Quality Improvement Plan Page 30
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32CROUSE HOSPITAL QUALITY IMPROVEMENT PLAN 2013
FUNCTIONAL or
ROLE/RESPONSIBILITY
SERVICE-LINE COUNCIL
REPORTS TO
Information Management PI
Establish and implement annual performance improvement plan.
Council
Monitor and improve processes and outcomes associated with:
Patient Care
Co-Chairs: Active Member of
•
Improvement
Information confidentiality, security and integrity
Crouse Medical Staff, Director
•
Council
Medical records management and completion
of Health Information
•
Information management education
Management & Director of
•
Timeliness and accuracy of data
Information Technology
•
Patient specific data and information
•
Discharge and transfer summary information
•
Medical record documentation requirements Internal information system
selection upgrades, implementation and training
Chemical Dependency
Multi disciplinary council charged with the measurement, assessment and
Patient Care
Performance Improvement (PI)
improvement of processes and outcomes associated with the care provided in the
Improvement
Council
Chemical Dependency Treatment Services.
Council
Establish and implement annual performance improvement plan
Co-Chairs:
Medical Director and Director
of the Chemical Dependency
Treatment Services
Pharmacy and Therapeutics
Establish and implement annual performance improvement plan.
Council
Monitor and improve processes and outcomes associated with:
Patient Care
Co-Chairs: Active Member of
•
Improvement
Approving and maintaining the formulary
the Crouse Medical Staff and
Council
•
Adverse drug reactions
the Director of the Pharmacy
•
Medication errors
•
Preparing and dispensing medications
•
administration of medications
•
Monitoring of effects of medication on patients
Test Utilization PI Council
Multi-disciplinary council charged with reducing redundant utilization of testing.
Successful implementation of process changes will result in increased safety and
Co –Chairs: Active Member of
patient satisfaction and decreased costs associated with duplicating work.
Patient Care
the Medical Staff and a
Improvement
Hospital/Director/Manager
Establish and implement annual performance improvement plan.
Council
29
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