QUALITY & RISK MANAGEMENT DEPT.

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QUALITY & RISK MANAGEMENT DEPT. by Mind Map: QUALITY & RISK MANAGEMENT DEPT.

1. Special Projects

1.1. UEMedical Clinical Integration

1.1.1. Cloposcopy service (Dr Neha Gami & Nick)

1.1.2. Urogynaecology (Dr Zakia Habib, Nick & Dr Faiza

1.2. Risk Management & Incident Reporting enterprise wide

2. Continuous Improvement

3. Policies, Procedures, CPG's & other Controlled Documents

3.1. Document Control of all DAE policies and other documentation (Joan)

3.1.1. Document Control & Tracking

4. Risk Management & Incident Reporting

4.1. DEPARTMENTAL RISK REGISTERS

4.2. Executive Committee Risk Register

4.3. PATIENT INCIDENT REPORTING & INVESTIGATIONS

4.3.1. CASE REVIEWS

4.3.2. MANAGEMENT OF INCIDENT LOG & ANALYSIS

4.4. FAILURE MODE & EFFECT ANALYSIS

5. Data Management & Performance Indicators

5.1. Departmental Indicators

5.2. JAWDA Indicators collection & Validation

5.3. quality, bariatric, medical tourism, maternal & Perinatal

5.4. TASNEEF audit

6. Infection Control & Prevention

7. DAE Committees & Clinical Governance Framework

7.1. coordinate and management organisational committees

7.1.1. Management Quality & Patient Safety Committee (NIck)

7.1.2. Management & Coordinate Medical Affairs Committee (Nick)

7.1.3. Management and Chair Clinical Effectiveness Committee (Nick)

7.1.4. Clinical Risk (Lisa)

7.1.5. Mortality & Morbidity (lisa)

7.2. scheduling of DAE committees (Joan)

7.3. review of DAE committee, terms of reference and membership

7.4. UEMedical Quality & Patient Safety Committee (Nick)

7.5. COVID-19 TASKFORCE

7.6. REDUCING REJECTED CLAIMS TASKFORCE

8. Accreditations, Audits & Certifications

8.1. Department of Health (DoH) audits and service activation audits (Nick)

8.2. Centre of Excellence certification management (Nick)

8.3. coordination and management of JCI inspections

9. Clinical Audit & Clinical Practice Guideline development

9.1. Clinical Audit Program (Dr Faiza)

9.1.1. nursing clinical audits

9.1.2. Medical Audit

9.1.3. clinical audit training and support

9.2. Clinical Practice Guidelines (Dr Faiza coordinating & supporting CPG management group)