Presbyterian Hospital Committees, 1994

MEDICAL CARE EVALUATION/QUALITY ASSURANCE COMMITTEE

Approved by Executive Committee of Medical Board as a Standing Committee on January 29, 1975. Revised April 1994.

STATEMENT OF CHARGE TO COMMITTEE:

1. Review the quality of care provided to patients on the various clinical services through the monitoring of clinical indicators, sentinel events and performance of processes/systems that are intradepartmental as well as transdepartmental.

2. Review of at least a sample of surgical and other invasive procedures that includes 1) selecting appropriate procedures, 2) preparing the patient for the procedure, 3) performing the procedure and monitoring the patient and 4) providing post-procedure care.

3. Recommend appropriate actions for improvement in patient care and improvement in processes/systems of delivering patient care.

4. Voting members of this committee shall include: The Director of Quality Assurance, Risk Management, Nursing, Chairperson of Service Quality Assurance Committees, and others as deemed appropriate by the Chairperson.

5. Meets monthly.

6. Reports quarterly to the Medical Board.