Health Equity | Maimonides Health

Maimonides Health

Quality & Patient Safety

We continuously work to improve our quality outcomes and overall patient safety.

Our commitment to improvement

Maimonides Health is nationally recognized for clinical excellence. The Organizational Quality Improvement (QI) program is committed to ensuring the delivery of the safest and highest-quality patient care.

We accomplish this by ensuring the delivery of timely, efficient, effective, and equitable patient-centered care and by continuously evaluating and improving our patient care processes, systems, and support services. Our objectives are to pursue opportunities to improve patient care and population health, and provide a systemic framework for continuous quality improvement as well as ultimately transform into a high-reliability organization.

Our quality and safety priorities for 2025–2026

Our Organizational Quality Improvement Plan is based on the guiding principles of the Institute of Medicine’s six aims of quality: safe, effective, efficient, equitable, patient-centered, and timely care.

This means we aim to center care around patients and family; enhance quality of care and improve patient safety; provide a supportive environment for physicians and staff; nurture strong internal and external alliances; communicate effectively across the organization; and ensure fiscal viability. Our priorities for 2025 are:

Reducing in-hospital mortality

Reducing hospital-acquired conditions/infections

Reducing hospital readmission rates and excess days in acute care (EDAC)

Improving patient-centeredness

Improving efficiency and timeliness of care

Improving community access to healthcare

Who are we?

The Department of Quality Management works closely with clinical and administrative leadership to support, facilitate, and manage all implementation of quality improvement initiatives.

The Board of Trustees has the overall authority and responsibility for implementation of the Organizational Quality Improvement Plan. The Executive Vice President of Medical Affairs/Chief Medical Officer, and the Vice President of Quality Management/Chief Quality Officer, along with the Steering Committee/Governing Body for Quality and Safety including Senior Leadership and Medical Staff Leadership, oversee the coordination of organizational and departmental quality improvement initiatives.

All members of the hospital and medical staff participate in quality improvement and patient safety activities; this participation supports the core values of the institution.

Our approach to improvement

To continuously improve its effectiveness and meet the needs of the hospital, the Organizational Quality Improvement Plan is evaluated and formally revised every two years.

Maimonides mainly uses the FOCUS-PDCA model for process improvement: