Element 4: Performance
Improvement Projects (PIPs)
A Performance Improvement Project (PIP) is a concentrated effort on a particular problem in one area of the facility or facility wide; it involves gathering information systematically to clarify issues or problems, and intervening for improvements. The facility conducts PIPs to examine and improve care or services in areas that the facility identifies as needing attention. Areas that need attention will vary depending on the type of facility and the unique scope of services they provide.
QAPI is the merger of two complementary approaches to quality management, Quality Assurance (QA) and Performance Improvement (PI). QA and PI combine to form QAPI, a comprehensive approach to ensuring high quality care. Both involve seeking and using information, but they differ in key ways:
ELEMENT 4 – Performance Improvement Project: Keys to Success
Conducting PIPs allows the nursing home to examine performance and make improvements in any area identified as needing attention, or that is found to be a high priority based on the needs of the residents.
A charter is typically a documented plan that identifies the problem, goals, and the team members’ roles and responsiblilities. The purpose of the charter is to provide the PIP team with key information that will allow them to have a clear understanding of what they are being asked to do. The charter helps a team stay focused by setting timelines and displaying milestones. Note that the charter does not tell the team how to complete the work; rather, it tells them what they are trying to accomplish. Chartering can help teams get off to a good start, avoid misunderstandings, and gain organizational support.
QAPI Five Elements
Element 4 – Performance Improvement Projects
Implement performance improvement projects
|Worksheet to Create a PIP Charter PIP Launch Checklist: Helpful hints for project leaders, managers, and coordinators Plan-Do-Study-Act (PDSA) Cycle Template PIP Inventory Sustainability Decision Guide Brainstorming, Affinity Grouping, and Multi-Voting Tool
Enhance QAPI communications
|QAPI at a Glance Communications Plan Worksheet Storyboard Guide for PIPs Improvement Success Story Template