INTEGRIS Quality Management Services

Harry Wetz, Director

IBMC 405-949-3752
ISMC 405-636-7596

Teresa Gray, RN, BSN, MBA

Chief Nursing Officer/AVP
Nursing Administration

FOCUS-PDCA is the methodology used for performance improvement.

  • FIND a process improvement opportunity
  • ORGANIZE a team who understands the process
  • CLARIFY the current knowledge of the process
  • UNDERSTAND process variation
  • SELECT a strategy for improvement
  • PLAN the process improvement
  • DO the improvement (data collection and analysis)
  • CHECK the results and lessons learned
  • ACT by adopting, adjusting or abandoning change

A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or risk thereof, that automatically triggers further analysis and investigation each time it occurs. A Root Cause Analysis (RCA) must be done on every Sentinel Event.