A structure for organizing a facility's annual performance review

A facility's annual appraisal or report historically has evaluated the traditional quality assurance (QA) role of morbidity and mortality, infection control, tissue review, and medical record data. With the evolution of QA to performance improvement (PI), the traditional annual appraisal has had to expand to address multiple organizational programs, projects, and indicators, as well as the structure and outcome of teams. This article discusses a structure for evaluating various programs and reviewing how well the organization has met its goals.