[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-246230-105":3,"doc-detail-246230-en":81,"detail-sidebar-cat-1-en-105":98},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","clinical-quality-management-plan-template-instructions","Clinical Quality Management Plan Template - Instructions","","Template instructions for creating a Clinical Quality Management Plan aligned to a Clinical Quality Management Plan Review Checklist and specific policy clarification guidance. The document explains recommended length, cover-page customization, required six section order, optional annexes, and the structure of a signatory/approval page. It also provides an Annex A performance measure portfolio framework, specifying service categories, utilization data, measures, numerator and denominator definitions, baseline data, data sources, collection frequency, and data handling, analysis, and sharing methods.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/presentations/","Presentations",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/clinical-quality-management-plan-template-instructions/246230/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/clinical-quality-management-plan-template-instructions/246230.png","ImageObject",442,249,{"name":42,"@type":43},"Lute","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-19","2026-09-12",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",12,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of this template?","Question",{"text":63,"@type":64},"It guides organizations in completing a Clinical Quality Management Plan by following the Clinical Quality Management Plan Review Checklist and referenced policy clarification guidance.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What determines the required order of the six plan sections?",{"text":68,"@type":64},"The six section headings are ordered the same as the Clinical Quality Management Plan Review Checklist, and the template instructs not to change the order.",{"name":70,"@type":61,"acceptedAnswer":71},"What does Annex A include?",{"text":72,"@type":64},"Annex A provides a Performance Measure Portfolio template, covering service categories, utilization data, selected performance measures, numerator/denominator definitions, baseline data, data sources, collection frequency, data collection and analysis methods, and data sharing methods.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},246230,1791718700,{"code":4,"msg":82,"data":83},"success",{"doc_id":79,"user_id":84,"nickname":42,"user_avatar":85,"doc_module":22,"category_id":86,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":87,"file_id":88,"file_url":89,"file_type":90,"file_size":91,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":92,"language":93,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":94,"faqs":95,"seo_title":96,"seo_description":12,"update_tm":97,"read_time":26},137454149569,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0",11,"CLINICAL QUALITY MANAGEMENT PLAN TEMPLATE  \nINSTRUCTIONS PAGE  \nPlease read carefully and do not submit this page with your plan.  \nThis template is organized to match the “Clinical Quality Management Plan Review Checklist”(if you need a copy of this checklist, please contact your assigned Quality Coach or [rw.quality@dc.gov](rw.quality@dc.gov)) . Use this checklist as a guide to complete each sec2on and reference Policy ClarificaGon NoGce 15-02 when compleGng your Quality Management Plan – In parGcular, for the Infrastructure and Performance Measurement secGons.  \nHow to use:  \n• Quality Management Plan length:  \no The body of this plan does not need to be lengthy, as long as it completely addresses the informaGon in the “Clinical Quality Management Plan Review Checklist.”  \n• The first page is your cover page. Replace the language highlighted in gray with the informaGon that language asks for. Feel free to use your organizaGon’s logo and font.  \n• On the page aVer the cover page, you will see six sec2on headings:  \no These are ordered the same as the “Clinical Quality Management Plan Review Checklist.”Please do not change the order of the secGons.  \no Address each secGon under its appropriate secGon heading and feel free to add subheadings as needed.  \no These headings have been forma9ed using MicrosoV Word Heading 1 style. You can simply start typing in Normal style under each heading.  \no If you want to include addiGonal informaGon/documentaGon, you may do so in the Annexes secGon.  \n• Signatory/Approval Page:  \no This page follows the six secGon headings.  \no This page should include all signatures and signature dates of the parGes your organizaGon requires to review/sign off on your Quality Management Plan.  \n• Annexes:  \no For your convenience, the Performance Measure Por^olio template has been included as Annex A.  \no We recommend you include the table format version of your Work Plan as an annex, as well.  \nInsert Agency/OrganizaGon Name  \nInsert Timeframe, for example: GY34 (March 2024 – March 2025)  \nInsert Last Revised/updated date, for example: Revised March 1, 2024  \nQuality Statement  \nAnnual Quality Goals  \nQuality Infrastructure  \nPerformance Measurement  \nQuality Improvement  \nClinical Quality Management Program Evalua\u003Con  \nWork Plan  \nCQM Plan Approval/Signatory Page  \nANNEX A: Performance Measure Por3olio  \n\n| Funded\u003Cbr>service\u003Cbr>category\u003Cbr>(list of all\u003Cbr>RWHAP\u003Cbr>funded service\u003Cbr>categories) | Client\u003Cbr>services\u003Cbr>utilization\u003Cbr>data\u003Cbr>(expressed\u003Cbr>as a\u003Cbr>percentage) | Performance\u003Cbr>measure(s)\u003Cbr>(list the\u003Cbr>measures\u003Cbr>selected for\u003Cbr>each service\u003Cbr>category) | Numerator\u003Cbr>(list how each\u003Cbr>measure’s\u003Cbr>numerator is\u003Cbr>defined) | Denominator\u003Cbr>(list how each\u003Cbr>measure’s\u003Cbr>denominator is\u003Cbr>defined) | Baseline\u003Cbr>Data\u003Cbr>(data point at\u003Cbr>end of\u003Cbr>previous\u003Cbr>grant\u003Cbr>year/start of\u003Cbr>current grant\u003Cbr>year) | Data\u003Cbr>source(s)\u003Cbr>(What is the\u003Cbr>primary source\u003Cbr>for data? What\u003Cbr>data\u003Cbr>management\u003Cbr>system stores\u003Cbr>the data? How\u003Cbr>does the\u003Cbr>recipient access\u003Cbr>needed data?) | Frequency of\u003Cbr>data\u003Cbr>collection\u003Cbr>(How often is\u003Cbr>CQM data\u003Cbr>collected? What\u003Cbr>are the\u003Cbr>measurement\u003Cbr>periods?) | Method of\u003Cbr>data\u003Cbr>collection\u003Cbr>(How is\u003Cbr>subrecipient\u003Cbr>provided data\u003Cbr>received? Does\u003Cbr>the recipient\u003Cbr>aggregates data?\u003Cbr>How are data\u003Cbr>reports\u003Cbr>managed?) | Method to\u003Cbr>analyze\u003Cbr>data\u003Cbr>(How is data\u003Cbr>integrity\u003Cbr>validated?\u003Cbr>Who is\u003Cbr>responsible for\u003Cbr>data analysis?\u003Cbr>Is the data\u003Cbr>stratified?\u003Cbr>How?) | Method\u003Cbr>for sharing\u003Cbr>data\u003Cbr>(How is data\u003Cbr>shared?\u003Cbr>When? With\u003Cbr>whom?) |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |\n\nANNEX B:","cbCaicDzznor79xo","https://ap.wps.com/l/cbCaicDzznor79xo","pdf",1438541,6,"English","# Instructions page\n## How to use\n## Signatory/Approval Page\n## Annexes\n# ANNEX A: Performance Measure Portfolio\n## Table fields","[{\"question\":\"What is the purpose of this template?\",\"answer\":\"It guides organizations in completing a Clinical Quality Management Plan by following the Clinical Quality Management Plan Review Checklist and referenced policy clarification guidance.\"},{\"question\":\"What determines the required order of the six plan sections?\",\"answer\":\"The six section headings are ordered the same as the Clinical Quality Management Plan Review Checklist, and the template instructs not to change the order.\"},{\"question\":\"What does Annex A include?\",\"answer\":\"Annex A provides a Performance Measure Portfolio template, covering service categories, utilization data, selected performance measures, numerator/denominator definitions, baseline data, data sources, collection frequency, data collection and analysis methods, and data sharing methods.\"}]","Clinical Quality Management Plan Template - Instructions | PDF",1789234236,{"code":4,"msg":82,"data":99},[100,103,107,112,117,122,127,132,137],{"id":86,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":101,"slug":102},90,"presentations",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":104,"show_sort_weight":105,"slug":106},"Resumes",80,"resumes",{"id":108,"doc_module":22,"doc_module_name":25,"category_name":109,"show_sort_weight":110,"slug":111},14,"Invoices",70,"invoices",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},15,"Posters",60,"posters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},16,"Social Media",50,"social-media",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":125,"slug":126},17,"Forms",40,"forms",{"id":128,"doc_module":22,"doc_module_name":25,"category_name":129,"show_sort_weight":130,"slug":131},18,"Letters",30,"letters",{"id":133,"doc_module":22,"doc_module_name":25,"category_name":134,"show_sort_weight":135,"slug":136},21,"Paper Templates",5,"papers-templates",{"id":138,"doc_module":22,"doc_module_name":25,"category_name":139,"show_sort_weight":4,"slug":140},158,"General","general-158"]