QCC - TOR
Purpose
/ Background
–QCC is being formed as per the Instruction from the
Esteemed office of Director Of Ayurveda Medical Education (DAME
),
letter No ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, dated ,,,/,,,,/,,,,,
in order to ensure, and improve the quality health care in the institution
Vision
- “To Provide
quality
healthcare to the patients confirming to scientific & ethical standards”
Objectives - To monitor, assess and Guide the clinicians, officials and
other staff and committees to provide quality healthcare to the patients
confirming to scientific & ethical standards
Role
of the committee -
QCC
shall be conducted in every month.QCC
shall periodically monitor the the performance
of
various sub committees to ensure the Quality in Healthcare system.
QCC
will have to intervene in all the matters highlighted by the subcommittees , or
by the higher authorities. QCCe shall take up the
matters in agenda and must come to a practical solution to the matter.
QCC
should evaluate the performance by
subcommittes by using the KPI.
The
Performance and the progress of various committees
formed for the Quality Improvement like
NABH shall be assessed and proper guidelines may also be provided if necessary
Powers
of the committee -This
QCC will be the final authority for matters related to Hospital
and
Quality in Healthcare system
QCC will be Final committee for approval of NABH
Policies (internal vetting)
QCC
has
the power to demand the performance audit of any subcommittees related to
Quality assurance.
QCC
has
the power to update, remove or modify any hospital/NABH
policies
to enhance to Quality of service /care.
Members
-
S
No
|
QCC Positions
|
Expertise
or Officials
|
1
|
Chairperson
|
Principal
|
2
|
Secretary
|
Superintendent
Govt
Ayurvda College Hospital
Thiruvananthapuram
|
3
|
Convenor
|
RMO
|
4
|
Members
|
|
5
|
NABH
Chief Coordinator
|
|
6
|
Chairperson
/convenor of AAC
Committee
|
|
7
|
Chairperson
/convenor of COP
Committee
|
|
8
|
Chairperson
/convenor of MOM
Committee
|
|
9
|
Chairperson
/convenor of PRE
Committee
|
|
10
|
Chairperson
/convenor of HIC
Committee
|
|
11
|
Chairperson /convenor of CQI
Committee
|
|
12
|
Chairperson
/convenor of ROM
Committee
|
|
13
|
Chairperson
/convenor of FMS
Committee
|
|
14
|
Chairperson
/convenor of HRM
Committee
|
|
15
|
Chairperson
/convenor of IMS
Committee
|
|
16
|
Nursing
Superintendent
|
|
17
|
College
Office Manager
|
|
18
|
Hospital
Office Manager
|
|
19
|
NABH
Coordinator
|
Operation of the Q C Cell
Roles and Responsibilities of QCC
members
Chairperson/Chair
- To
provide leadership and direction to the committee so as to facilitate the work
of the Institution in pursuing its vision, mission and strategic direction
within the committee’s terms of reference
(TOR)
Secretary - The role of the Secretary is to
support the Chair in ensuring the smooth functioning of Committee.He /She also must ensures that
the meetings are effectively organised
and minuted. He /She also must take care in Maintaining
effective records of administration,Communication ,correspondence and decisions
taken by the committee
Convenor
-
The
Convenor shall convene meetings of the committee by notifying each member of
the committee in such manner as the committee shall decide.
Members
NABH
Chief Coordinator
|
||
NABH
Chief Coordinator
|
||
Chairperson
/representative of AAC Committee
|
Must
have the Documents or data related to AAC Committee and must respond/communicate the
matters related to AAC committee . and he /She must also
work cordially with other committee members, for a fruitful outcome.
|
|
Chairperson
/
representative of COP Committee
|
Must
have the Documents or data related to COP Committee and must respond/communicate the
matters related to COP committee . and he /She must also
work cordially with other committee members, for a fruitful outcome
|
|
Chairperson
/
representative
of MOM Committee
|
Must
have the Documents or data related to MOM Committee and must respond/communicate the
matters related to MOM committee . and he /She must also
work cordially with other committee members, for a fruitful outcome
|
|
Chairperson
/
representative of PRE Committee
|
Must
have the Documents or data related to PRE Committee and must respond/communicate the
matters related to PRE committee . and he /She must also
work cordially with other committee members, for a fruitful outcome
|
|
Chairperson
/
representative of HIC Committee
|
Must
have the Documents or data related to HIC Committee and must respond/communicate the
matters related to HIC committee . and he /She must also
work cordially with other committee members, for a fruitful outcome
|
|
Chairperson
/
representative of CQI Committee
|
Must
have the Documents or data related to CQI Committee and must respond/communicate the
matters related to CQI committee . and he /She must also
work cordially with other committee members, for a fruitful outcome
|
|
Chairperson
/
representative of ROM Committee
|
Must
have the Documents or data related to ROM Committee and must respond/communicate the
matters related to ROM committee . and he /She must also
work cordially with other committee members, for a fruitful outcome
|
|
Chairperson
/
representative of FMS Committee
|
Must
have the Documents or data related to FMS Committee and must respond/communicate the
matters related to FMS committee . and he /She must also
work cordially with other committee members, for a fruitful outcome
|
|
Chairperson
/
representative of HRM Committee
|
Must
have the Documents or data related to HRM Committee and must respond/communicate the
matters related to HRM committee . and he /She must also
work cordially with other committee members, for a fruitful outcome
|
|
Chairperson
/
representative of IMS Committee
|
Must
have the Documents or data related to IMS Committee and must respond/communicate the
matters related to IMS committee . and he /She must also
work cordially with other committee members, for a fruitful outcome
|
|
Nursing
Superintendent
|
Human
resource Coordinator,
|
|
College
Office Manager
|
administrator Coordinator
|
|
Hospital
Office Manager
|
Financial
coordinator
|
|
NABH
Coordinator
|
Ex
officio
|
Frequency Of Meeting
QCC
Shall
be Convened once in every month.
Operations Of Committee
Members of the QCC
shall
be intimated in written or by using the aid of electronic media regarding the
venue , time of the committing meeting.
The
intimation shall also be furnished with “Agenda”
of
meeting.
In
every meeting ,Chairperson Opens the meeting , and , The minutes of the previous meeting may be read at the
meeting or ‘taken as read’ The chairperson asks if all present agree that the minutes are correct. If everyone agrees, the minutes are approved and signed by the
chairperson. If something is deemed incorrect, it is
discussed and corrected before the minutes are approved.
Before a decision is made, an item is thoroughly discussed. The chairperson decides when to stop discussion and proceed to the next
item.
Once all items on the agenda have been discussed, the date of the next
meeting is decided and the meeting is closed and adjourned.
A minimum Quorum to make decisions is 60 % of the committee members excluding the chairperson.
Committee holds power to amend, remove or update the TOR of the QCC
committee.
Among the members of QCC, Chairperson of committee of AAC, COP,MOM,PRE,HIC,CQI,ROM, FMS,HRM,IMS shall appoint any one of their committee member as
representative for the smooth conduction of the meeting and the name of the
representative shall be informed formally to the chairperson.
Definitions and key terms
QCC- Quality Control Cell
DAME- Director Of Ayurveda
Medical Education
Representative
–
any
person or the official appointed by the Chairperson of committee of
AAC,COP,MOM PRE,HIC, CQI,ROM, FMS,HRM,IMS
AAC Access,
Assessment and Continuity of Care
COP Care of Patients
MOM Management of Medication
PRE Patient Rights and
Education
HIC Hospital Infection
Control
CQI Continuous Quality
Improvement
ROM Responsibilities of
Management
FMS Facility Management and
Safety
HRM Human Resource Management
IMS Information Management
System