Outline

After fully exploring the CMS website, review in detail the Hospital-Acquired Condition Reduction Program. Choose one of the CMS PSI 90 conditions below and using the Six Sigma DMAIC model, outline how you would create a process improvement plan by separately using the outline:

Define:

Measure:

Analyze:

Improve:

Control:

• PSI 06 — Iatrogenic Pneumothorax Rate
• PSI 08 — In Hospital Fall with Hip Fracture Rate
• PSI 09 — Perioperative Hemorrhage or Hematoma Rate
• PSI 10 — Postoperative Acute Kidney Injury Requiring Dialysis Rate
• PSI 11 — Postoperative Respiratory Failure Rate
• PSI 12 — Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
• PSI 14 — Postoperative Wound Dehiscence Rate
• PSI 15 — Abdominopelvic Accidental Puncture/Laceration Rate