What Will Occur/How to Prepare
• The hospital will give an overview of its structure, services, and strategic activities.
• The hospital will include a brief presentation about the structure and methods of the quality
improvement and patient safety program.
• The presentation should show how quality and safety information flows through the
hospital/committee structure.
• The presentation should describe the following:
o How quality and safety measures were chosen
o How the measures were prioritized for data collection
o How data are collected, aggregated, and analyzed
o How findings from data analysis are communicated and used for planning improvements