QZAT Consultants

By,

Saneeb K.R.

Sree Soumiya K.M

Implementing Quality Management System in Hospitals & Healthcare Concerns

Adhering NABH Standards

About

QZAT Consultants

QZAT is a professionally managed consultancy specializing in hospitals & healthcare concerns. It is an empanelment which has empanelled with talent resources of Healthcare Concerns such as Quality Assurance Managers, Infection Control Nurses, Pharmacists and Doctors. The combined strength of these professionals, “Team QZAT”, forms the core strengths of consultancy. Individually, the team members have excelled in their field of expertise and specialties.

Why Quality Management System??

Quality Management System ensures,• Patient Safety & Care.• Improvement in the image of the hospital – Enhances

confidence of patients, public , insurance agency and regulatory authorities in Quality of service.

• Improvement in the Quality of Documentation and records

• Employees’ understanding of individual & departmental objectives with the goals.

• Wasteful expenses & activities are minimized and the efficiency is enhanced.

• To Nurture & Build Quality Culture in Healthcare Facilities

• We would join you to build a Quality Healthcare system ensuring patient care & safety and growth of the healthcare organization.

QZAT Modules

• Training For Clinical & Non Clinical Staff

• Internal Audits• Facility Audits• Clinical Audits• Medical Records Audit• Setting Quality

Indicators & Performance indicators

• Quality Initiatives• Mock Drills• Documentation &

Document Control• GAP Closure

/Corrective & Prevention Action (CAPA) & RCA- Root Cause Analysis

TRAINING FOR CLINICAL & NON CLINICAL STAFF

• Training program will be offered for Admin & Clinical Staff to ensure Patient safety & Care. A few training topics include:

• Medication Management• Infection Control • Hospital Emergency & Disaster Management program• Facility Management & Safety• Human Resource Management• Medical Records Management

 

• INTERNAL AUDITS

Internal Audits are conducted by the Healthcare organization to ensure that there is an effective adherence of standards and staff awareness about the same. Audits are conducted once in four months to ensure the adherence.

• FACILITY AUDITS

Facility Audits are conducted to ensure that there is adequate safety and preventive measures related to facility which include Fire safety, Environment safety, Electrical Safety, Infrastructure Safety and Medical Equipment safety. Facility Audit is conducted twice in a year.

• CLINICAL AUDITS

A quality improvement process that is seeks to improve patient care and outcomes. The parameters will be defined by the organization and the audits are done by various Medical and nursing staff.

• MEDICAL RECORDS AUDIT

Medical records audit are conducted to ensure that there is completeness and accuracy in Medical records of every patients. Eg. Unique Identifiers for each record, Entry made in records are dated, timed and signed appropriately etc.

• QUALITY INITIATIVES

Quality Initiatives are set to help to spread health awareness & safety precautions to the patients.

• SETTING QUALITY INDICATORS & PERFORMANCE INDICATORS

Quality Indicators- Quality Indicators are statistical measure of the performance of functions, systems or processes overtime. Clinical & Non Clinical Indicators are set to monitor and track the Quality of services in each area. The indicators are collected from different departments and are analyzed by the Quality Team and the same is presented to the Top Management for their review.

 

Performance Indicators- The organization develops key Indicators suitable for it and reviews them on a certain period. This helps the top management to assess their growth.

• MOCK DRILLS

Mock Drills are conducted to ensure the readiness of staff to handle emergency situations such as a Medical Emergencies, Internal/ external disaster, Fire accident etc., The mock drill are conducted on frequent period to ensure staff awareness about the same and their roles and responsibilities during the emergency situations.

• DOCUMENTATION & DOCUMENT CONTROL

Organization should have their Policies and Procedures to adhere. The Manuals should be laid and practiced by the staff. There should be a proper method to control the Documents and it must be reviewed every year.

• GAP CLOSURE /CORRECTIVE & PREVENTION ACTION (CAPA) & RCA- ROOT CAUSE ANALYSIS

Corrective Action and Preventive Actions, Root Cause Analysis is done by the Quality team to ensure the non compliances or incidence never reoccurs. The RCA done must be reviewed again to ensure the loop is complete.

PROFILE OF THE QUALITY CONSULTANTS

SANEEB K.R

SREE SOUMIYA K.M

Experience Details

From To Years of Experience Employer Designation

21.05.07 15.08.08 1 year 03 monthsAnanthapuri Hospitals and Research Institute,Trivandrum, Kerala

Customer Care Assistant

01.09.08 31.12.11 3 year 4 months National Rural Health Mission(NRHM), Thiruvananthapuram,Kerala, India

PRO cum Technical Assistant (Administration)

02.01.12 12.07.13 1 year 7 monthsNational Rural Health Mission(NRHM), Wayanad, Kerala, India

Consultant -Quality Assurance

15.07.13 05.07.14 1 YearSree Ram Krishna Associates, Ernakulam, Kerala, India

Manager Administration & Quality

09.07.14 27.02.15 7 MonthsVadamalayan Hospital, Madurai, Tamil Nadu, India

Quality Manager

05.03.15 Till Date Still WorkingMIOT International , Chennai,Tamil Nadu, India

Quality Manager

SANEEB K.R – Master of Science in Health Care and Hospital Management

Experience Details

From To Years of Experience Employer Designation

07.10.11 22.09.12 1 Year AVN Arogya Healthcare LtdGuest Relations Officer

26.12.12 19.11.13 1 Year Livewell Institute of RehabilitationManager- Relationship

20.11.13 17.04.15 1 Year and 6 MonthsVadamalayan Hospital, Madurai, Tamil Nadu, India

Quality Manager

02.05.15 Till Date Still Working QZAT ConsultantsQuality Consultants

SREE SOUMIYA K.M- Masters in Business Administration- HR & Marketing

Quality Training Conducted by the Consultants

SUPPORT REQUIRED FROM THE HOSPITAL

•  Commitment of top management• Designation of a nodal person to interact with the QZAT Team• A Quality Team- Senior Person should head the Team.• Providing proactive support in

Formulation of teams and committees, Conduction of meetings in a scheduled manner, Compilation of Documents with suitable secretarial assistance,

• Organization of trainings, audits, performance measurements and assessments.

• Timely fulfillment of gaps and accreditation compliances• Arranging for delivery of lectures- Training Venue & Trainees• Access to records and documents for undertaking historical and concurrent

data analysis.• Deputing Executives and other staff to assist in undertaking surveys and

collecting data – primary and secondary, based on templates developed by the Team QZAT.

Contact Us

Saneeb K.R

Mobile : 09566458047

Email-

saneebkr@gmail.com

Sree Soumiya K.M

Mobile : 09944321855

Email-

sreesoumiya@gmail.com

QZAT Consultants

Email: qzatindia@gmail.com

Website: www.qzat.org