We have chosen the guideline recommendations of: 3, 7, 8, 10, and 11.
In terms of priority: the PMP will be of most importance
Our system goals will be to obtain a baseline for where we are within these categories. With that initial data, we will need to PDSA on how to improve and set a specific goal on improvements in each of those domains.
Residents are leading education and QI on improving PMP checking. This will be reassessed in 11/2020.