Performance Improvement

We work to continuously make sure the people we serve receive the highest possible quality care, when they need it. 


We call this work "performance improvement." Or just simply, PI, which includes continuously: 

  • assessing the quality of the care we deliver
  • assessing client access to that care
  • adjusting to do better

Use these resources to stay up to date on all things PI.

Monthly dashboard I 2021 PI Goals I PI Project Archive I Client Experience Survey I Clinical Quality Benchmarks I PI Tools and Resources


2021 PI Goals

We have six PI goals in 2021...

    Clinical Goals

    • Preventive care: Mammogram Completion. By December 2020, 65% of women recommended to have a completed mammogram will have documentation of screening.
    • Behavioral health: Depression Remission: By December 31, 2021, 10% of adults diagnosed with major depression or dysthymia who scored positively on an initial PHQ9 (>9) will demonstrate remission between 5-7 months (PHQ <5)
    • Infectious Disease: Childhood immunization: By December 31, 2021, 50% of children 2 years of age will have recommended vaccines by their second birthday.

    Social Determinants of Health Goals

    • Food Insecurity: By December 31, 2021, 90% of clients who answer yes to experiencing food insecurity OR transportation challenges on the PRAPARE tool will be connected to Case Management or Community Health Workers.

    Clinical Operations

    • Referral Tracking: By December 31, 2021, 40% of referrals will be completed within 3 months of referral initiation.
    • Access: By December 31, 2021, the Agency will reduce disparities across departments and for clients with limited English proficiency to achieve an answer rate of 85%.

    Our clients' perspectives help us shape our goals. 

    Client Experience Survey Results: Spring 2019

    Read the full report

    Click on the links below to see results for each of our sites

    421 Fallsway I Yellow TeamWest Baltimore I Baltimore County

    Find past results here.


    PI Tools and Resources

    Coming soon!


    Questions about our Performance Improvement work? Contact Ziad Amer, Performance Improvement Coordinator