Katie N. Ballert, MD
Assistant Professor
Department of Surgery
Division of Urology
Jagriti Chadha, MD, MPH, FACP, FHM
Assistant Professor of Medicine
Division of Hospital Medicine
Department of Internal Medicine
Romil Chadha, MD
Hospitalist
Department of Internal Medicine
Donna G. Grigsby, MD
Associate Professor
Department of Pediatrics
Chief, Division of General Academic Pediatrics
Hamza Mlatoum, MD
Clinical Instructor of Medicine
Division of Hospital Medicine
Department of Internal Medicine
Anne Sayers, MD, FHM, FACP
Assistant Professor of Clinical Internal Medicine
Internal Medicine Interest Group Faculty Sponsor
Adult Inpatient Director of Kentucky Cystic Fibrosis Center
Suarav Suman, MD, MPH, FACP
Assistant Professor and Hospitalist
Division of Hospital Medicine
Department of Internal Medicine
Joseph Sweigart, MD
Hospitalist
Department of Internal Medicine
Preetham Talari, MD
Assistant Professor of Medicine
Division of Hospital Medicine
Department of Internal Medicine
Kshitij Thakur, MD
Assistant Professor of Medicine
Division of Hospital Medicine
Department of Internal Medicine
Dale E. Toney, MD
Associate Professor
Department of Internal Medicine
Sustained Quality Improvement Cycles of Change
The QI effort must be sustained, involving at least two or more
linked cycles of performance review and improvement. Post-intervention
data and review from one cycle become the baseline data and planning
for the next cycle. Begin with a problem in patient care.
1st QI cycle
Baseline data collection, analysis/review
Identify underlying (root) cause(s)
Intervention(s) to address root cause(s)
Post-intervention data collection, analysis/review,
identify remaining root cause(s)
2nd QI cycle
Post-intervention data collection, analysis/review,
identify root cause(s) (from 1st cycle)
Adjustment(s) and second intervention(s) to address
root cause(s)
Post-adjustment data collection, analysis/review,
identify remaining root cause(s)
To develop the plan for improvement within each cycle:
Identify operational problem through data collection,
analysis, and review of results
Identify underlying (root) causes of the problem through
consideration of relevant factors (e.g., people, materials,
equipment, methods, environment)
Conduct interventions that address the most important
root causes
