Quality.
Tandem Health will demonstrate our commitment to continuous improvement.
Strategy 1: We will evaluate and improve Quality, Compliance and Risk Management Committee and Communications. Strategy 5: Improve the effectiveness of our risk management program to increase safety and minimize risk to patients and staff. ACTION STEPS MEASURES / INDICATORS
2023 2024 2025 B=Begin C=Complete
RESPONSIBILITY
5a Establish risk management tools (root cause analysis, fishbone diagrams, templates) to establish baseline hazard vulnerabilities in key safety areas.
Quality Assurance Quality Improvement
Tools identified, assessment occurring; baseline identified.
B
C
5b Use findings to create baseline and implement improvements to revised plan.
Report has begun, data is used to improvement, targets established (ex. reduce falls by x%)
Quality Assurance Quality Improvement
B
C
Quality Assurance Quality Improvement Population Health Human Resource Officer Chief Compliance Officer Chief Clinical Officer
Measure performance versus targets, and revised targets each year.
5c Continuously assess and improve risk management measures.
B
C
5d Ensure employees are skilled and competent in their evolving roles.
Review, update, and implement any revisions to the annual competency program.
B
ongoing
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