Professional Documents
Culture Documents
Implementing
Quality Management System in
Hospitals & Healthcare Concerns
Adhering
NABH Standards
By,
Saneeb K.R.
Sree Soumiya K.M
About
QZAT Consultants
QZAT is a professionally managed consultancy specializing in
hospitals & healthcare concerns. It is an empanelment which has
empanelled with talent resources of Healthcare Concerns such
as Quality Assurance Managers, Infection Control Nurses,
Pharmacists and Doctors. The combined strength of these
professionals, Team QZAT, forms the core strengths of
consultancy. Individually, the team members have excelled in
their field of expertise and specialties.
QZAT Modules
Training For Clinical &
Non Clinical Staff
Internal Audits
Facility Audits
Clinical Audits
Medical Records Audit
Setting Quality Indicators
& Performance indicators
Quality Initiatives
Mock Drills
Documentation &
Document Control
GAP Closure
/Corrective &
Prevention Action
(CAPA) & RCA- Root
Cause Analysis
INTERNAL AUDITS
Internal Audits are conducted by the Healthcare
organization to ensure that there is an effective adherence of
standards and staff awareness about the same. Audits are
conducted once in four months to ensure the adherence.
FACILITY AUDITS
Facility Audits are conducted to ensure that there is
adequate safety and preventive measures related to facility
which include Fire safety, Environment safety, Electrical
Safety, Infrastructure Safety and Medical Equipment safety.
Facility Audit is conducted twice in a year.
CLINICAL AUDITS
A quality improvement process that is seeks to improve
patient care and outcomes. The parameters will be defined
by the organization and the audits are done by various
Medical and nursing staff.
MEDICAL RECORDS AUDIT
Medical records audit are conducted to ensure that there is
completeness and accuracy in Medical records of every
patients. Eg. Unique Identifiers for each record, Entry made
in records are dated, timed and signed appropriately etc.
QUALITY INITIATIVES
Quality Initiatives are set to help to spread health awareness
& safety precautions to the patients.
SETTING
QUALITY
INDICATORS
&
PERFORMANCE INDICATORS
Quality Indicators- Quality Indicators are statistical
measure of the performance of functions, systems or
processes overtime. Clinical & Non Clinical Indicators are
set to monitor and track the Quality of services in each area.
The indicators are collected from different departments and
are analyzed by the Quality Team and the same is presented
to the Top Management for their review.
Performance Indicators- The organization develops key
Indicators suitable for it and reviews them on a certain
period. This helps the top management to assess their
growth.
MOCK DRILLS
Mock Drills are conducted to ensure the readiness of staff to
handle emergency situations such as a Medical
Emergencies, Internal/ external disaster, Fire accident etc.,
The mock drill are conducted on frequent period to ensure
staff awareness about the same and their roles and
responsibilities during the emergency situations.
DOCUMENTATION & DOCUMENT CONTROL
Organization should have their Policies and Procedures to
adhere. The Manuals should be laid and practiced by the
staff. There should be a proper method to control the
Documents and it must be reviewed every year.
PROFILE OF THE
QUALITY CONSULTANTS
SANEEB K.R
SREE SOUMIYA K.M
To
21.05.07
01.09.08
02.01.12
Designation
Customer Care
Assistant
PRO cum
National Rural Health
Technical
Mission(NRHM),
Assistant
Thiruvananthapuram,Kerala, India
(Administration)
National Rural Health
Consultant
Mission(NRHM), Wayanad,
-Quality
Kerala, India
Assurance
Manager
Administration &
Quality
15.07.13
05.07.14 1 Year
09.07.14
27.02.15 7 Months
Quality Manager
05.03.15
Quality Manager
Marketing
Experience Details
From
To
Designation
07.10.11
22.09.12 1 Year
Guest Relations
Officer
26.12.12
19.11.13 1 Year
ManagerRelationship
20.11.13
Quality Manager
02.05.15
QZAT Consultants
Quality
Consultants
Contact Us
Saneeb K.R
Mobile : 09566458047
Emailsaneebkr@gmail.com