Quality Improvement Committee
Frequency
- Meets once in a month. Depending upon the availability of the hall meeting will be organized.
Members
| S.No | Name of Member | Designation | Committee Responsibility |
|---|---|---|---|
| 1. | Dr.LtCol. A Ravikumar | Honourable Pro-Vice Chancellor | Ex-Officio Member |
| 2. | Dr. Nitin M.Nagarkar | Dean | Chairperson |
| 3. | Dr.Venkatraman R | Medical Superintendent | Coordinator |
| 4. | Ms.Lakshmi Sona | Senior Manager - QCM | Convener |
| 5. | Dr. Gokulakrishnan C | Resident Medical Officer Assistant Professor Anesthesiology | Member |
| 6. | Dr. Muthu Bharathi. S | Administrative Medical Officer Senior Resident Dermatology | Member |
| 7. | Dr.K.V.Leela | HOD Microbiology | Member |
| 8. | Dr. Senthilkumar.A | Professor & HOD-Radiology | Member |
| 7. | Dr. Kumar J.S | Professor & HOD-General Medicine | Member |
| 8. | Dr.Jaison Jacob John | Professor & HOD-Pathology | Member |
| 9. | Dr.R.Nandakumar | Professor-General Medicine | Member |
| 10. | Dr.Swarnalingam T | Professor & HOD Critical Care Unit | Member |
| 11. | Dr. Rajbharath | Professor & HOD –Transfusion medicine and Blood center | Member |
| 12. | Dr.Arthi | Assistant Professor -Emergency Medicine | Member |
| 13. | Dr. Melvin George | Professor – Clinical Pharmacology | Member |
| 14. | Mr.Dharmendranath.R | Associate Director-Facility and campus Life | Member |
| 15. | Ms. Catherine S Priyadharsini K | Nursing superintendent | Member |
| 16. | Ms. Asha Jeba jeyam | Nursing superintendent | Member |
| 17. | Mr. Jayaprakash.T | Laboratory Safety Officer | Member |
| 18 | Mr. Victor R Lazar | Radiation Safety officer | Member |
| 19. | Ms. Arockiamary | HIC Nurse | Member |
| 20. | Mr.Alfred Ramesh devanand | Medical Record officer | Member |
| 21. | Ms.Srilekha.B | Assistant Manager-QCM | Member |
Quorum
Meeting is conducted depending upon the availability of committee members minimum 65 percentage of members should take part in the meeting. Less than 65 percentage meeting will be reorganized on later date.
Terms of Reference
Communication is sent individually to all committee members through the Chairperson or coordinator of committee one day before the meeting.
Role of Committee
- To prepare the quality policy.
- To select monitor and analyze key performance indicators.
- Verify the data capturing methodology for quality indicators. It should be on real time basis.
- Plan for continuous quality improvement of hospital.
- To ensure compliance with all legal requirements.
- To ensure controlling significant environmental aspects.
- Prioritizing issues referred to the QI Committee for review.
- To set benchmark for all key performance indicators.
- Assuring that the data obtained through QI activities are analyzed, recommendations made, and appropriate follow up action.
- Identifying educational needs and assuring that staff education for quality improvement takes place.
- Appointing teams to work on specific issues, as necessary.
- Assuring the availability of necessary resources.
- To initiate steps for automating the data capturing process.
- To carry out Quality Improvement Audit On
- Turnaround time for laboratory
- Turnaround time for radiology investigation
- Time study for admission and discharge
- Time study on Outpatient consultation.
- Medication error reporting for inpatients
- Assessing patient satisfaction level of readmitted patients
- Detailed analysis of patient abscond.
