Pennsylvania Perinatal Quality Collaborative - Tools and Templates

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Tools and Templates

PA PQC Quality Improvement Plan

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Root Cause Analysis Fishbone Template

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Root Cause Analysis 5 Whys Template

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Resource Action Planning Tool

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Resource Observation Form

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QI Plan Template

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Quality Improvement Update Template

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QI Journey Worksheet

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PA PQC Team Roster Worksheet

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Change Worksheet

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Problem Scope Team

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© Pennsylvania Perinatal Quality Collaborative 2024
The PA PQC is administered by the Jewish Healthcare Foundation and WHAMglobal,
and it is affiliated with the Northeast PQC (NEPaPQC)

Jewish Healthcare Foundation
EQT Plaza
625 Liberty Ave, Ste. 2500
Pittsburgh, PA 15222

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