Performance Improvement Plan and Template

Agency for Healthcare Research and Quality (AHRQ)

This guide is a planning template for health care professionals working with long-term care patients to improve and sustain performance improvement strategies. The template can be customized through forms and analytical tools to apply in settings such as nursing and skilled nursing facilities, subacute care facilities, assisted living facilities and programs, residential care settings and adult medical day health care services. The exhibits, forms and tools include:

  • Design, Measure, Assess, Improve and Control (DMAIC) Tool
  • Plan, Do, Check, Act (PDCA) Tool
  • Fishbone diagram
  • Root cause analysis (RCA)
  • Cause and effect map
  • Failure mode and effects analysis (FMEA)
  • Strategic, Measurable, Achievable, Relevant, Timely (SMART) Tool
  • Pareto analysis chart (PAC)