Who develops QIIGs?

• A. The medical staff
• B. The base command quality assurance office
• C. The unit's quality improvement committee
• D. The Navy medical service headquarters

Answer: (C)

Quality improvement initiatives are driven at the unit level, with ownership sitting with the unit’s quality improvement committee. This committee has the closest view of the unit’s workflows, performance gaps, and daily patient care processes, so it’s best positioned to develop targeted QIIGs (Quality Improvement Implementation Groups) that address real, local needs. They can coordinate across disciplines, gather relevant data, and implement changes within the unit’s specific context, then monitor outcomes. Higher-level offices, like the base command QA or Navy Medical Service HQ, provide policies, standards, and oversight, but they don’t originate unit-specific QIIGs. Medical staff may contribute as part of the team, but the formal development and ownership of QIIGs rests with the unit’s quality improvement committee.