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Related Experiment Videos

Making a performance improvement plan work

J H Carter1, H Meridy

  • 1St. John's Regional Medical Center, Joplin, Missouri 64804-1695.

The Joint Commission Journal on Quality Improvement
|February 1, 1996
PubMed
Summary
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A performance improvement (PI) plan guides healthcare organizations in enhancing processes and patient care. St. John's Regional Medical Center developed a PI plan focusing on teamwork, measurement, and customer-centered care to achieve better outcomes.

Area of Science:

  • Healthcare Management
  • Organizational Development
  • Quality Improvement

Background:

  • A well-structured performance improvement (PI) plan is crucial for guiding organizational change and demonstrating commitment to continuous improvement in healthcare.
  • Such a plan should outline processes for achieving PI and define expected outcomes, ensuring a clear roadmap for success.

Purpose of the Study:

  • To describe the methodology used by St. John's Regional Medical Center in developing and implementing its performance improvement (PI) plan.
  • To provide a practical example of how a healthcare organization can systematically approach PI initiatives.

Main Methods:

  • Defining key PI program elements: teamwork, measurement systems, resource management, work redesign, and customer-focused care.
  • Identifying and planning for necessary cultural changes to support the PI system.

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  • Developing strategies to anticipate and overcome potential challenges during implementation.

    • Main Results:

    • Implementation of customer-focused initiatives, such as improved ICU waiting room policies and amenities, based on patient and family feedback.
    • Application of resource management tools, including algorithms and care pathways, to standardize treatment for acute myocardial infarction patients.

    Conclusions:

    • Emphasize the importance of leadership commitment and accountability for PI initiatives.
    • Advocate for the early integration of hospital departments and medical staff into PI efforts.
    • Recommend minimizing bureaucratic hurdles to facilitate smoother implementation.