CALTCM Best Practice Award: Proposed Implementation Plan

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* 1. Contact Information

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* 2. Summary of your Best Practice project:

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* 3. List the metrics/improvements your project fulfills:

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* 4. Target population/patients for our Best Practice project:

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* 5. Assessment:
Which QAPI methods are used to study your project? (Flow Chart, PDSA, etc.)

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* 6. Measurement:
Which sources of data are used to measure your project process and outcomes? (Administrative data, chart audits, surveys, etc.)

Please describe how your plan/project addresses the following items:

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* 7. Need:
How does this meet a need in Post-Acute and Long-Term Care?

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* 8. Quality of Care:
Please describe how this project improves the quality of care?

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* 9. Cost:
Outline the costs of implementing and sustaining your program and compare these to the benefits (as you can quantify).

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* 10. Benefits:
Please describe the health benefits of this project?

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* 11. Scalability:
How scalable is your project? Can it be implemented in small facilities or across multiple facilities?

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* 12. Sustainability:
Describe how your project/plan is sustainable?

Please feel free to submit photos or diagrams, 5 maximum, with your submission if desired.

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* 13. Upload photo or diagram.

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* 14. Upload photo or diagram.

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* 15. Upload photo or diagram.

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