Pathology & Laboratory MedicineQuality Culture/Education/Resident Projects (Q-CEP) Intake Form

Pathology & Laboratory Medicine

Quality Culture/Education/Resident Projects (Q-CEP) Intake Form

Hello! Please submit your quality improvement project below for review and approval by the Q-CEP committee. If you have any questions or concerns, please contact Dr. Yuna Kang (YunaKang@mednet.ucla.edu) or Monique Trinh (MMTrinh@mednet.ucla.edu). Thank you!

Submitter (Last Name, First Name)*

Submitter Email Address*

Submitter Job Classification*

Select

Project Lead(s) (Last Name, First Name)*

Project Champion/Faculty Lead (Last Name, First Name)*

Project Champion/Faculty Lead Email Address*

Project Team Members (Last Name, First Name)

Division*

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Section*

Select

Project Title*

Project Timeline*

Select or enter value

Project Start Date*

Projected End Date

MOVERS Category*

Select

Objective/Goal*

Target Metrics*

Target metrics should be measurable with baseline pre-intervention and post-intervention data. Examples of measurable metrics are:

Improved patient safety or turn around time;
Reduction in sample swaps or reduced effort on a workflow;
Reduction of lost revenue;
Conservation of space or labor hours;
Reduction in tests canceled due to samples not meeting specifications;
Reduced length of stay or delays of care.

Resources Needed

Please list any resources (e.g., project management, QI mentorship, financial/policy, etc.) that you will need to complete your project.

Possibility of Publication/Paper/Abstract?*

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