager, Director of Operations, or other Corporate Leader?

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* 7. If yes to question 5, what is this person's first and last name?

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* 8. Email address for the Regional Manager, Director of Operations, or other Corporate Leader.

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* 9. STANDARDIZATION: In order for this to become the culture, standard, or usual business in your facility, please provide specific examples of how you will hardwire and prioritize these processes into your current system. 

(For example: Do you have a policy and procedure, algorithm, checklist, or best practice for these processes and how will you prioritize these interventions into daily work?)

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* 10. UTILIZATION: How will you utilize frontline staff and corporate leadership to implement these changes?

(For example: How could your corporate leadership be instrumental in assisting you at the clinic level to maintain gains and positive outcomes from the quality improvement activities that you have participated in?)

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* 11. SHARE: How will these new changes, or changes to existing processes, be communicated with existing staff, new staff, PRN staff, patients, and family members? How will feedback be obtained and addressed from each group?

(For example: Do you have a communication plan?)

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* 12. TRANSPARENCY: How can you and/or management make these changes transparent to support and foster a culture of trust between management, staff, and patients?

(For example: What can you and/or management do to create a safe place in which issues can be identified, addressed and resolved by frontline staff and patients? How will you and/or management follow up, follow through and provide feedback?)

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* 13. ACCOUNTABILITY: How will you build accountability and escalation steps into this sustainability plan to alert you when problems arise that will keep you from sustaining performance and meeting goals?

(For example: How will performance be measured and who will be responsible for notifying leadership when performance measures are not met?)

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* 14. INTEGRATION: How will these processes be integrated into daily work and how will you align them with organizational or departmental goals?

(For example: How can you make these processes blend smoothly with your existing practices? Do they coincide with other organizational or departmental goals?)

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* 15. NEVER GO BACK: How will your staff, patients, and corporate leaders maintain the gains and continue the interventions learned in this QIA?

(For example: Identify the most effective tools or interventions from this QIA that will be used to maintain the gains. How will you visually display  progress sustained (i.e. an explanatory chart  posted on staff and/or patient bulletin board)? What role will the staff, patients, and corporate leaders have in supporting these interventions?)

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* 16. Completing this survey helped me to create an actionable Sustainability Plan.

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* 17. Did you print a copy of this COMPLETED sustainability plan before clicking on the Submit Sustainability Plan button? (Right click on your mouse, select the Print option. Then click on the Submit Sustainability Plan button.)

STEP 1: Complete this survey within 10 business days of receipt.

STEP 2: Before submitting this survey, Save and print a copy of this Sustainability Plan to keep at the facility. Right click on your mouse, select the Print option. Then click on the Submit Sustainability Plan button.

STEP 3:  Obtain the signature and approval on the printed Sustainability Plan of one of the following: Regional Manager, Director of Operations, or other Corporate Leader.

STEP 4: Send your signed Sustainability Plan to the Network by fax: (972) 331-3659. 

STEP 5: Complete this process for EACH QIA your facility participated in ONLY at the time it is requested by the QIA project lead.

STEP 6: Lastly, IMPLEMENT your plan and incorporate progress and results in monthly QAPI meetings.

You will have TEN business days from receipt of this survey to complete your sustainability plan.



Regional Manager, Director of Operations, or other Corporate Leader (Print Name):

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Regional Manager, Director of Operations, or other Corporate Leader (Signature):

___________________________________

Date Sustainability Plan Approved:

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DO NOT EMAIL ANY PATIENT-SPECIFIC INFORMATION (NAME, DATE OF BIRTH, SOCIAL SECURITY NUMBER, ETC.) TO THE NETWORK 14 OFFICE.
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