Patient Safety Structural Measure (PSSM) Roadmap Survey
Discuss
How could the board/executive team make the most of this exercise? Must should we report publicly?
Gap Analysis
How do we currently perform against these standards?
Prioritization
Where should we focus based on impact and level of effort?
Improvement Planning
What long and near-term goals should we set? What initiatives, resources, and know-how do we need?
Score each attestation statement as:
🟢 Fully Compliant: We could fully justify compliance with this statement today.
🟡 Partially Compliant: We currently do elements of this statement, but not fully.
🔴 Not Compliant: We are not currently compliant with this statement.
Score each Domain with 1 or 0
For a domain to receive as score of “1”, all 5 attestation statements must be 🟢 Fully Compliant.
If any attestation statement is scored 🟡 Partially Compliant or 🔴 Not Compliant, the domain receives a score of “0”.
Calulate the Total PSSM Score
Sum the scores of the 5 domains for a total PSSM Score.
Review all partially and not compliant statements.
Consider additional information provided for each statement, such as Level of Effort to implement, and overall Impact to Patient Safety
Identify which attestation statements will be implemented this year, or the following year.
Prioritize domains where only 1 or 2 statements are not fully compliant in order to ensure maximum points for implementation
Considering the level of effort to implement new best practices, and ensure resourcing is adequate for desired changes
Develop a rhythm for regular review of current compliance levels and implementation of new best practices.
Consider a monthly or quarterly review by the executive team to track progress