Which item was NOT among the three major initiatives for the Agenda for Change?

• A. Redesign of TJC's Standards to stress the entire organization's effectiveness in patient services.
• B. Patient outcomes are influenced by all of the activities of a healthcare organization.
• C. Redesign of the survey process to provide more interactive consultative services.
• D. Development of a national performance measurement system, commonly known as the Indicator Measurement System.

Answer: (B)

The main idea here is recognizing what Agenda for Change aimed to accomplish in the accreditation process: concrete initiatives that reshape how quality is measured and how the accreditation process operates. The three major initiatives were redesigning the standards to emphasize the organization as a whole and its effectiveness in patient services, redesigning the survey process to be more interactive and consultative, and developing a national performance measurement system known as the Indicator Measurement System. The statement that patient outcomes are influenced by all activities of a healthcare organization describes a general principle about how outcomes come about, but it isn’t a specific program or change within Agenda for Change. So that option isn’t one of the three initiatives.