1. Select one data element from the “Survey of patient experiences,” one data element from the “Timely & effective care,” and one data element from the “Complications & deaths” data for your hospital..
  2. Compare your data elements to the state and national averages, create an appropriate graph or table (dependent on the data elements you select) for this data.
  3. Analyze this data. Is your chosen hospital better, worse, or the same as the state or national averages?
  4. From your data analysis, what action might your hospital need to take to correct or improve the reported data to be better or equal to the state or national averages?
  5. Create a meeting agenda to present your findings and to brainstorm an improvement plan.
  6. Identify the stakeholders of this process (who should be at the meeting and why).

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