CHC’s quality improvement model is the method by which the organization conducts improvement and system redesign in order to achieve the goals of the Performance Improvement Plan (PIP). The Weitzman Institute Quality Improvement model has been designed to engage staff at all levels of the organization. This model incorporates the most advanced quality improvement tools and methods including Clinical Microsystems, Lean/ Six Sigma, Facilitation, and Change Management, and applies them to the unique environment of CHCI. Skilled improvement coaching, data collection and analysis are key to the process of all improvement efforts at CHCI that help to promote an environment of continuous improvement. The model begins with the establishment of agency-wide goals and objectives, documented in the annual PI plan. The process of establishing these goals internally is accomplished by PIP review of performance measures, specific priorities set by Senior Leadership and within the annual budget review process. The goals are also established via external factors such as Joint Commission, State and Federal performance targets, and other performance standards such as Meaningful Use and Patient Centered Medical Home. The QI Department, in conjunction with the PI Committee, utilizes a variety of QI tools and processes to achieve the goals of the PIP. QI interventions are categorized as Microsystem interventions and Mesosystem Interventions. Successful new interventions resulting from both Microsystem and Mesosystem work are implemented agency-wide using formal Change Management tools to spread, sustain, and integrated into agency processes.