The data shows that diabetic retinal eye exam rates (60%, 58%, 62%) are consistently below the target (>80%), indicating the current intervention is not achieving the desired outcome.
Option A (Continue the pilot for another quarter): Continuing without reassessment is inefficient, as three quarters of data show no significant progress toward the target, suggesting the intervention needs adjustment.
Option B (Implement the change): Implementation is premature, as the intervention has not met the target, indicating it is not effective enough for broad adoption.
Option C (Review additional data): This is the correct answer. NAHQ CPHQ study materials recommend analyzing additional data (e.g., barriers, process issues, or subgroup performance) to understand why the intervention is failing and inform next steps, aligning with PDSA (Plan-Do-Study-Act) methodology.
Option D (Plan for the next change): Planning the next change is a subsequent step after reviewing data to identify root causes or new strategies.
[Reference: NAHQ CPHQ Study Guide, Domain 4: Performance and Process Improvement, emphasizes reviewing additional data to assess intervention effectiveness in PDSA cycles., , , ]
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