Quality Department
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Accreditation Resource Services
In Association with the Center for Improvement in Healthcare Quality
Natividad is a member - All staff may use these resources. Click HERE to access the login and password to access resources (ACCESS TO PASSWORD INFO ONLY AVAILABLE ON CAMPUS)
Click HERE to access CHA Consent Manual 2020 PDF
Flowchart Symbols - Basic (PDF)
Gantt Charts (PDF)
MFI - AIM Statement (Word)
MFI - Implement Change (Word)
MFI - Measures (Word)
MFI - PI Project Charter Worksheet (Word)
MFI - Progress Report (Word)
MFI - Project Plan Template (Word)
MFI - Quick Summary with 7 Steps (Word)
MFI - Team Roles Responsibilities (Word)
MFI - TEST of CHANGE Worksheet PDSA (Word)
PI Team Evaluation (Word)
SIPOC Example (Word)
SIPOC (Word)
Process Improvement Form (PDF)
IHI QI Essentials Toolkit (PDF)
Department PI Reporting Template (PowerPoint)
Service Improvement Committee Agenda Template (Word)
Service Improvement Committee Agenda Template (PDF)
PI Team Diagram (PDF)
PI Team Diagram (Word)
Communications-Decreasing Improper Usage of Code Purple March 2017
ARU Medical Director and Program Director: a successful relationship
Diabetes Education: Reducing Risk/Check Feet
Dietary: Paatient Meal Satisfaction
ED & ICU: Improved SEP-1 Lactic Acid Compliance
ICU "getting to know you" IHI Patient
Labor & Delivery: Skin to Skin in the OR
Radiology: CT Turn Around Time Improvement
For more Survey Readiness Resources - visit JOLT
- Big Book of Tracers
- Big Book of More Tracer Questions
- Joint Commission and CMS Crosswalk
- Deaprtment Complaince Assessment
- Joint Commission Standards via The Joint Commission E-dition
- Joint Commission Standards via VERGE
- MSDS Safety Data Sheets
- National Patient Safety Goals 2020
- oneSource - (IFU) Instruction For Use Documents
- Physician Privileges
- Policy Manager
- Survey Preparation Guide
- Joint Commission Big Book of Checklists
- (TJC) Environment of Care Crosswalk
- (TJC) Environment of Care Essentials for Health Care
- (TJC) Front Line of Defense: The Role of Nursing in Preventing Sentinel Events
- (TJC) Hospital Compliance Assessment Workbook
- Joint Commission Big Book of Checklists for Infection Prevention and Control
- Joint Commission Big Book of Performance Improvement Tools and Templates
- Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events
- FY2020 Natividad Fact Sheet