Goal:
The goal of this self-assessment is to help the CPCQC team better understand the current policies, practices, and workflows in place at your hospital. The pillars and domains of the Turning the Tide: A Perinatal Substance Use Initiative is based on an Alliance for Innovation on Maternal Health (AIM) Patient Safety Bundle. Each pillar and domain is listed below and includes an example task as reference. The results of this assessment will be used to help guide your annual goal setting and priority development.
Status of Implementation 1-5 rating:
This is defined as the current stage of implementation for each specific domain action item.
Likert Scale Key:
– 5: It is currently fully implemented on the unit. The staff is aware of the necessary resources and where they are located.
– 3: The unit is currently working to implement this action item. Pieces of it are in place, but there is no full buy-in or continued use.
– 1: This action item is not at all implemented on the unit.
Difficulty to Implement Stoplight Rating:
This rating indicates the potential barriers the unit could face in attempting to implement this specific action item in the unit culture. Green indicates easy implementation, and Red indicates difficult implementation. Please also include the “why” and context around the unit and how that will impact the action item.
Color Key:
– Green: a quick win project (Ex: Creating or updating patient facing education)
– Yellow: a incremental gains project (Ex: Scheduling stigma & bias training)
– Red: a major project (Ex: EMR integration for data collection)
See example below:
