Performance Improvement

Performance Improvement Plan

2 Sample Airway Management Forms for review and comment

Hospital PI Form

PI Form

Pre-Hospital PI Form

Scope of Performance Standards

INSTRUCTIONS:

Quality Care Issues may be submitted to the Quality/Performance Improvement Committee after all private efforts at resolution between the parties have failed. A submitting entity must show, by utilizing the Issue Referral form (below), the pathway undertaken to resolve the issue. Additional paperwork may be submitted but this completed form is mandatory in order for this committee to get involved in resolving the quality concern.
Issue Referral Form