This document discusses the importance of quality innovation and patient safety in healthcare. It notes that millions of medical errors occur annually and that quality must be institutionalized in clinical and management processes. The document advocates for physicians to take a leadership role in driving changes to improve quality, such as acquiring new skills through continuing medical education. It also recommends that hospitals practice clinical governance, with physicians conducting regular clinical audits and operational excellence meetings to analyze data, focus on outcomes, and establish collaboration between departments. The goal is to deliver superior patient care through a team-based approach with quality and cost effectiveness.

1. QUALITY INNOVATION FOR
SUPERIOR PATIENT CARE
Dr. Girdhar J. Gyani
DG-AHPI

2. “Good quality means providing patients
with appropriate services in a
technically competent manner, with
good communication, shared decision
making, with cultural sensitivity and with
greatest efficiency.”
Institute of Medicine, 2001
QUALITY IN HEALTHCARE

3. QUALITY IN HEALTHCARE SERVICES
Quality (Patient Safety) and affordability are
major challenges.
It is reported that millions of medical errors
are being observed annually in developed
and developing nations.
We need to institutionalize quality in all
clinical and managerial processes.

4. Patient Safety
Physician
Surgeon
Nursing Staff
Paramedical Staff
Logistics
Management
Accreditation

5. CAN WE ALL AGREE:
HEALTHCARE DELIVERY
 Has become a team work
 Has become more complex and tech driven
 Is under lot of regulations and pressure
 Patients and family has huge expectations
 We haven't prepared ourselves for change
 Doctors need to be the leaders of the change
 Doctors need to acquire newer skills

6. PRACTICE CLINICAL GOVERNANCE
 Leadership
 CMEs
 Clinical Audits
 Clinical Effectiveness
 Clinical Risk Assessment
 Information Management
 Patient Centeredness
6

7. PATIENTS / ASSOCIATES
PATIENT
REGISTRATIO
N
DAY TO DAY
MONITORING
OPD
ADMISSION
OPD
CONSULTATION
DISCHARGE
CERTIFICATE
FEE
COLLECTION
FRONT LINE STAFF
REGISTRATION ,PARAMEDICAL, NURSES, REDSIDENT
CONSULTANT / DOCTORS
CEO/HODs
EMPOWERMENT
PATIENT
REGISTRATION
DAY TO DAY
MONITORING
OPD
ADMISSION
OPD
CONSULTATION
DISCHARGE
CERTIFICATE
FEE
COLLECTION
FRONT LINE STAFF
REGISTRATION PARAMEDICAL, NURSES, REDSIDENT
CONSULTANT / DOCTORS
CEO/HODs

8. CLINICAL AUDIT – CYCLE
CLINICAL
AUDIT
CYCLE
Identify
Problem
Or Issue
Set
Criteria
Or
Standards
Observe
Practice /
Collect
Data
Make
Improve-
-ment (s)
Sustain
Improve-
-ment (s)

9. CA: WHAT CAN BE AUDITED?
Aspects Of
 Structure
 Process Or
 Outcome
Can Be Audited Singly Or In
Combination

10. STRUCTURE RELATED
TOPICS FOR AUDIT
 Infrastructure
 Availability Of Staff
 Availability & Functioning Of
Equipment

11. PROCESS RELATED TOPICS
o Care Received By Patient
o Patient Assessment,
o Care Plan Generation By Doctors
o Care Plan Generation By Nurses
o Specific Disease Or Syndrome Management
o Use Of
o Laboratory Investigations
o Radiology & Imaging Investigations
o Blood & Blood Products

12. Regular Meetings
Schedule(Dynamic)
Clinical and Non-
Clinical Depts.
All Stakeholders
Analysis of data
Focus on outcomes
Quality V/S Cost
12DRIVERS OF QUALITY
User
Department
Quality
Team
Leader
s
OPERATIONAL EXCELLENCE
MEETINGS

13. 
 Departmental KPIs
 Documentation Accuracy
 Internal Audit Findings
 Mortality and Morbidity
 Incidents Reported
 Process improvement initiatives/gaps
 Training Compliance
 Patient and Consultant’s Feedback
 Patient Education Material
 Statutory Compliances
 Operational Concerns of the Department
13
AGENDA of MEET

14. GOAL KEEPER
BACKS
MIDFIELD
FORWARDS
C
PARA-MEDICAL
NURSING
RESIDENTS
CONSULTANTS
Football Vs Hospital Football

15. TAKE AWAY POINTS
 Role of Physicians is key in patient safety
 Physicians to be trained in the concepts of
quality and safety
 Physicians to undertake clinical audit in their
respective specialty and do benchmark
 Regular operational excellence meetings
provide the opportunity for Physicians to do
introspection and establish teamwork with the
members of nursing, quality, diagnostics,
pharmacy and administration

16. Any Questions?
Thank you
gyani@ahpi.in
www.ahpi.in