Performance Improvement Program
The QMD has established Performance Improvement program, based on data collection and statistical analysis to evaluate performance, measures outcomes, identifies areas for improvement, and determines priorities. Measurable Performance Improvement activities are prioritized in collaboration with the hospital administrative and clinical leadership.
Generally the Quality Management Department coordinates and oversees the functions of Quality Improvement and Quality Assurance at Medcare Hospital.
The purpose and functions of Quality Improvement are:
- To assess and improve performance and thus produce the best quality and safe patient care and outcomes
- To identify customers (internal, external)
- To monitor and evaluate all providers, care settings, and types of services
The purpose and functions of Quality Assurance are:
- To meet and monitor DOHMS regulatory requirements and JCIA standards
- To develop profiles and management reports
Education and Training
In keeping with the Quality Management Department's commitment to education, the Department organizes presentations, workshops and conferences, including programs on quality improvement, patient safety, FOCUS-PDCA, Measurements. Faculty for these programs included the quality management department staff and quality consultants from our consultancy network such as Euro health systems.
Medcare Hospital have established a strategic plan of maintaining Joint Commission International Accreditation (JCIA). The preparation for JCIA has started long before the official opening of the hospital to make sure that the hospital structure and systems is built based on the standards.
The department accomplishes this by:
- Leading and facilitating the Joint Commission International Accreditation (JCIA) project
- Providing technical assistance to hospital departments, committees, and task forces
- Keeping and interpreting JCIA standards
- Conducting audits and evaluation
- Analyzing trends
- Facilitating the quality process
- Monitoring internal as well as external functions of Medcare Hospital
- Conducting Continuous Quality Improvement projects and activities
- Conducting quality improvement training and education for all hospital staff
- Clinical audit and Monitoring
- Research and Development
- Oversight of facility safety
- Policy and procedure development and control
- Risk and safety management