Health quality continuous improvement plan application

20132013 يوليو يوليو 0606السبت السبت

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/ /١٤٣٤ ٠٨ ٢٨Prepared By Dr Gamal Soliman


1-Quality Improvement 1-Quality Improvement Reports.Reports. 2-Components of the QM 2-Components of the QM Program.Program.3- Objectives.3- Objectives.4-Priority Setting Criteria4-Priority Setting Criteria



1.1. Department Indicators Department Indicators 2.2. Clinical Review Clinical Review 3.3. Occurrence Variance ReportsOccurrence Variance Reports

4.4. Medication errorsMedication errors



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Part 1- 1


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Part 1 - 2


ContentsContents Safety and SecuritySafety and Security

Delivered ToDelivered To Safety CommitteeSafety Committee


Part 1 - 3


ContentsContents Medication ErrorsMedication Errors

Delivered ToDelivered To P & T P & T committeecommittee


Part 1 - 4


Components of the QM Program.Components of the QM Program.



1. A Management 1. A Management PhilosophyPhilosophy

2. A delineation of the 2. A delineation of the expectations of expectations of managementmanagement

3. A structure to 3. A structure to management Quality management Quality Improvement. Improvement.

4. A strong commitment 4. A strong commitment to education and to education and training training

5. A high level of 5. A high level of monitoring the monitoring the performanceperformance / /١٤٣٤ ٠٨ ٢٨Prepared By Dr Gamal Soliman


OBJECTIVESOBJECTIVESThere are SevenThere are Seven



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2. Implement the necessary structures to

support the QM program: Committee, representatives for

Quality in the departments.



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4. Identify and utilize process-specific and performance-specific measures/indicators.



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6. Ensure that 6. Ensure that environmental environmental

conditions are safe for conditions are safe for all patients, visitors all patients, visitors

and staff.and staff.



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Priority Setting Priority Setting CriteriaCriteria



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o o AppropriatenessAppropriateness of a of a specific test,specific test,

procedure to service to meet procedure to service to meet the patient’s needsthe patient’s needs



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o o TimelinessTimeliness with with which a needed test, which a needed test, procedure, treatment procedure, treatment or service is provided or service is provided

to the patientto the patient. .



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o o ContinuityContinuity of the of the services provided to services provided to

the patient with respect the patient with respect to other services, to other services,

practitioners, providers practitioners, providers and overtimeand overtime



o o EfficiencyEfficiency with which with which services are providedservices are provided



o hospital-wide program that o hospital-wide program that assures the facility assures the facility designsdesigns

processesprocesses



1- Consistency with the 1- Consistency with the organization’s mission, organization’s mission,

vision, values, goals and vision, values, goals and objectives, and plansobjectives, and plans



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Health Care quality is not Health Care quality is not a destination, but a going a destination, but a going

on processon process


Health & Medicine

Health quality continuous improvement plan application