Domain 5: Quality & Safety

Advanced-Level Domain 5 Competencies

5.1 Apply quality improvement principles in care delivery.

• 5.1i Establish and incorporate data driven benchmarks to monitor system performance.

• 5.1j Use national safety resources to lead teambased change initiatives.

• 5.1k Integrate outcome metrics to inform change and policy recommendations.

• 5.1l Collaborate in analyzing organizational process improvement initiatives.

• 5.1m Lead the development of a business plan for quality improvement initiatives.

• 5.1n Advocate for change related to financial policies that impact the relationship between economics and quality care delivery.

• 5.1o Advance quality improvement practices through dissemination of outcomes.

5.2 Contribute to a culture of patient safety.

• 5.2g Evaluate the alignment of system data and comparative patient safety benchmarks.

• 5.2h Lead analysis of actual errors, near misses, and potential situations that would impact safety.

• 5.2i Design evidence-based interventions to mitigate risk.

• 5.2j Evaluate emergency preparedness system-level plans to protect safety.

5.3 Contribute to a culture of provider and work environment safety.

• 5.3e Advocate for structures, policies, and processes that promote a culture of safety and prevent workplace risks and injury.

• 5.3f Foster a just culture reflecting civility and respect.

• 5.3g Create a safe and transparent culture for reporting incidents.

• 5.3h Role model and lead well-being and resiliency for self and team.