This assessment requires you to use information from your assigned readings, the literature and leaders in your organization to answer the following questions. If you are not currently employed by an organization, gather information from a nurse leader or quality management colleague. What are the organization’s quality program goals and objectives? What is the organization’s quality management structure? If there is not a formal structure, who is responsible for quality management in the organization? How are quality improvement (QI) projects selected, managed and monitored? Does nursing staff have any input? State if quality improvement inservice programs are available for staff in your facility and describe a brief overview of the content. What quality methodology and quality tools/techniques are utilized? Are they effective? Why or why not? Provide rationale. How are QI activities and processes communicated to staff? Is the communication effective? How could it be improved? How does the organization evaluate QI activities for effectiveness? What is the process when the QI activity is not effective? Provide 2 examples of a QI initiative that has been effective in your organization. Describe the QI process that occurred. What was the impact on patient outcomes? Did it result in a change in practice?