·
Medical staff
·
Middle management
·
Department staff
Communication
·
Identify who the performance activity outcomes are
communicated to and who does the communicating. This
describes who is responsible for overseeing data collection
and preparing data reports.
Education
·
Describe how staff will be educated regarding the
plan. This covers how each staff member will be initially
oriented to the plan and how each employee fits into the plan
based on job responsibilities.
Monitoring and Revising
·
Annual evaluation
·
Analyze what elements of the plan are annually
evaluated for improvement.
·
Analyze how to monitor the effect of changes
implemented from the decision-making process.
Regulatory and Accreditation
·
External entities