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The Quality Improvement (QI) Department at CCMC is provides data analysis, benchmarking, clinical data auditing, physician peer review support, team facilitation, and patient and family satisfaction services including complaint resolution. The department works with leadership to operationalize and measure the success of the organization's goals. The QI Manager provides leadership for the department and facilitates the organization's root cause analyses, FMEAs, and hospital-wide improvement teams. Clinical Quality Analysts and Coordinators provide oversight of clinical audits both at the department and organizational level. They contribute to and manage the Medical Staff's Peer Review system and data reporting. Additionally they provide support and consultation to a variety of QI activities. QI Patient and Family Representatives serve the organization and CCMC families by soliciting patient and family feedback and facilitating resolution of concerns and suggestions. Patient and Family Representatives play a critical role in capturing the voice of the customer. This helps us to be able to celebrate our successes and learn where we can improve from our patient and families point of view.
Data Analysis and Reporting is provided with technical expertise through the utilization of the organization’s balanced scorecards. Additionally, comparative data is electronically captured and set against data sets from like organizations for the purpose of identifying opportunities for improvement. Metrics are established and actively managed to ensure that work done helps us to achieve our goals. Click here to read
the JCAHO Quality Report Memo |
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