Background: This tool will help you and your team identify the extent to which you have the resources for quality improvement in your organization. Turning Point Initiative developed this form to assess whether an organization has systems in place to improve quality and performance.
Instructions: The implementation team leader should complete this tool in consultation with the quality improvement department. "You" refers to your organization as a whole. Check the box that most accurately describes your organizations current resources.
Use: If you find that your organization has fully operationalized quality improvement processes, connect the pressure ulcer prevention initiative with these existing processes. If some processes are missing, advocate for them to be put into place in the context of the pressure ulcer initiative.
Reference: Turning Point Performance Management National Excellence Collaborative. Performance Management Self-Assessment Tool. Available at: http://www.turningpointprogram.org/toolkit/pdf/PM_Self_Assess_Tool.pdf (125 KB).
Quality Improvement Process Inventory
| Assessment Questions | No | Somewhat | Yes (Fully operational) |
|---|---|---|---|
| 1. Do you have a process(es) to improve quality or performance? | |||
| A. Is an entity or person responsible for decisionmaking based on performance reports (e.g. top management team, governing or advisory board | |||
| B. Is there a regular timetable for your quality improvement process? | |||
| C. Are the steps in the process communicated? | |||
| 2. Are managers and employees evaluated for their performance improvement efforts (i.e., is performance improvement in their job descriptions)? | |||
| 3. Are performance reports used regularly for decisionmaking? | |||
| 4. Is performance information used to do the following? (check all that apply) | |||
| A. Determine areas for more analysis or evaluation | |||
| B. Set priorities and allocate/redirect resources | |||
| C. Inform policymakers of the observed or potential impact of decisions under their consideration | |||
| 5. Do you have the capacity to take action to improve performance when needed? | |||
| A. Do you have processes to manage changes in policies, programs, or infrastructure? | |||
| B. Do managers have the authority to make certain changes to improve performance? | |||
| C. Does staff have the authority to make certain changes to improve performance? | |||
| 6. Does the organization regularly develop performance improvement or quality improvement plans that specify timelines, actions, and responsible parties? | |||
| 7. Is there a process or mechanism to coordinate quality improvement efforts among programs, divisions, or organizations that share the same performance targets? | |||
| 8. Is quality improvement training available to managers and staff? | |||
| 9. Are personnel and financial resources allocated to your quality improvement process? | |||
