Continuous Quality Improvement (CQI) is a process of creating an environment in which administration, healthcare workers, and ancillary staff strive to generate consistent quality outcomes. Many long-term care facilities establish benchmarks associated with state and federal regulatory compliance, staff turnover, budgets, occupancy, and quality care. Long-term care staff strives to address problems in a timely manner with the goal of avoiding a repeating occurrence. However, positive outcomes can best be achieved by linking quality measures to clinical practice. This 5-step pyramid design is just one example of a problem-solving process using a bottom-up approach to achieving quality outcomes.
Step one: The first step at the base of the pyramid starts with data collection of an identified problem or concern within the healthcare facility. This information is queried from a computer database or from a file folder of variance reports. Most problems are prioritized based on resident safety and department goals.