Quality Management Reports 

 

Quality Management Open Audit Documentation Compliance

 

Medicine Oncology - Surgery - Cardiovascular - Neurosciences - Pediatrics - OB/GYN

 

Quality Rounds Reports

 

Q1-2019

Q3-2019

Accreditations

 

 

Novel Accreditation

 

 

 

Patient Experience Survey Reports

To view the Patient Experience Survey Reports, please click here.

 

 

Quality Management Plans:

 High Reliability Organization (HRO):

Patient Safety Alert Newsletter

Special Safety Alert-Great Catch Winners:

2021:

2020:

Quality Information System (QIS) Tips:

Patient Safety Alerts:

Number of Reported Incidents (SRS’s)

Safety Reporting System Annual Report 2021

HCAHPS

Microbiology Hospital-Wide Antibiogram-2019(NEW)

Microbiology Hospital Antibiogram-2018

Microbiology Hospital-Wide Antibiogram 2017

Second Victim Initiative:

 

Performance Improvement

Performance Improvement activities undertaken to improve the care and services provided should address whenever possible the domains of quality as defined by the Institute of Medicine (IOM):

 

Clinical Pathway Reports

 

Anesthesia Reports