Stakeholder/Committee/Special Group Reporting and Approval Process
Identifying all the stakeholders and defining who needs to buy in and be aware of your efforts are important for increasing the likelihood of early adoption, giving you legal protection for information you uncover, and planning educational efforts. Typically, these groups include representation from:
- Pharmacy and therapeutics committee;
- Pharmacists;
- Bedside nursing staff;
- Cardiologists;
- Hospitalists;
- Other internists;
- Nurses;
- Educators;
- Nutritionist/dietician;
- Health information department (including individuals involved in core measure abstraction);
- Hospital informatics;
- Home care;
- Data analyst;
- Emergency department;
- Observation unit staff;
- Patient safety and/or quality departments.
Each hospital team must decide who will be the key core members essential for the development and implementation of the team initiative. Other persons whose input will be required periodically may serve as ad hoc ACS team members, for example, representatives from billing/coding services and finance. It is also essential that you keep your efforts protected from discovery by using the appropriate protections provided for efforts being carried out for the purpose of patient safety or quality.
TASK A
Identify key stakeholders, committees, and special groups that need to be aware of your efforts to improve the quality of ACS care.
TASK B
Clarify the reporting structure and approval process for your order sets, interventions, and resource approval.
Download the stakeholders & approval task sheet
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