C983
Quality Improvement in Healthcare
TASK 3
Final Report Template
(Passed First Attempt)
Western Governors University
, 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 progress
2. identify the threshold for the measures of key indicators that will signal a need for a
potential response plan
Measures or Key The primary key indicator and measure involved in this process
Indicators would be patient satisfaction scores. It’s the satisfaction scores
that led us to these changes and helped develop a plan and
improvement process to measure success. Maintaining higher
patient satisfaction scores would ensure the change is a success.
Thresholds for This would involve close monitoring of the patient satisfaction
measures or key scores. Comparison to before and after the performance
indicators improvement would be key, as well as comparisons to benchmarks
and comparable departments. If these scores fall below
benchmark, signs point towards regressing change.
3. Explain your potential response plan if a key indicator fails to meet the standards
established in parts A1 and A2.
If patient satisfaction scores would have fallen with the initial plan in A1 and A2, a
pause on the change proposed would be necessary, an assessment of the change
and factors related to the proposed process would be reevaluated. We would
determine the key factors related to making a new proposal and work to identify
what factors allowed patient satisfaction to drop while proposing the initial plan.
B. Recipients of Report Results
Identify five individuals who will receive the reports of the results of the quality
improvement project:
Professional Title Department and Service
Attending Physicians Emergency department attending
physicians- this report will show
improvements in physician handoff and
patient satisfaction related to
communication between patients and
providers.
Resident Physicians Emergency department resident
physicians- this report will show
improvements in physician handoff and
patient satisfaction related to
This study source was downloaded by 100000902171055 from CourseHero.com on 11-13-2025 21:45:32 GMT -06:00
https://www.coursehero.com/file/73033880/C983-Task-3-Jdocx/
Quality Improvement in Healthcare
TASK 3
Final Report Template
(Passed First Attempt)
Western Governors University
, 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 progress
2. identify the threshold for the measures of key indicators that will signal a need for a
potential response plan
Measures or Key The primary key indicator and measure involved in this process
Indicators would be patient satisfaction scores. It’s the satisfaction scores
that led us to these changes and helped develop a plan and
improvement process to measure success. Maintaining higher
patient satisfaction scores would ensure the change is a success.
Thresholds for This would involve close monitoring of the patient satisfaction
measures or key scores. Comparison to before and after the performance
indicators improvement would be key, as well as comparisons to benchmarks
and comparable departments. If these scores fall below
benchmark, signs point towards regressing change.
3. Explain your potential response plan if a key indicator fails to meet the standards
established in parts A1 and A2.
If patient satisfaction scores would have fallen with the initial plan in A1 and A2, a
pause on the change proposed would be necessary, an assessment of the change
and factors related to the proposed process would be reevaluated. We would
determine the key factors related to making a new proposal and work to identify
what factors allowed patient satisfaction to drop while proposing the initial plan.
B. Recipients of Report Results
Identify five individuals who will receive the reports of the results of the quality
improvement project:
Professional Title Department and Service
Attending Physicians Emergency department attending
physicians- this report will show
improvements in physician handoff and
patient satisfaction related to
communication between patients and
providers.
Resident Physicians Emergency department resident
physicians- this report will show
improvements in physician handoff and
patient satisfaction related to
This study source was downloaded by 100000902171055 from CourseHero.com on 11-13-2025 21:45:32 GMT -06:00
https://www.coursehero.com/file/73033880/C983-Task-3-Jdocx/
