QUALITY IMPROVEMENT COMMITTEE (Core Committee)

QUALITY IMPROVEMENT COMMITTEE (Core committee)

ž  Purpose

This committee takes responsibility of developing policies and periodically reviewing the organization wide quality improvement program me. The committee generally works as an apex committee for a hospital preparing for accreditation.

Hospital systems across the country face a number of pressing problems: clinical variation, preventable medical errors, hospital acquired infections, delays in patient discharge, and dwindling cash flow. While health systems need to consistently innovate in order to tackle these problems, many quality improvement projects fail to deliver on ROI

ž  Role and Responsibilities

1.    Planning of the manuals, policies and protocols that guide the specific areas and to  develop quality improvement programme.

2.      Establish, monitor and review of quality objectives, quality indicator and to set benchmark for the same.

3.   Ensuring the availability of resources as required for the quality management programme.

4.     Conducting management reviews.

5.     Reviewing non-conformance related to services across the hospital..

6.     Reviewing internal audit reports and working of all other committee.

7.     Analysis of patient satisfaction data and complaints.

8.     Ensuring timely corrective and preventive actions.

9.     Ensuring continual improvement of the quality management system and accreditation.

10. This committee shall receive inputs on significant deliberations from other committees

ž  Frequency of meeting

The Committee shall meet once every month

ž  Sample composition

Quality improvement Committee
Composition	Designation
Director/CEO/Medical superintendent	Chairperson
NABH Coordinator/Quality Manager	Convenor
One representative each department
GM - Administration	Member
Medical specialty	Member
Pathology	Member
Imaging	Member
Nursing Head	Member
Infection Control officer	Member
Anesthesiologist	Member
Surgeon	Member
Intensivist	Member
Purchase & Stores	Member
HR department	Member
Blood bank	Member
Pharmacy	Member

Share: