Healthcare

Administration   Staff   Support  

ISO 9001 QMS   guidance  clauses   would  primarily  

apply  to  Key  Processes.   

Preparation  of a   Quality  Manual  

is  necessary  to follow  all  guidelines   consistently.  

     Patient   Registration:

Healthcare  facilities  have a   well-defined   registration 

and   admission   process  for   Incoming   outpatients. 

Fee Schedule.   Front  Office  Duties  

      Patient   Records   Access:

Have   a   historical  complete     medical   record 

for every   patient  in order to coordinate  between  facilities

and  providers.   Records  should  have  a  retention  time.     

      Outgoing Patients:

Have a   documented  discharge   process   

and  a   discharge   summary  be  given to   outgoing  patients.         

      Staff Training:

Documented  process   for     verifying   and  evaluating   

the   credentials   (education,    training  and  experience)   

of   medical   professionals.  

        Equipments:

Qualified  and  trained   personnel   shall  operate 

and  maintain   equipments.  These  equipments shall 

be   periodically  inspected  and   calibrated.

There   shall be  a   documented   operational  and  maintenance (preventive  and   breakdown)  plan   and  a  checklist

of all   equipments.                                     

Laboratory  quality   assurance  programme  includes 

verification   and   validation   of test methods, 

surveillance   of   test   results.       

Management  of   Medication:

There shall be a   checklist   emergency medications 

that  shall be checked on a daily basis.       

There shall be documented   policies   and   procedures

to   order   medications.      

The   healthcare   facility  shall  determine  who can  write orders.  

The   orders   shall  be  written  in a  uniform location 

in the medical records.

Doctor   Patient   to   and   fro   transportation

Medical  Staff  Support  

    Patient  Information:

Patient be  informed of services in  healthcare facility during admittance.  Services be prominently displayed  in patient registration area.   

   Doctor  Diagnostics:  

Diagnosis:       The initial   assessment  for   in-patients

shall be   documented   as per   the   patient's   condition.

Examining   and   Patient   Room   Upkeep   

    Labelling:

Labelling   requirements   shall be   documented   and   implemented 

by the   healthcare  facility.  

Expiry dates shall be checked prior to dispensing.        

    Safety aspects and risk management:

Patient  safety  aspects   and   risk  management 

shall be  an   integral  part  of   patient care   and   hospital management.            

Infection control   program   aimed  at   reducing/eliminating risks 

to patients     visitors  and   providers   of  healthcare.    

Appropriate   feedback   regarding   healthcare facility's   associated infection  rates   shall be provided  on  regular  basis 

to  medical  and  nursing  staff.   

      Isolation/barrier: 

Adequate   gloves   masks. soaps   and   disinfectants  

shall be available   and   used   correctly.

Hand   washing  shall be   accessible  to  healthcare   providers 

in all   patient   care   areas.     

      Cleaning   and   sterilization   of   Equipments:

There   shall   be an   appropriate   antibiotic   policy   which  shall be established   and   implemented.    

Laundry   and   linen   management  processes. 

Kitchen   sanitation   and   food   handling    procedures.      

       Infectious   and   hazardous   materials:

Written   policies   and   procedures   shall   guide the   handling 

and  disposal  of   infectious  and   hazardous   materials.     

       Feedback  and  Monitoring:

Patient   satisfaction

Employee   satisfaction

Visiting   doctor   satisfaction.     

       Adverse  Events;

Data  collection  to  support  further   study  for 

evaluations   and    improvements. 

All   Audits   shall be   documented   and   remedial   measures 

shall be   implemented.