When an organization's performance on a patient satisfaction strategic goal is below the desired level, the initial step should be to review department-specific data. This allows for a detailed understanding of the performance in different areas or units within the organization. It helps in identifying specific issues that may be contributing to the overall low performance. This targeted approach facilitates the identification of tailored interventions that can be more effective than broad, non-specific actions.
References:The NAHQ emphasizes the use of data to drive quality improvement efforts. Department-specific data provides the detailed insights necessary to undertake focused quality improvement initiatives. This is a fundamental principle in the healthcare quality improvement process, aligning with the systematic approach outlined in the NAHQ's Healthcare Quality Competency Framework.