FIGURE 1A:

Run chart of process measures by month. PDSA cycles performed to improve process measures include: 1. Changed responsibility of survey distribution from physician to clinical assistant, resulting in increased survey distribution. 2. Winter holidays resulted in short-staffing and, because additional staff were not hired specifically for this survey, this resulted in decreased survey distribution 3. Staff meetings showing high level of needs and patient satisfaction. 4. Hospital roll-out of 2-question housing screen which briefly took the place of our survey; however, this did not meet the needs of our patients.