Which statement accurately describes QI?

• A. QI is a one-time evaluation.
• B. QI determines whether a program is ethical.
• C. QI measures overall program impact.
• D. QI is a continuous process change.

Answer: (D)

Quality Improvement is a continuous, systematic effort to enhance how programs operate and deliver services. It relies on small, rapid tests of change and cycles of learning: plan a modification, implement it on a small scale, study the results with data, and act based on what’s learned—then repeat this loop to drive ongoing improvements. This makes QI an ongoing process of change rather than a one-time check or a single evaluation.

That’s why the statement describing QI as a continuous process change is the best fit. It captures the core idea that improvements come from repeated cycles, data-driven learning, and persistent refinement of workflows and outcomes. The other ideas refer to different activities: a one-time evaluation, ethical determinations, or measuring overall impact, which are not the same as the iterative, process-focused approach of QI.