sections 1-2; sections 3-6
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Domain |
Objectives |
Desired Outcome
|
KPI/ Evaluation Method |
Evaluation/update Period |
|
Financial |
· To reduce expenditure on readmissions · To increase income |
· The hospitals saves $....... · Revenue increase by ...% |
· Readmission rates · New customers rates · Hospital's Budget for financial loss or gain from readmissions and new customers |
3 months
3 months |
|
Customer |
· To increase patient's satisfaction with easy access to care, and wait times.
· To keep Stakeholders satisfied and engaged |
· Patient's satisfaction with ease of access to care increases from 35% to 80%. · Patient's satisfaction with wait times increase from 20% to 80%. · Stakeholders will be kept involved and updated about progress of project through bi-weekly phone calls, weekly face-to-face meetings, regular emails and phone call correspondence. |
· HCAPHS scores
· HCAPHS scores
|
3 months
3months
|
|
Business Processes and Procedures |
· Construct a flowchart outlining flow of patient care at the OPC from start to finish. · Develop 1 new policy to ensure all discharged patients receives follow-up within 7 to 14 days of discharge · Revision of hospitals discharge and admission policies to ensure all discharged patients are scheduled for and receive follow-up care |
· Smooth flow of OPC unit operations
· Discharged patients receives follow-up care within the required period
· All patients are scheduled for OP clinic on discharged |
· Patient and staff satisfaction surveys
· OPC unit appointment records
· OPC unit appointment records
|
3 months
|
|
Training |
· All staff assigned to OPC will be competent to work in this out-patient care settings.
|
· Physicians, nurse manager and 5 RNs staff assigned to OPC unit will receive initial one-on-one competency training with an educator. Post- Test pass grade 85% · All staff will renew their competences every 3 months using the hospital intranet competency program, pass grade 90%
|
· Staff qualification/Job description
· Staff competences completion rates in hospital database |
3 months
3 months |
|
Project Prep Time-3-5 months |
Objectives/Strategies |
Quarter 1 |
Quarter 2 |
Quarter 3 |
Quarter 4 |
|
Communication/ individual/group meetings with stakeholders |
Finance- |
Obtain $1 million reimbursement for wound care management/documentation |
Obtain $1.33 million reimbursement for wound care management/documentation |
Obtain $1.33 million reimbursement for wound care management/documentation |
Obtain $1.33 million reimbursement for wound care management/documentation |
|
Request for proposal submission for equipment |
Customer |
Increase patient satisfaction to 80% |
Increase patient satisfaction to 82% |
Increase patient satisfaction to 84% |
Increase patient satisfaction to 85% |
|
Testing of mock equipment with electronic health record |
Business Processes |
Develop photography policy; develop equipment policy; develop photography protocol |
Develop wound documentation policy; develop documentation protocol |
Move all policies/protocols through approval processes |
All policies/protocols approved for dissemination to end-users |
|
Evaluation of pictures and documentation |
Learning and Growth |
Complete 4 training sessions |
Complete 5 training sessions |
Complete 5 training sessions |
Complete 1 training session and 4 additional for individuals not able to make other sessions |
|
Feedback sessions with stakeholders |
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Audit of documentation |
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