Hospitals without a centralized action-planning system often highlight these challenges:
Fragmented Processes
Different teams keep separate documents and spreadsheets, so there’s no single source of truth. That fragmentation creates duplicated effort and inconsistent records.
Manual Inefficiencies
Quality teams spend weeks on repetitive admin work — Vastian research finds 19 million hours are lost annually across hospitals because action-planning lacks automation.
Tracking Limitations
Manual status updates and siloed KPIs make it easy for tasks to fall through the cracks and for leaders to lose sight of which plans are succeeding.
Excessive Administrative Workload
Staff time is drained by document chasing, version control, and email follow-ups instead of being used on improvement work.
Accountability Issues
Without clear digital task assignment and audit trails, ownership blurs and approvals stall — slowing improvement and increasing risk.
Constantly Repetitive Workflows
Teams rebuild templates and processes for each incident or audit cycle instead of reusing proven plans and actions.
Hospitals also face direct financial pressure — for example, each hospital-acquired infection (HAI) can cost ~$25,000 in unreimbursed costs, and some hospitals face ~$329,000 in annual HAC penalties.
With Vastian APPIL, you go from reactive to proactive
APPIL (Action Planning, Performance Improvement, and Long-term Effectiveness) centralizes action plans, automates workflows, and provides real-time dashboards and tailored reporting so teams can spot trends, escalate issues, and prove improvement. It’s designed to support QAPI, regulatory standards, and everyday accountability.


