How are quality improvement initiatives prioritized?

• A. Impact, feasibility, alignment with strategy, and SMART metrics with baseline data.
• B. Impact alone.
• C. Feasibility alone.
• D. Alignment with strategy alone.

Answer: (C)

Prioritization in quality improvement hinges on what can realistically be done given the current resources, data, and organizational support. Feasibility looks at whether a change can be implemented within the existing workflow, with the available staff, time, and data collection, and whether frontline teams will actually use the new process. When a project is feasible, you can roll it out quickly, learn from real implementation, and build momentum with early, tangible gains. Those quick wins create credibility and capacity to tackle more ambitious, higher-impact initiatives later. While impact and strategic alignment matter, they aren’t enough on their own if the project isn’t practical to implement now; a high-impact idea that can’t be executed won’t move the system forward. So feasibility serves as the practical gatekeeper that guides near-term priorities while you plan broader improvements.