Category

Notes

Strengths:

· What are our strengths and assets?

· What can we build on?

· What already works well?

– Interdisciplinary team (nurses, physicians, pharmacists, therapists) with a high degree of training.

– Effective safety culture underpinned by leaders.

– Electronic health records (EHRs) and barcoded medication administration (BCMA) are used to minimize errors.

– Frequent safety huddles and morbidity and mortality meetings to get knowledge on what has happened.

– The scores of patient satisfaction are always above the national average.

Opportunities:

· What are our stakeholders asking for? How will we meet their expectations?

· What gaps can we fill?

· What partnerships would help this plan succeed?

– The stakeholders desire culturally competent, more personalized care.

– Patient education has gaps in the planning of discharge, thus causing readmissions.

– The chance to collaborate with the community health organizations to provide follow-ups in transitional care.

– Train more staff on implicit bias and health equity in order to achieve DEI objectives.

Aspirations:

· What do we care about?

· What is our overall goal?

· What is the type of impression that we desire to create?

– Enhance outcomes in health and minimize harm.

– Be one of the best hospitals in patient safety and satisfaction.

– Create a patient-centered care atmosphere where patients feel engaged and listened to.

– decrease the 30-day readmission rates by 25% in two years.

Results:

· How do we determine that we are performing well?

· How then will we be able to determine what we should be doing better?

• What resources do we need?

• What shall we call and quantify as success?

– Follow up hospital-acquired conditions (HACs), readmission, and HCAHPS (patient experience) scores.

– Audit safety measures and performance of teams quarterly.

– Monitor quality metrics with the help of data dashboards.

– Measure the success by the decrease in errors, patient outcomes, and employee involvement.

The resources that are required are money to fund the training of staff, better discharge tools, and analytics.