DNP

Quality Improvement https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Measure-and-Quality-Improvement-

The mechanism of quality improvement is standardization. 

1. First, behavior is made systematic so that the same inputs result in the same outputs within the bounds of uncertainty (randomness).

2. Second, behavior is aligned with evidence on sound practices (e.g., guidelines and systematic reviews). The Plan-Do-Study-Act (PDSA) Cycle is a systematic series of steps to identify the patient, process or system characteristics associated with “non-standardized behavior”. Through each repetition of the PDSA Cycle, behavior becomes more systematic and more aligned.² Behavior is standardized through both structure and process. Structure might include things like technology (e.g., electronic health records), leadership, or culture. Process might include standard operating procedures, education, and training. Standardization of structure and process increases the likelihood of desired health outcomes.