PQI 2 - The Foundation for Broad Use of PQI*
The infrastructure that supports performance and quality improvement is sufficient to identify organization-wide issues, implement solutions that improve overall efficiency, and promote accessible, effective services in all regions and sites.
Note: Please see Model: Performance and Quality Improvement Plan and Chart: Sample_PQI Committee Structure in the Tools Index for additional assistance with this standard.
The PQI program takes into account all of the organizationís regions and sites, and all individuals and families served.
Interpretation: Every organization, regardless of size, should implement PQI in a manner that is consistent with its service philosophy to increase support for and reduce barriers to implementation of the PQI program. This guidance could be of particular value for an organization making broad, deep change in service delivery, changing rapidly, or operating in a widely dispersed service delivery system.
A PQI plan which operationalizes the organization's PQI program:
Interpretation: It is recommended that organizations establish a separate, independent PQI committee structure; however, it is acceptable to integrate PQI responsibilities into an organization's existing decision-making and support structure, e.g., management teams, standing committees, or task forces.
Interpretation: The PQI plan provides an overview of the organization's PQI program, as well as procedures for operationalizing specific aspects of the program, e.g., case record reviews and data collection procedures. Organizations may choose to maintain PQI operational procedures separately in a PQI Procedures Manual.
Note: Please see Worksheet: PQI Operational Procedures in the Tools Index for additional assistance with this standard.
The organization in its PQI plan defines its stakeholders and specifies how different stakeholder groups will be involved in the PQI process.
Interpretation: Stakeholder involvement is fundamental to a well-designed, useful PQI process. Examples of potential stakeholders include:
For networks, contracts with service provider organizations and independent providers include the requirement that they participate in the network's performance and quality improvement activities, including utilization management processes.
The organization describes the steps in an improvement cycle, including determining if an implemented change is an improvement.
related PQI 5.01
Note: Please see Chart: Improvement Cycle in the Tools Index for additional assistance with this standard.
Staff responsible for PQI are qualified by education and experience to:
Interpretation: Organizations that assign primary PQI responsibility to a staff member without quality improvement, performance measurement, or program evaluation training and experience should anticipate supporting this individual through professional development, training, and networking opportunities.
Responsibility for PQI may be shared among different staff members or committees.