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Toolkit: Continuous Quality Improvement

Below please find some resources on Continuous Quality Improvement, or CQI


Crossing the Quality Chasm

This is considered a landmark publication by the Institute of Medicine that outlines six key areas that define quality healthcare in the United States and serves as the foundation for the evaluation and continued improvement of many healthcare initiatives nationwide.

Committee on Quality of Healthcare in America, Institute of Medicine.  Crossing the quality chasm:  A new health system for the 21st century.  Washington, CD:  National Academy Press; 2001.

Click here to view this publication.


New England Journal of Medicine:  Accountability Measures

This article discusses a brief history of quality improvement initiatives and provides some “lessons learned” that may help to guide the focus of quality improvement efforts in both the inpatient and outpatient setting.

Chassin MR, Loeb JM, Schmalts SP, Watcher RM.  Accountability measures:  Using measurement to promote quality improvement.  N Engl J Med 2010; 363(7): 683-688. 

Click here to view this article.


Pharmacy Management, Leadership, Marketing and Finance, 2nd Edition

This book chapter provides a thorough, yet readable, introduction to the many factors of designing and implementing quality evaluation and improvement strategies.  The text further describes several modes of evaluation and process change strategies that may be useful in process development and improvement.  The use of active learning and case study exercises serves to illustrate key points throughout.

Phillips MS, Chisholm-Burns MA.  Quality improvement.  In:  Chisholm-Burns MA, Vaillancourt AM, Shepherd M eds.  Pharmacy management, leadership, marketing and finance.  2nd ed.  Burlington, MA:  Jones & Bartlett; 2014:  216-234. 

Click here to view this book.


National Organizations Focused on Quality and Medication Safety

- Institute for Healthcare Improvement

Similar information as provided in the book chapter above, but in electronic form.  The website contains a number of videos, presentations and audio podcasts that can be viewed on a variety of quality improvement topics.  There are also a number of White Papers outlining the application of quality measurement/improvement in a multitude of practice settings.

Click here to view this book.


- National Committee for Quality Assurance

A national organization recognized as a leader in healthcare quality measurement, outcomes tracking and accreditation.  Also may be useful in examining HEDIS measures for targeted initiatives for future pharmacy services. 

Click here to view the National Committee for Quality Assurance website.


- Pharmacy Quality Alliance

PQA is a national leader in the definition, measurement, and validation of markers of quality outcomes in the profession of pharmacy.  They define many metrics used by private health insurers and Medicare as measures of quality.  These can also serve as “targets” for pharmacy-driven initiatives in the community setting.

Click here to view the Pharmacy Quality Alliance website.

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