PAGE 1 QI Plan Part Three QI Plan Part Three Davis Health Care’s Quality Improvement Plan To be able to effectively implement the quality improvement plan, the management of Davis Healthcare must be in a position to make a detailed illustration of the crtical steps to act as map that would guide the implementation team in starting and coordinating the project. This assignment will address areas of criteria and tasks with regards to the authority, structure and organization; communication, education; monitoring and revising; and regulation and accreditation patient identification should be treated with the seriousnes it deserves because failure to correctly identify patients may have far reaching consequences whereby a patient may undergo wrong procedures, transfusion errors may occur, a petient may be given errenous medication, and testing errors may also occur among other errors. The above areas will provide guidence in the implementation process so as to reduce errors associated with patient identity. Criteria and Tasks This section decsribes the authority structure, and organization of the implementaion of the quality implementation plan. The different roles of each group involved in the management and running of an healthcare organization will be described. Every professional project must have an implementation committee whose role is to oversee the implementation of the program. As is the case with most professional projects, this quality improvement plan will be implemented by an inplementing committee. However, different bodies involved in the plan within the healthcare organization, will play different roles. Board of directors: The board of directors are have the responsibility of drafting policies of the organization. Equally, they are responsible for making decisions regarding the implementation structure and organization; communication, education; monitoring and revising; and regulation and accreditation patient identification Also, they provide oversight with regards to plans and projects of the organization. Executive leadership:The executive leadership lias with the board to guide a culture of the organization aimed at spearheading improvements in the organization. The executive also directs the healthcare resources towards processes, structures of the organization as well as resources to monitor the healthcare systems, which in turn would ensure reduced patient identification errors. Quality improvement committee:The role of the quality improvement comittee is to monitor this quality improvement plan, make observations on areas of improments and report to the board for action on quality issues. This committee also makes recommendations to the executive board with regards to the initaitives and policies aimed at improving the quality of the patient identification program. In addition, the committee ensures that the best practises on patient identification, are “shared with the staff” (Sadeghi, 201.

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QI Plan Part Three
QI Plan Part Three
Davis Health Care’s Quality Improvement Plan
To be able to effectively implement the quality improvement
plan, the management of Davis Healthcare must be in a position
to make a detailed illustration of the crtical steps to act as map
that would guide the implementation team in starting and
coordinating the project. This assignment will address areas of
criteria and tasks with regards to the authority, structure and
organization; communication, education; monitoring and
revising; and regulation and accreditation patient identification
should be treated with the seriousnes it deserves because failure
to correctly identify patients may have far reaching
consequences whereby a patient may undergo wrong procedures,
transfusion errors may occur, a petient may be given errenous
medication, and testing errors may also occur among other
errors. The above areas will provide guidence in the
implementation process so as to reduce errors associated with
patient identity.

2. Criteria and Tasks
This section decsribes the authority structure, and organization
of the implementaion of the quality implementation plan. The
different roles of each group involved in the management and
running of an healthcare organization will be described. Every
professional project must have an implementation committee
whose role is to oversee the implementation of the program. As
is the case with most professional projects, this quality
improvement plan will be implemented by an inplementing
committee. However, different bodies involved in the plan
within the healthcare organization, will play different roles.
Board of directors: The board of directors are have the
responsibility of drafting policies of the organization. Equally,
they are responsible for making decisions regarding the
implementation structure and organization; communication,
education; monitoring and revising; and regulation and
accreditation patient identification Also, they provide oversight
with regards to plans and projects of the organization.
Executive leadership:The executive leadership lias with the
board to guide a culture of the organization aimed at
spearheading improvements in the organization. The executive
also directs the healthcare resources towards processes,
structures of the organization as well as resources to monitor
the healthcare systems, which in turn would ensure reduced
patient identification errors.
Quality improvement committee:The role of the quality
improvement comittee is to monitor this quality improvement
plan, make observations on areas of improments and report to
the board for action on quality issues. This committee also
makes recommendations to the executive board with regards to
the initaitives and policies aimed at improving the quality of the
patient identification program. In addition, the committee
ensures that the best practises on patient identification, are

3. “shared with the staff” (Sadeghi, 2013) at the Davis healthacare
organization. Apparently, it is this committee that overseas the
preparation of every annual plans on quality improvement.
Medical staff: If patient identification is done incorrectly then it
is high probable that the medical staff will misdiagnose illness,
issue medication to the wrong patient, discharge infant patients
to the wrong persons, conduct wrong procedures among other
error. As such, medical staff play an important role in
counterchecking the patient identification before starting any
procedure. As part of their involvement in the implementation
of the patient identification lan, they have a better
understanding of the importance of its success implementaion in
the organization.
Middle management: As part of their involvement in this plan,
the role of the middle management is to reinforce the decisions
of the executive leadership in the implementation of the patient
identification plan.
Department staff: The role of the department staff is to take
orders from the middle managment with regards to the
implementaion of the patient identification plan.
Communication
The quality improvement team will be tasked with the
responsibility of communicating the to quality performance
activity outcomes of the patient identification program to all
staff. In fact, the communication on quality improvement must
be made to the board of directors to executive leadership,
through the medical staff, to the middle managment and finally
to the department staff. The communication team will also be
tasked with the responsibility of making updates on how the
patient identification program is being implemnted.
This means that the training activities regarding this program as

4. well as the improvement charting are among the important
aspects of the communication. The communication team will
oversea the collection of data, preparation of data report and
can communicate the improvement efforts through techniques
such as employee meetings, posters, emails, newsletters,
memos, meetings and verbal communications techniques.
Education
The importance of patient identification plan must be taught to
each member of staff, if the “program is to be successfully
implented and the full potential of the training be realized”
(Moore & Simendinger, 1999). To initially orient each staff
member to the plan, flow charts should be used to point out the
actual sequence of events in the patient identification process.
The use of the charts would help each staff to get a better
understading of how the the whole process actually happens.
Once a problem is identified, the trainer will have to use
another chart to show how the correct patient identification
process should be done. This is what is referred to as process
paced training. Under this training, every staff will come to
understand that the implementation of the patient identification
plan will affect their workflows in one way or another.
However, after the trainer takes them through the process, they
will finally understand new workflows.
Role based training is another effective technique of educating
the staff. Under this strategy, the trainer would tailor the
learning sessions based on the roles of various employees of the
organization as they involve in the plan. Apparently, different
staff will have different needs with regards to this patient
identification plan. So, in such cases, the trainer will design the
lessons on how best they will suit the particular staff.
Using super user training technique can be a very effective way
to pass edcation on patient identification, to the employee.

5. Under this technique, the trainer will be forced to create a team
of super users. These are afew members of staff who have
quiclkly mastered the lessons and can move amongst the other
staff to share their tips to aid in better understaning of the
process.
Monitoring and Revising
After the implementation of the patient identification plan has
been done, it has to undergo an annual evaluation process to
identify any inefficiencies or ineffectivess so that appropriate
improvements are made accordingly. Apparently, the evaluation
committee will be tasked withthe responsibility of conducting
an annual evaluation of the effectiveness of the plan so as to
reveal if the target goal has been achieved. The committee will
then recommend revisions to be made on the plan. Depending
on the reviews of the plan, the committee will set priorities and
identify opportunities for improvement in the next annual
evaluation. The review committee will then draft a report as a
summary of the review process, any findings, recommendations
to me made on the plan for that year. The report shall then be
submitted to the board for action.
Regulatory and Accreditation
External entities such as government agencies, professional
interest groups and accreditation bodies, have have a huge
influence on the decision making processes of healthcare
organizations. For instance, an health care organization cannot
offer certain services without the permission of government
agencies. It is in the same way that an healthcare organization
cannot offer services to community members unless it has
recieved accreditation from the accrediting bodies.
In other words, the decision making processes of these bodies
and agencies are tied up with the policies of these bodies
because they are the standard setters for the interest of the
commuinity and citizenrty seeking seeking healthcare services
from them. A government agency can revoke the operating

6. licence of any healthcare organization if that organization
violated any othe set laws of policies. For instance, FDA may
revoke its approval on the use of a particular drug if it is found
out that the use of that drug is harmful to the patients.
“Accreditation bodies provide services to healthcare
organization” (Field, 2007), without which the decision
processes of those healthcare organizations will be dwindled.
References
Field, R. I. (2007). Health care regulation in America:
Complexity, confrontation, and compromise. New York: Oxford
University Press.
Moore, T. F., & Simendinger, E. A. (1999). Hospital
turnarounds: Lessons in leadership. Washington, D.C: Beard
Books.
Sadeghi, S. (2013). Integrating quality and strategy in health
care organizations. Burlington, Mass: Jones & Bartlett
Learning.