Remember that you are working towards the continuous improvement of your institution's practices. In real life, you will be selecting certain priorities
Once implementation is completed and you pass on to the maintenance phase, you will be faced with other priorities and you will have to start a new cycle of improvement. This likewise applies to new knowledge coming from new evidence-based guidelines that you would like to implement in your institution.
Another very important aspect of the maintenance phase is accountability. Accountability is a form of trustworthiness; it means being answerable to someone else for something or being responsible for one's conduct.
|The best way to ensure accountability is by having an independent organization to follow-up on the targets that you have previously defined. For example, this could be done by presenting your process improvement program as part of the Hospital Accreditation (at the provincial or national level).|
Without accountability, it is almost impossible to ensure the sustainability of your improvement process. This dimension is often missing, rarely planned for, or truly implemented.
The importance of developing and implementing a system of continuous improvement of COPD medical practices that will remain in place at your institution is evident.
IT IS IMPORTANT TO ASSURE SUSTAINABILITY/MAINTENANCE IN TERMS OF:
It is important now to take advantage of the momentum generated by your efforts and to play a role of coordination vis-à-vis all the improvement strategies in place. Presenting the results of your improvement process back to the health care professionals involved in the care of the COPD clientele is an excellent strategy to open the door to additional interventions.
Key people may realize that there are problems and they will be motivated to become a part of the solution; which in turn will make it easier to get approval for future training initiatives, reorganizations and additional resources, among
Other meetings and follow-up include: