Quality Improvement Plan

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Approved March 18, 2015 Quality Improvement plan Alabama Department of Public Health April 2015 March 2016 -2-Table of Contents Section 1: Introduction 3 Section 2: QI Leadership and Organizational Structure 7 Section 3: Training 9 Section 4: Quality Improvement Initiatives 10 Section 5: Goals, Objectives, and Performance Measures 11 Section 6: Evaluation of QI plan 14 Section 7: Communication 14 Section 8: Sustainability 15 APPENDIX A: Definitions 16 APPENDIX B: plan -Do-Check-Act (PDCA) Cycle 20 APPENDIX C: Quality Improvement Tools 26 APPENDIX D: Quality Improvement Council Team Charter 31 APPENDIX E: Training Courses and Resources 33 APPENDIX F: Quality Improvement Submission and Reporting Forms 35 APPENDIX G: Storyboard Instructions and Template 37 APPENDIX H: QI Maturity Assessment Tool 40 -3-Alabama Department of Public Health Quality Improvement plan Section 1: Introduction The Alabama Department of Public Health (ADPH) is committed to continuous Quality Improvement of its programs, services, and operations.

Continuous improvement is most effective when it becomes a natural part of the way everyday work is done. Quality Assurance Continuous quality improvement (CQI) and quality assurance (QA) are integral parts of the department’s quality management plan, but there are definitive differences in the two approaches.

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