Motivation for improvement is to avoid pain. Systems are developed to monitor and analyze quality data. Minimum safe standards are expected. Objective analysis of data is conducted using comparative database. Complex systems are developed to support meaningful data analysis.
Emphasis is on national benchmark comparisons, using a standard that is well above minimum.
Performance indices focused on those that have high impact. Improvement solutions are highly innovative. Networks of multidisciplinary teams confront performance in a programmatic fashion to achieve results that are customized for populations of patients. Organizational response is aimed at productivity and the achievement of centers of excellence. Key methodologies and systems to support continuous quality improvement Information Systems Information not always accurate or complete.