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Text[0]=["Collaborative (click to open full glossary)","A time-limited effort (usually 6–13 months) made by multiple organizations that come together with faculty to learn about and create improved processes on a specific topic. The expectation is that the teams share expertise and data with each other; thus, “Everyone learns, everyone teaches.”"]
Text[1]=["spread (click to open full glossary)","The intentional and methodical expansion of the number and type of people, units, or organizations using the improvements. The theory and application of spread comes from the literature on diffusion of innovation."]
Text[2]=["PDSA cycle (click to open full glossary)","A structured trial of a process change. Drawn from the Shewhart cycle, this effort includes the following steps: plan—a specific planning phase; do—a time to try the change and observe what happens;; study—sometimes called “check,” an analysis of the results of the trial; and act—devising next steps based on the analysis. This PDSA cycle will naturally lead to the “plan” component of a subsequent cycle. PDSA cycles are also called “rapid cycles” or “improvement cycles.”"]
Text[3]=["communities of practice (click to open full glossary)","Groups of people who share a concern, set of problems, mandate or sense of purpose. Communities of practice complement existing structures by promoting collaboration, information exchange, and sharing of best practices across boundaries of time, distance, and organizational hierarchies. A great deal of knowledge creation happens in these less visible but increasingly recognized and supported groups."]
Text[4]=["QIOs (click to open full glossary)","Quality Improvement Organizations (QIOs) across the country, including Qualis Health, are charged with ensuring that Medicare beneficiaries get appropriate, high-quality healthcare  under a program mandated by federal law. This program is administered by the Centers for Medicare & Medicaid Services (CMS) on the national level, but is implemented statewide by QIOs—private companies that until recently were known as Peer Review Organizations (PROs)."]
Text[5]=["","Quality Improvement Organizations (QIOs) across the country, including Qualis Health, are charged with ensuring that Medicare beneficiaries get appropriate, high-quality healthcare  under a program mandated by federal law. This program is administered by the Centers for Medicare & Medicaid Services (CMS) on the national level, but is implemented statewide by QIOs—private companies that until recently were known as Peer Review Organizations (PROs)."]
Text[6]=["click to go to MedQic","MedQIC, the Medicare Quality Improvement Community, is an online clearinghouse of quality improvement resources in support of all CMS National Quality Improvement Priorities"]
Text[7]=["Task 1c: Improving Beneficiary Safety and Health Through Clinical Quality Improvement, Hospital","This task builds upon past work by QIOs to improve quality in acute care hospitals (now including Critical Access Hospitals), specifically to: reduce medication (and other) systems failures for hospitalized cardiovascular and pneumonia patients; and prevent surgical infections."]
Text[8]=["Task 2a: Improving Beneficiary Safety and Health Through Information and Communications, Promoting the Use of Performance Data","The purpose of this task is to stimulate improvement in clinical performance indicators in specific provider and practitioner settings through communication between QIOs, providers/practitioners, beneficiaries, and those who assist beneficiaries with their health care choices by using CMS-directed and/or QIO-initiated methods."]
Text[9]=["aim, or aim statement (click to open full glossary)","A written, measurable, and time-sensitive statement of the accomplishments a team expects to make from its improvement effort. The aim statement contains a general description of the work, the population of focus, the numerical goals, and a statement on spreading the changes to another population."]
Text[10]=["measure (click to open full glossary)","A focused, reportable unit that will help a team monitor its progress toward achieving its aim."]
Text[11]=["test (click to open full glossary)","A small-scale trial of a new approach or a new process. A test is designed to learn if the change results in improvement and to fine-tune the change to fit the organization and patients. Tests are carried out using one or more PDSA cycles"]
Text[12]=["More on QI","click to find out more about Qualis Health's Quality Improvement projects in Diabetes Management"]
Text[13]=["More on QI","click to find out more about Qualis Health's Quality Improvement projects in Adult Immunizations"]
Text[14]=["More on QI","click to find out more about Qualis Health's Quality Improvement projects in Adult Preventive Health Services"]
Text[15]=["More on QI","click to find out more about Qualis Health's Quality Improvement projects in Cardiovascular Care"]
Text[16]=["More on QI","click to find out more about Qualis Health's Quality Improvement projects in Breast Health"]
Text[17]=["More on QI","click to find out more about Qualis Health's Quality Improvement projects in Surgical Infection Prevention"]
Text[18]=["More on QI","click to find out more about Qualis Health's Quality Improvement projects in Nursing Homes"]
Text[19]=["More on QI","click to find out more about Qualis Health's Quality Improvement projects in Home Health Care"]
Text[20]=["The Quality Initiative","In November 2001, Secretary Thompson announced the Quality Initiative, his commitment to assure quality health care for all Americans through accountability and public disclosure. The initiative aims to (a) empower consumers with quality of care information to make more informed decisions about their health care, and (b) stimulate and support providers and clinicians to improve the quality of health care. The Quality Initiative was launched nationally in November 2002 for nursing homes, and expanded to the nation’s home health care agencies and hospitals in 2003."]
Text[21]=["Adobe Acrobat Reader","this document requires the Adobe Acrobat reader to view. If you do not have the reader, click here to download it FREE from the Adobe website"]
Text[22]=["","section 501b of the MMA states that only hospitals defined as acute care inpatient facilities (section d) will be affected by this bill. It does not include critical access hospitals (CAH) due to bed size and payment method. However, CAHs may participate in the voluntary reporting of data under NVHRI (see 'Why should I do this?', answer 2)."] 

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