A healthcare organization implemented an initiative to decrease hospital admissions for chronic heart failure.

In the Performance and Process Improvement domain, NAHQ emphasizes the importance of sustainability after improvement is achieved. A reduction from 16% to 12% demonstrates meaningful improvement, but the organization must ensure the gains are maintained over time.

The appropriate next step is continued monitoring to confirm that the change is stable and not due to short-term variation. Prematurely shifting resources, expanding, or discontinuing the initiative may risk regression. NAHQ methodology supports sustaining gains before spreading or concluding an initiative, making Option A correct.