Governance and Operations and Quality Management System

Over the years, I have come to realize that Governance and Operations should be equivalent to Quality Management System.  The Manual of Governance and Operations, if one is made, should be equivalent to the Manual of Quality Management System.  There must be an inherent quality management system in the governance and operations.

At present, there is a predominant practice of separating the two: Governance and Operations and Quality Management System. These two should be integrated into one system.

Thus, my stand is the Manual of Quality Management System of an organization (hospitals, medical schools, others) should be the same as the Manual of Governance and Operations.


ROJ@18jul23

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PQA Healthcare Criteria for Performance Excellence 2017-2021

PQA Healthcare Criteria for Performance Excellence 2017-2021

2017-2021-pqa-healthcare-criteria-ver01-39

 


ROJ@18jul23

Posted in Philippine Quality Award and Baldrige | Leave a comment

ROJoson’s Educational Approach in Improving Hospital Administration

roj_approach_hosp_adm_roj_17jan28


ROJ@18may25

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Promoting Excellent Patient Experience – NICE Pathway

Promoting Excellent Patient Experience

 

Promoting Excellent Patient Experience


ROJ@18may25

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Principles in Promoting Patient Experience

Know the essential requirements of health care.

Knowing the patient as an individual.

Tailoring the health services for each patient.


ROJ@18apr21

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Top Management Manifestation of Commitment and Support for Hospital Risk Management System

The commitment and support should be manifested in writing and renewed as often as needed.

Below is a sample of a manifestation of commitment and support for hospital risk management system.



Manifestation of Commitment and Support by Governing Body and Top Management on Establishment and Development of ROJHMC Risk Management System

Risk is any uncertainty that, if it occurs, could have a positive or negative effect on the achievement of one or more goals and objectives of the hospital.

All activities in a hospital involve risk.

Thus, in view of the necessity for ROJHMC

– to manage effectively the risks of uncertainties in all its activities;

– to ensure that ROJHMC is able to determine the factors that could cause its processes and its quality and safety management system to deviate from the planned results and then to put in place preventive controls to minimize negative effects and to make maximum use of opportunities; and 

– to comply with Philippine statutory and regulatory requirements as well as international standards on hospital Risk Management System,

the undersigned representing the governing body and top management of ROJHMC hereby wholeheartedly commit to lead and to provide support in establishing and developing Risk Management System or Program in ROJHMC starting January 24, 2018.

We also hereby authorize the ROJHMC Task Team on Risk Management System to administer the program.

This Manifestation of Commitment and Support by the governing and top management by ROJHMC shall be renewed every three (3) years.

Signatories:

 

 

 

   
XXXXX YYYYY ZZZZZ
Chair, ROJHMC Board of Directors President, ROJHMC Hospital Director, ROJHMC
Date: Date: Date:

 


ROJ@18mar19

Posted in Hospital Risk Management | Leave a comment

Top Management Commitment and Support in Hospital Administration

In all activities, programs and projects, it is essential that there is top management commitment and support.  Otherwise, they will not fly.

The commitment and support should be manifested in writing and renewed as often as needed.

Below are examples of manifestations of commitment and support:



Manifestation of Commitment and Support by Governing Body and Top Management on Establishment and Development of Maternal Death Control Management System

In view of the necessity for Zamboanga City Medical Center

  • to continuously control maternal death;
  • to continuously provide quality and safe maternal care service; and
  • to collaborate with the Department of Health on the control of maternal deaths to meet the Millenium Development Goal,

the undersigned representing the governing body and top management of Zamboanga City Medical Center hereby wholeheartedly commit to lead and to provide support in establishing and developing a Maternal Death Control Management System in Zamboanga City Medical Center starting May 13, 2015.

We also hereby authorize the Zamboanga City Medical Center Maternal Death Control Management System Team to administer the program.

This Manifestation of Commitment and Support by the governing and top management by the Zamboanga City Medical Center shall be renewed every three (3) years.

 

Romeo A. Ong, MD, MHA

Chief of Hospital

Zamboanga City Medical Center

May 13, 2015



Manifestation of Commitment and Support by Governing Body and Top Management on Establishment and Development of ROJHMC Risk Management System

Risk is any uncertainty that, if it occurs, could have a positive or negative effect on the achievement of one or more goals and objectives of the hospital.

All activities in a hospital involve risk.

Thus, in view of the necessity for ROJHMC

– to manage effectively the risks of uncertainties in all its activities;

– to ensure that ROJHMC is able to determine the factors that could cause its processes and its quality and safety management system to deviate from the planned results and then to put in place preventive controls to minimize negative effects and to make maximum use of opportunities; and 

– to comply with Philippine statutory and regulatory requirements as well as international standards on hospital Risk Management System,

the undersigned representing the governing body and top management of ROJHMC hereby wholeheartedly commit to lead and to provide support in establishing and developing Risk Management System or Program in ROJHMC starting January 24, 2018.

We also hereby authorize the ROJHMC Task Team on Risk Management System to administer the program.

This Manifestation of Commitment and Support by the governing and top management by ROJHMC shall be renewed every three (3) years.

 Signatories:

 

 

 

   
XXXXX YYYYY ZZZZZ
Chair, ROJHMC Board of Directors President, ROJHMC Hospital Director, ROJHMC
Date: Date: Date:


Manifestation of Commitment and Support by Governing Body and Top Management on Establishment and Development of ROJHMC Safe Hospital Management System

One of the risks faced by ROJHMC is disasters, both natural and man-made.

The disasters can lead to financial losses which may lead to financial instability and bankruptcy.
 
The disasters can cause destruction to hospital properties and injuries to patients and staff.
 
The disasters can lead to downtime of building, equipment and workforce which in turn can affect maximal utilization of hospital services.
 
The disasters can lead to lawsuits that the hospital is not safe thereby leading to financial expenses to counter the suits.
 
The disasters can lead to a tarnished reputation that the hospital is not safe which may affect maximal utilization of services by clients.
 

Thus, in view of the necessity for ROJHMC

– to manage the risks of uncertainties of disasters with their potential negative effects or consequences;

– to ensure that ROJHMC is a SAFE HOSPITAL based on the concepts of Safe Hospital (a health facility whose services remain accessible and functioning at maximum capacity and in the same facility or infrastructure, during and immediately following the impact of a disaster; it will not collapse in disasters, killing patients and staff; it will be able to continue to function and provide critical services in emergencies; and it will be organized, with contingency plans in place and health personnel trained to keep the network operational); and

– to comply with Philippine statutory and regulatory requirements as well as international standards on a Safe Hospital,

the undersigned representing the governing body and top management of ROJHMC hereby wholeheartedly commit to lead and to provide support in establishing and developing Safe Hospital Management System or Program in ROJHMC starting March 1, 2018.

We also hereby authorize the ROJHMC Task Team on Safe Hospital Management System to administer the program. 

This Manifestation of Commitment and Support by the governing and top management by ROJHMC shall be renewed every three (3) years.

Signatories:

 

 

 

   
XXXXX YYYYY ZZZZZ
Chair, ROJHMC Board of Directors President, ROJHMC Hospital Director, ROJHMC
Date: Date: Date:


ROJ@18mar19

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