C983
Quality Improvement in Healthcare
TASK 3
Final Report Template
(Passed First Attempt)
Western Governors University
, Student Note: the following represents the basic Task components. Be sure to review the rubric before
submitting to ensure that all salient points are addressed.
Task 3: Part 1:
Process Control Plan
Create a process control plan by doing the following:
A. Measures, Key Indicators, and Thresholds for Response
Describe your measures, key indicators, and thresholds for potential response:
1. define measures or key indicators that will be used to track improvement project progress
2. identify the threshold for the measures of key indicators that will signal a need for a
potential response plan
Measures or Key There will be several key indicators that will be used to track
Indicators improvement during the implementation of the project. The first
would be a significant decrease in patient wait times because per
the VOC, only 62% of patients stated that they received help as
soon as they wanted, which is 6% lower than the national
average[ CITATION wes \l 1033 ]. Project progress will be
reflected when that number has at least met the national average.
The second indicator would be the improvement of overall
communication during patient care. Only 64% of patients stated
that medical staff explained medicines before
administering[ CITATION wes \l 1033 ], therefore, this area needs
to be improved greatly for patients to trust the facility and have a
working relationship with their care providers. Shelbyville will be
able to show improvement in this area by exceeding the national
average to draw in more patients and potential shareholders. The
last key indicator will be the improvement of patient education at
discharge since, per the VOC, only 45% of patients understood
their care when they left the hospital which is 6% lower than the
national average[ CITATION wes \l 1033 ].
Thresholds for Thresholds for measures would include close monitoring of patient
measures or key satisfaction scores from the VOC. The goal of this project is to
indicators meet or exceed the national averages regarding patient satisfaction
for each area of improvement.
Patient wait times should not exceed two hours once triaged and
patient satisfaction regarding wait times should meet or exceed the
national average of 68%[ CITATION wes \l 1033 ].
Provider to patient communication should exceed the national
average of 64% [ CITATION wes \l 1033 ] since there is really no
reason for poor communication in a healthcare setting.
Patient education at discharge will meet or exceed the national
average of 51% [ CITATION wes \l 1033 ] to help reduce the
number of costly readmissions.
This study source was downloaded by 100000902171055 from CourseHero.com on 11-16-2025 18:13:38 GMT -06:00
https://www.coursehero.com/file/108737269/C983-Task-3-Meghan-Vestdocx/
Quality Improvement in Healthcare
TASK 3
Final Report Template
(Passed First Attempt)
Western Governors University
, Student Note: the following represents the basic Task components. Be sure to review the rubric before
submitting to ensure that all salient points are addressed.
Task 3: Part 1:
Process Control Plan
Create a process control plan by doing the following:
A. Measures, Key Indicators, and Thresholds for Response
Describe your measures, key indicators, and thresholds for potential response:
1. define measures or key indicators that will be used to track improvement project progress
2. identify the threshold for the measures of key indicators that will signal a need for a
potential response plan
Measures or Key There will be several key indicators that will be used to track
Indicators improvement during the implementation of the project. The first
would be a significant decrease in patient wait times because per
the VOC, only 62% of patients stated that they received help as
soon as they wanted, which is 6% lower than the national
average[ CITATION wes \l 1033 ]. Project progress will be
reflected when that number has at least met the national average.
The second indicator would be the improvement of overall
communication during patient care. Only 64% of patients stated
that medical staff explained medicines before
administering[ CITATION wes \l 1033 ], therefore, this area needs
to be improved greatly for patients to trust the facility and have a
working relationship with their care providers. Shelbyville will be
able to show improvement in this area by exceeding the national
average to draw in more patients and potential shareholders. The
last key indicator will be the improvement of patient education at
discharge since, per the VOC, only 45% of patients understood
their care when they left the hospital which is 6% lower than the
national average[ CITATION wes \l 1033 ].
Thresholds for Thresholds for measures would include close monitoring of patient
measures or key satisfaction scores from the VOC. The goal of this project is to
indicators meet or exceed the national averages regarding patient satisfaction
for each area of improvement.
Patient wait times should not exceed two hours once triaged and
patient satisfaction regarding wait times should meet or exceed the
national average of 68%[ CITATION wes \l 1033 ].
Provider to patient communication should exceed the national
average of 64% [ CITATION wes \l 1033 ] since there is really no
reason for poor communication in a healthcare setting.
Patient education at discharge will meet or exceed the national
average of 51% [ CITATION wes \l 1033 ] to help reduce the
number of costly readmissions.
This study source was downloaded by 100000902171055 from CourseHero.com on 11-16-2025 18:13:38 GMT -06:00
https://www.coursehero.com/file/108737269/C983-Task-3-Meghan-Vestdocx/
