CSR Calendar

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CSR Calendar
Sparta Community Hospital

• A Guide to Continual Survey Readiness More

Prepared by SCH Black Belt Team
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Goal of the Project

• Desire to insure continual survey readiness
  status throughout the Organization
• Assign accountability
• Bridge with Hospital Scorecard Departmental
  Initiatives in order to have a real time overview
  of operations

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Six Sigma Involvement

• This project was assigned to the SCH Black Belt
  Team
• Six Sigma concepts tools were used to develop
  program
• Black Belts will provide oversight direction to
  Department Managers as program continues to grow
• Key Individuals
• Joann Emge CEO
• Black Belts
• Susan Gutjahr
• Ruth Holloway
• Angie Oathout
• Dale Worthington
• Dan Walker
• Implemented House-Wide as of March 1, 2009

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Overview

• Designed to be much more than a static
  checklist
• Truly a dynamic document that tells the true
  story of the Organization
• Serves the following functions
• Checklist for scheduled duties
• Reporting tool to reflect Departmental
  Performance
• Accountability
• Department Scorecard
• Departmental Quality Report
• Documentation verification
• CEO map to the Organization

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Scorecard Format
Department
Frequency
Task Definition
Accountability
Supervisory Review
Documentation Links
Day Date
Dept O/C
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(No Transcript)
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Reporting Tools
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(No Transcript)
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Department YTD Summary
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CEO Report
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Department Quality Report
How to judge data
Indicator
Link to Graphs
Historical Data
Type of data. (Continuous or Discrete)
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Link from Department QA Report
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Department Yearly QA Roadmap
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• QA
• Comments