Clinical Quality Assurance Plan Template net

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St John Ambulance Australia NT Inc Clinical Quality Assurance Plan. Table of Contents,EXECUTIVE SUMMARY 1, The purpose of St John Ambulance Australia NT Inc 1. Clinical Quality Assurance Goal 1,Background 1, The purpose of St John Ambulance Australia NT Inc 3. Clinical Quality Assurance Goal 3,Clinical Quality Assurance Objectives 3. Introduction 4,1 1 St John Ambulance Australia s NT Commitment 5. 1 2 Background 5,1 3 Definition of Quality 6,1 4 Definition of Clinical Quality Assurance 6.
2 Philosophy Of Continuing Clinical Quality Improvement Process And Quality Assurance 7. 3 Standards 8,3 1 Clinical Standards 8,3 2 Adjustment of Clinical Standards SJANT 9. 4 Clinical Quality Requirements 10, 4 1 Clinical Risk Management Clinical Indicators 10. 4 2 Measurement of Clinical Quality Indicators 10,4 3 Clinical Review Reporting 10. 4 4 Sentinel Events 10, 4 5 Continuous Clinical Quality Improvement Process CCQIP 10. 5 Clinical Audit 11,5 1 Clinical Audit Requirements 11.
5 2 Clinical Audit Processes 11,5 2 1 Infield Audit IFA 11. 5 2 2 Retrospective AORF Audit 11,5 2 3 Targeted Clinical Audit Activities 12. 5 2 4 Clinical Review 13,5 2 5 Exception Reporting 13. 5 2 6 Community Feedback 13,5 3 Communications call taking dispatch audit 14. 5 4 Clinical Audit Outcomes 14,5 4 1 Audit Reports 14.
5 4 2 Other Reports 14, 6 Clinical Standards Committee Clinical Review Activities 15. 7 Education Support 16,7 1 Clinical Education 16,7 2 Clinical Practice and Skills Maintenance 16. 7 2 1 In Field support provided by the SO 16,8 Research 17. 9 Accountability and Reporting 18,9 1 Accountability 18. 9 2 Reporting 19,9 3 Operations Managers Accountability 19.
9 4 Director of Operations Ambulances and Manager Training Education Services Accountability 19. 9 5 Clinical Standards Committee 20,9 6 Strategic Management Group 20. 9 7 CEO Accountability 20,10 Document Revision History 21. Glossary of Terms 22, SJANT Clinical Quality Assurance Plan V1 0 doc Version 1 0 Updated 19 10 2009. St John Ambulance Australia NT Inc Clinical Quality Assurance Plan. EXECUTIVE SUMMARY,The purpose of St John Ambulance Australia NT Inc. To be the be the leading provider of first aid ambulance and related health. services in Australia 1, To support a robust Clinical Quality Assurance Program there needs to be a plan which is dynam ic.
a n d o r g a n i s a t i o n wi d e i n n a t u r e r e q u i r i n g t o t a l o r g a n i s a t i o n c o m m i t m e n t I t i s a n o n g o i n g. comprehensive process with regular evaluation of the effectiveness of patient care. Clinical Quality Assurance Goal, Use a continuous improvement approach improve patient safety and clinical. The SJANT Clinical Quality Assurance Plan supports this strategic objective and is designed to. ensure consistently high clinical standards are maintained This is achieved through structured. clinical audit programs including regular review of patient care records and in field review of clinical. practice In service training skills maintenance programs and annual accreditation programs. complement and reinforce the clinical practice standards This document outlines SJANT s Clinical Quality. The responsibilities of key personnel to the SJANT Clinical Quality Assurance Program are. The Regional Management Team Strategic Management Group and the Clinical Standards. Committee are responsible for establishing and developing the clinical standards throughout SJANT. The Director of Operations Ambulance and Operations Managers are responsible for. ensuring the performance of operational staff to these standards. For those directly involved in providing care se rvice to the communities providing the best possible. care is our aim is a tangible concept For those who do not have direct clinical contact providing the. best possible service to operational staff stakeholders and the community becomes the goal. Quality assurance not only embraces those goals but also sets up the mechanics to ensure the goal is. reached Quality assurance becomes the ongoing activity incorporated into the daily routine to improve. clinical service,Background, The Director of Operations Ambulance is directly responsible to the Chief Executive Officer for clinical. quality which reflects the organisational importance of quality patient care. The SJANT Clinical Standards Committee CSC was established in September 2009 and is chaired by. the Director of Operations Ambulance The CSC consists of the Senior Medical Advisors Primary. Care Medical Practitioner Doctor Clinical and Operational Managers operational staff. representatives and the Director of Emergency Medicine at Royal Darwin H ospital. The committee is responsible for providing advice and recommendations to SJANT on clinical. standards and clinical practice with a focus on Continuous Quality Improvement CQI and. evidence based standards and practice, St John Ambulance Australia NT Strategic Plan 2008 2010. SJANT Clinical Quality Assurance Plan V1 0 doc Version 1 0 Updated 19 10 2009 Page 1 of 22. St John Ambulance Australia NT Inc Clinical Quality Assurance Plan. SJANT currently has in place a clear set of Clinical Practice Guidelines and Clinical Work Instructions. The Clinical Practice Guidelines CPGs represent multi disciplinary consensus on the management of. common pre hospital emergency problems that under normal circumstances Paramedic s Intensive. Care Paramedics and Contract Paramedics are expected to follow. SJANT also has in place Clinical Protocols that define the clinical care to be provided by Ambulance. Community Care Officers and Community First Responders These are supported by Clinical Work. Instructions CWls that identify the agreed process for the performance of specific clinical skills by all. operational staff, SJANT Clinical Quality Assurance Plan V1 0 doc Version 1 0 Updated 19 10 2009 Page 2 of 22. St John Ambulance Australia NT Inc Clinical Quality Assurance Plan. The purpose of St John Ambulance Australia NT Inc, To be the be the leading provider of first aid ambulance and related health.
services in Australia 2, To support a robust Clinical Quality Assurance Program there needs to be a plan which is dynamic. and organisation wide in nature requiring total organisation commitment It is an ongoing. comprehensive process with regular evaluation of the effectiveness of patient care. Clinical Quality Assurance Goal, Use a continuous improvement approach improve patient safety and clinical. Clinical Quality Assurance Objectives, The Clinical Quality Assurance Program will meet the service s strategic goals and objectives by. a Establishing the clinical performance standards for all operational staff. b Providing education to meet the set clinical performance standard. c Empowering operational staff through education to take responsibility for their own clin ical and. professional performance, d Providing educational and technical support to Managers to enable them to develop the evaluation. and assessment skills required for development of the professional practice within their teams. e Evaluate the clinical performance of the service and the individual operational staff to ensure that. the current clinical standards are met, f Monitoring the standard of clinical performance to ensure that it meets service objectives in line.
with contemporary best practice, g Adjusting clinical standards of the service based on evidence provided through evidence based. h Providing a conduit for two way communication to all levels of the organisation on clinical. performance based on evidence gathered through assessment evaluation and research. 2 St John Ambulance Australia NT Strategic Plan 2008 2010. SJANT Clinical Quality Assurance Plan V1 0 doc Version 1 0 Updated 19 10 2009 Page 3 of 22. St John Ambulance Australia NT Inc Clinical Quality Assurance Plan. Introduction, The first choice supplier of excellent first aid and ambulance services training and products is one of. the three SJANT Strategic Goals and a key result area within St John Ambulance Australia NT Inc s. Mission Statement is to To be the leading provider of first aid ambulance and related health services in. The SJANT Clinical Quality Assurance Plan supports this strategic objective and is designed to. ensure consistently high clinical standards are maintained This is achieved through structured. clinical audit programs including regular review of Ambulance Off icer Report Forms and in field. review of clinical practice In service training skills maintenance programs and annual. accreditation programs complement and reinforce the clinical practice standards This document outlines. SJANT s Clinical Quality framework, A co ordinated Quality Assurance Program across SJANT is essential Clinical Quality Assurance aims. at providing the best possible care for all patients. The Clinical Quality Assurance Plan program forms a critical part of the Total Quality Assurance. Program of SJANT as it represents the core business patient care. Clinical Quality Assurance requires a dynamic process where current clinical performance standards. can be set those standards can be distributed and education undertaken W hen new clinical. standards are introduced the necessary education will be undertaken after which performance can be. measured and reported on As a result of the measurement undert aken the clinical standard can be. modified or feedback provided to the individual s concerned. The responsibilities of key personnel to the SJANT Clinical Quality Assurance Program are. The Regional Management Team Strategic Management Group and the Cli nical Standards. Committee are responsible for establishing and developing the clinical standards throughout SJANT. The Director of Operation Ambulance and Operations Managers are responsible for ensuring. the performance of operational staff to these standards. For those directly involved in providing care service to the communities providing the best possible. care is our aim is a tangible concept For those who do not have direct clinical contact providing the. best possible service to operational staff stakeholders and the community becomes the goal. Quality care and service to the community can be better provided in an organisation committed to. Quality assurance not only embraces those goals but also sets up the mechanics to ensure the goal is. reached Quality assurance becomes the ongoing activity incorporated into the daily routine to improve. clinical service, Quality assurance is a personal goal and a corporate responsibility The quality of care and the use of. resources are related and efficiency is the key,Aspects of quality of care are various.
Subjective how the Service users perceive the quality of care. Objective how clinical care is evaluated, Social attitude to professionals towards the patient as an individual. Management how things are managed directly or indirectly affects patient care and. community satisfaction, Sanrick K Quality Will it make or break your hospital Hospitals 1986 60 54 8. SJANT Clinical Quality Assurance Plan V1 0 doc Version 1 0 Updated 19 10 2009 Page 4 of 22. St John Ambulance Australia NT inc Clinical Quality Assurance Plan. 1 1 St John Ambulance Australia NT Inc s Commitment. We strive to do our best for our stakeholders in the following ways. The Communities We provide the highest level of quality service in a professional but warm. and friendly manner, Our Staff We respect each other as individuals and we encourage staff to work as a. team We provide opportunities for personal and professional development. Our Suppliers We establish mutually beneficial relationships with suppliers We treat them. as we wish to be treated ourselves, Our Owners We enhance the reputation of the Department of Health Families through the. excellence of our service provision,1 2 Background.
The St John Ambulance Australia NT Inc SJANT strategic plan was developed for the purpose of. improving the health of the community by providing emergency and health crisis solutions The. SJANT commitment to clinical quality is managed by Regional Manag ement Team Manager. Training and Education Services and is supported by Officer In Charge Station Officers. Strategic Management Group and Clinical Standards Committee Medical. The Director of Operations Ambulance is directly responsible to the Chief Executive Officer for. clinical quality which reflects the organisational importance of quality patient care. The SJANT Clinical Standards Committee CSC was established in September 2009 and is. chaired by the Director of Operations Ambulance The CSC consists of the Senior Medical. Advisors General Practice Doctor Clinical and Operational Managers operational staff. representatives and the Director of Emergency Medicine at Royal Darwin Hospital. The committee is responsible for providing advice and recomme ndations to SJANT on clinical. standards and clinical practice with a focus on Continuous Quality Improvement CQI and. evidence based standards and practice, SJANT Clinical Quality Assurance Plan V1 0 doc Version 1 0 Updated 19 10 2009 Page 5 of 22. St John Ambulance Australia NT Inc Clinical Quality Assurance Plan. 1 3 Definition of Quality, It is the community in the broader definition who will determine whether they have received quality. standards and clinical practice with a focus on Continuous Quality Improvement CQI and evidence based standards and practice 1 St John Ambulance Australia NT Strategic Plan 2008 2010 SJANT Clinical Quality Assurance Plan V1 0 doc Version 1 0 Updated 19 10 2009 Page 1 of 22

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