Performance Improvement & Patient Safety (PIPS)

PIPS Model

  1. PIPS Model (PDF)

Policy & Process

  1. Example - Mitchell County Hospital Policy (PDF)
  2. Example - Ransom Memorial Hospital (PDF)
  3. Process - Orientation Plan (DOCX)
  4. Process - PI Project Checklist (DOCX)
  5. Process - Types of Trauma PIPS Reports - Stormont Vail Health (Level II) (PDF)
  6. Process - What to Include in Your Program (XLSX)

Audit Filters

  1. Anthony Medical Center Medical Record Evaluation and PI Filter Worksheet (PDF)
  2. Blank Case Review Audit Filters - Hays Medical Center (Level III) (XLSX)
  3. Satanta Trauma Filter Worksheet (PDF)

Tracking Sheets

  1. Blank PI Monitoring Form (DOC)
  2. Blank PI Working List (XLSX)
  3. Havasu Regional Medical Center Trauma Performance Improvement Tracking (PDF)
  4. Mitchell County Hospital Tracking Form (PDF)
  5. Sabetha Community Hospital Tracking Form (PDF)

Action Plans

  1. Anthony Medical Center Trauma Peer Review Action Plan (PDF)
  2. Blank Trauma QI.QA form - Stormont Vail Health (Level II) (DOCX)
  3. Quality Assessment Form (DOCX)

Dashboards

  1. Blank Full Trauma Dashboard (XLSX)
  2. Score Card (XLSX)

Primary Review

  1. Blank Trauma Case Review - Hays Medical Center (Level III) (DOCX)
  2. William Newton Hospital Trauma Case Review (PDF)

Secondary Review

  1. Blank QI TMD Secondary Review Form - Norton County Hospital (Level IV) (DOCX)

Feedback Forms

  1. Template - Follow Up From Higher Level of Care 1 - Norton County Hospital (Level IV) (DOCX)
  2. Template - Follow Up From Higher Level of Care 2 - Stormont Vail Health (Level II) (DOC)

Loop Closure Documentation

  1. Blank Loop Closure Documentation - Hays Medical Center (Level III) (DOC)
  2. Example Loop Closure Documentation - Hays Medical Center (Level III) (DOC)

PIPS Web Resources