Role of Administrator in Quality Improvement Dr. Girdhar J. Gyani DG-AHPI

Quality In Healthcare “Good quality means providing patients with appropriate services in a technically competent manner, with good communication, shared decision making, with cultural sensitivity and with greatest efficiency.” Institute of Medicine, 2001

Accreditation Accreditation relies on establishing technical competence of healthcare organization in terms of accreditation standards in delivering services with respect to its scope. It focuses on learning, self development, improved performance and reducing risk. Accreditation is based on optimum standards, professional accountability and encourages healthcare organization to pursue continual excellence

Accreditation also means putting systems in place Systems are defined What, Who, How Systems are implemented understood & owned by stake holders Systems are Established / Institutionalized Transparent Dynamic Objective

Accreditation Management Logistics Nursing Staff Physician Patient Safety Surgeon Paramedical Staff

PATIENTS / ASSOCIATES CEO/HODs CEO/HODs CONSULTANT / DOCTORS PATIENT REGISTRATION PATIENT REGISTRATION DAY TO DAY MONITORING DAY TO DAY MONITORING OPD ADMISSION OPD ADMISSION OPD CONSULTATION OPD CONSULTATION DISCHARGE CERTIFICATE DISCHARGE CERTIFICATE FEE COLLECTION FEE COLLECTION FRONT LINE STAFF REGISTRATION ,PARAMEDICAL, NURSES, REDSIDENT FRONT LINE STAFF REGISTRATION PARAMEDICAL, NURSES, REDSIDENT CONSULTANT / DOCTORS CONSULTANT / DOCTORS EMPOWERMENT CEO/HODs CEO/HODs

Football Vs Hospital Football GOAL KEEPER BACKS C MIDFIELD FORWARDS CONSULTANTS RESIDENTS NURSING PARA-MEDICAL

quality in healthcare services Quality (Patient Safety) and affordability are major challenges. It is reported that millions of medical errors are being observed annually in developed and developing nations. We need to institutionalize quality in all clinical and managerial processes.

Can We All Agree: Healthcare Delivery Has become a team work Has become more complex and tech driven Is under lot of regulations and pressure Patients and family has huge expectations We haven't prepared ourselves for change Doctors need to be the leaders of the change Doctors need to acquire newer skills

OPERATIONAL EXCELLENCE MEETINGS User Department Quality Team Leaders Regular Meetings Chair Specialty HOD Clinical and Non- Clinical Depts. All Stakeholders Analysis of data Focus on outcomes Quality V/S Cost DRIVERS OF QUALITY

AGENDA of MEET Departmental KPIs Documentation Accuracy Internal Audit Findings Mortality and Morbidity Incidents Reported Process improvement initiatives/gaps Training Compliance Patient and Consultant’s Feedback Patient Education Material Statutory Compliances Operational Concerns of the Department

Managers can Influence: Policy to be Patient Centric Quality and Safety Systems and Processes Effectiveness and Efficiency Employee Morale and Satisfaction Organization Climate Patient Satisfaction

Quality Care (Role of Administration) Access and Continuity of Care Minimum Waiting Time Information Management /Signage Communication Ancillary Services Patient Rights and Education Responsibility of Management Facility Management and Safety Human Resource Management

Any Questions? Thank you gyani@ahpi.in www.ahpi.in