Background: The purpose of this tool is to provide a framework for outlining steps needed to design and implement the KPC initiative. The form was adapted from material produced by the Quality Improvement Organization program for the Centers for Medicare & Medicaid Services.
Instructions: The form lists six key tasks. For each, list in the second column the steps that will be taken to address the task, including tools to be used. The form gives examples of steps or activities for each task. In developing the plan, it is not expected that you will provide results but only that you lay out what will need to be done. In the last two columns, determine who will have lead responsibility for completing each task, and estimate an appropriate time frame for completing the activities. Use the plan as a working document that can be revised. As you begin to carry out the plan, you may need to make adjustments and add details to the later tasks.
Use: Use the completed sheet to plan, manage, and carry out the identified tasks. The plan should guide the implementation process, and can be continually amended and updated.
Plan of Action
Improvement Aim: Reduce KPC transmission within the health care setting
| Key Interventions / Tasks | How will this be done? What specific tools/activities can be used? | Which team member(s) will make sure this happens? | Target date for completion of task |
|---|---|---|---|
| Analyze current state of KPC infection control in this organization. | |||
| Identify the bundle of prevention practices to be used in redesigned system. | |||
| Assign roles and responsibilities for implementing the redesigned practices. | |||
| Put the redesigned practices into place. | |||
| Monitor infection rates and practices. | |||
| Sustain the redesigned prevention practices. |
