Quality.
Tandem Health will demonstrate our commitment to continuous improvement.
MEASURES / INDICATORS Strategy 1: We will evaluate and improve Quality, Compliance and Risk Management Committee and Communications. ACTION STEPS
2023 2024 2025 BY WHEN? B=Begin C=Complete
RESPONSIBILITY
1b Identify individual(s) to serve as clinical champion(s) for identified quality measures. Clearly define participation and committee roles.
Chief Medical Officer Quality Improvement
Clinical Champion identified, roles/participation defined
B
C
1c Identify Peer Review Committee leader and evaluate structure and purpose.
Chief Medical Officer Chief Compliance Officer
Leader identified, Peer Review Policy updated (if needed)
B
C
Strategy 2: We will enhance and improve quality assurance processes to ensure effectiveness of performance improvement activities.
2023 2024 2025 BY WHEN? B=Begin C=Complete
ACTION STEPS
MEASURES / INDICATORS
RESPONSIBILITY
2a Review current QI/QA plan determine effectiveness of committee structure and membership.
Chief Medical Officer Quality Improvement
Review of current plan is complete, and actions identified.
B
C
2b Based on review findings of 1a, we will create and implement a workplan that may include revisions to policy, procedures, bylaws, and workflows.
Chief Compliance Officer Quality Improvement
QI/QA plan is revised and implemented.
B
C
2c Identify individual(s) to serve as clinical champion(s) for identified quality measures. Clearly define participation and committee roles.
Champions identified, trained, and engaged in the process of leading activities related to their identified quality measures.
Chief Medical Officer Quality Improvement
B
C
2d Identify continuing potential performance improvement opportunities using data analysis to identify and evaluate trends.
Data is regularly used to evaluate trends and establish baselines for improvement.
Quality Assurance Clinical Informatics
B
C
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