10 Elements of Quality Benchmarking Reports for Accreditation Success

Clearly communicating quality benchmarking is an important part of the accreditation surveying process. The AAAHC Institute for Quality Improvement provides recommendations for structuring quality improvement benchmarking findings for easier presentation during accreditation surveys.

AAAHC-recommended elements for quality initiative reports include:

1. Purpose — State the problem and its importance to the organization.

2. Performance goal — State the initiative's performance goal and the rational behind the goal's selection.

3. Description of the data — Note what kinds of data were collected, why they were collected and what the data was used for.

4. Evidence of data collection — Record who collected the data, data sources, samples, sample descriptions and length of data collection, and include data collection forms.

5. Analyzed data — Include any charts/graphs of data. Comment on findings extracted from the data.

6. Current performance compared to performance goal

7. Corrective action — List corrective actions needed to take current performance to the performance goal.

8. Re-measuring — Comment on when re-measuring occurred relative to corrective action, and state the relationship between that outcome and the performance goal.

9. Additional corrective action and re-measuring — Again, include designated re-measuring times, additional corrective actions and results compared to the performance goal.

10. Communication of Findings — Note to whom the findings of the intervention were communicated, how they were communicated and where records of that communication are available.

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