During the Implementation Period, PA PQC Healthcare Teams are expected to complete the following activities for each initiative in which they are enrolled with guidance from their PA PQC quality improvement coach:
- Form, structure, and expand your multi-disciplinary PA PQC healthcare team
- Prioritize the initiative-specific key interventions to adopt based on your current condition
- Develop and implement a quality improvement plan and protocols with your team to translate the key interventions into practice, making continuous improvements
- Complete and submit on a quarterly basis:
- Quality Improvement reports; (Milestone 2 below)
- Surveys; (Milestone 3 below)
- Data (Milestone 4 below)
These actions will be completed for each initiative joined.
Designation Criteria:
|
Milestone |
Activity |
Frequency |
Due Date |
|
Milestone 1 |
Engage with your QI coach at least once during the quarter. |
Quarterly |
October 31, 2026 July 31, 2027 |
|
Milestone 2* |
Submit an initiative-specific Quality Improvement (QI) Report Out in the Qualtrics survey, showing work related to implementing Key Intervention(s) |
||
|
Milestone 3* |
Complete initiative-specific PA PQC quarterly survey in Qualtrics |
||
|
Milestone 4* |
Submit initiative-specific aggregated data for the PA PQC process and outcome measure(s) through Qualtrics survey |
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|
Milestone 5** |
Communicate and celebrate your team’s impact in the PA PQC within your hospital and community |
*initiative-specific Milestones
**only needs to be completed ONCE per quarter per hospital, regardless of the number of initiatives in which the team is enrolled
Minimum Criteria for Staying Involved in the PA PQC During an Implementation Period
The PA PQC recognizes it takes time to achieve the five quarterly milestones listed above during the Implementation Period. As a result, the PA PQC also has a minimum set of criteria for staying involved in the PA PQC during the Implementation Period. This includes all of the following:
• Submitting a QI Report Out at least once during a six-month period;
• Submitting at least one quarterly initiative-specific survey during a six-month period;
• Engaging in a meaningful two-way interaction with your Quality Improvement Coach at least once during a six-month period; AND
• Submitting at least one quarter’s worth of aggregated data for the PA PQC process or outcome measures during a six-month period.
If the minimum requirements are not met, the hospital team will be on pause and will not be counted as a PA PQC Healthcare Team. Additionally, the hospital team will not be eligible for Designations. Re-engagement plans can be discussed further with your coach and PA PQC leadership.
To further support the PA PQC healthcare teams, the teams have the option to participate in the following:
- PA PQC Virtual Meetings
- PA PQC Annual In-Person Meeting
- PA PQC Regional Meetings for peer-to-peer learning
Sustainment Period
The sustainment period is a one-year period following active implementation. During sustainment, teams are expected to continue to submit and monitor data and surveys to ensure all activities that were implemented continue to maintain or improve when active work is no longer occurring.