WELCOME CBAHI TEAM

WELCOME CBAHI TEAM. Dr. Butoul – Medical Director.

Applicable Chapters:. Leadership of the Organization - LD Provision of Care – PC Medication Management - MM Dental Services - DS Infection Prevention & Control – IPC Radiology - RD Laboratory - LB Management of Information - MOI Facility management & Safety - FMS.

[image] DAR A1 HEKMA MEDICAL COMPLEX General Manager Chair-•nam•, Board Of Directors.

Scope of Services. Outpatient Units ER Infection Control General Medicine Internal Medicine Laboratory Radiology Paediatric Dental OBGYN Patient Relation & Health Education Nursing.

Scope of Services. Financial and Administrative Services Financial affairs Human Resources Purchasing Insurance Medical Store Information Technology.

Scope of Services. Support Services Safety & Security Transportation Maintenance.

Scope of Services. Complex Statistics 2025 Total Outpatient Visitors Total Referral From the Complex ER Visitors Total Lab. Investigation Total Radiology Visitors.

Unavailable Services. Day Surgery Dermatology.

Outsource Services. First Laboratory, Laboratories for specific tests (Attached List) Radiology Interpretation Reports. Laundry.

Contracted Services. Security Medical Wastes Pest Control PPM Contracts – Biomedical Engineering Services.

Expansion of Services. Provision of highly skilled staff to attract the patents and ensure safety of patients.

# Committee Name Frequency 1 Governing Board & Hospital Executive Committee Quarterly 2 Medical Chiefs Committee and C & P Quarterly 3 Quality & Patients Safety & Environmental Committee Quarterly 4 Infection Control Quarterly.

-. OUTCOME. Indicators selections. PROCESS. STRUCTURE.

Indicators’ Types. Structure indicators: Availability of essential supplies and equipment. Availability of emergency medications. Staff ratios. Process indicators: Waiting time. Documentation in medical records. Outcome indicators: Patient satisfaction. Staff satisfaction. Patient’s complaints. Health-care-associated infections. Medication errors. Sentinel events and various adverse events..

Improvement Methodology. FOCUS: F - Find an Opportunity for Improvement O - Organize a Team C - Clarify the Current Process /the current knowledge of the process U - Understand the Problems/Variations in the Process S - Select the Desired Outcome(s) PDCA: P - Plan the Project, Assign Tasks D - Do the Work That’s Needed C - Check the Results and Measure Changes A - Act to Maintain the Changes.

16. 2 Medical Dr. Butoul – Medical Director – Dr. Amin – Lab Director Nursing Mr. Saravanan – Quality Manager Mr. Naveen – DON Mr. Infection Control Supervisor Ms. Sawsan - PRO.

Thank you.