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(i) Technical (quality of product or service). (2) Evaluation factors for each assessment shall include, at a minimum, the following: The evaluations should be tailored to the contract type, size, content, and complexity of the contractual requirements. The evaluation should include clear relevant information that accurately depicts the contractor’s performance, and be based on objective facts supported by program and contract or order performance data. The evaluation should reflect how the contractor performed. (1) The evaluation should include a clear, non-technical description of the principal purpose of the contract or order. (3) Interim evaluations may be prepared as required, in accordance with agency procedures.
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(2) If agency procedures do not specify the individuals responsible for past performance evaluation duties, the contracting officer is responsible for this function. (iii) Address management controls and appropriate management reviews of past performance evaluations, to include accountability for documenting past performance on CPARS. Those individuals identified may obtain information for the evaluation of performance from the program office, administrative contracting office, audit office, end users of the product or service, and any other technical or business advisor, as appropriate and (ii) Identify and assign past performance evaluation roles and responsibilities to those individuals responsible for preparing and reviewing interim evaluations, if prepared, and final evaluations ( e.g., contracting officers, contracting officer representatives, project managers, and program managers). (i) Generally provide for input to the evaluations from the technical office, contracting office, program management office, and where appropriate, quality assurance and end users of the product or service Agency procedures for the past performance evaluation system shall. Hard-wiring of new practices related to workflow takes time as staff embrace change and understand how best practice interventions significantly improve patient outcomes.(1) Agencies shall assign responsibility and management accountability for the completeness of past performance submissions. Having a supportive infrastructure and an organized approach, encompassing all levels of staff, to meet patient needs during their hospital stay was a key factor for success. Nurses have the ability to improve patient satisfaction and patient safety outcomes by utilizing nursing round interventions which serve to improve patient communication and staff responsiveness.
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Responsiveness of hospital staff increased moderately (15%) with a significant sub-element increase in toileting (41%). Nurse communication and pain management scores increased modestly (5% and 11%, respectively). Three elements of patient satisfaction had substantive rate increases but the hospital's goals were not reached. Use of a rounding protocol increased substantially to 64% compliance from zero.
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Rounding frequency at specified intervals during awake and sleeping hours nearly doubled. For the project aims, pre- and post-intervention unit-level data related to nursing-sensitive elements of patient satisfaction and safety were compared. A follow-up audit was conducted to determine compliance with the same criteria. Interventions were developed in response to baseline audit results. Direct observation of staff nurses on a medical surgical unit in the United States was employed to assess timeliness and utilization of a protocol when rounding. Specific objectives were to determine current compliance with evidence-based criteria related to rounding times and protocols, improve best practice knowledge among staff nurses, and increase compliance with these criteria.įor the objectives of this project the Joanna Briggs Institute's Practical Application of Clinical Evidence System and Getting Research into Practice audit tool were used. Goals for patient satisfaction scores and fall volume were set. The project aimed to improve patient satisfaction and safety through implementation of purposeful and timely nursing rounds. Nurse knowledge regarding purposeful rounding and infrastructure supporting timeliness are essential components for consistency with this patient centred practice. The Institute for Healthcare Improvement (IHI) endorsed hourly rounding as the best way to reduce call lights and fall injuries, and increase both quality of care and patient satisfaction. Purposeful and timely rounding is a best practice intervention to routinely meet patient care needs, ensure patient safety, decrease the occurrence of patient preventable events, and proactively address problems before they occur.