Today quality care is not driven solely by the professional integrity
of health care providers. Quality is demanded and defined by health ca
re consumers. To survive within the competitive health care market, qu
ality is a priority initiative for most health care organizations. The
Joint Commission on Accreditation of Healthcare Organizations (Joint
Commission) requires interdisciplinary performance improvement activit
ies to ensure continuous quality improvement. Johns Hopkins Bayview Me
dical Center has a Quality Management Structure that ensures performan
ce improvement initiatives are interdisciplinary and directed toward t
he organizational mission and vision. The Clinical Value Compass and F
OCUS-PDCA provide clear direction for performance improvement initiati
ves and foster agreement on the clinical outcomes, functional needs, s
atisfaction, and cost.