QUALITY MANAGEMENT SYSTEM

ORGANIZATION PURPOSE:

Our Quality Management Unit was established to improve quality by standardizing and coordinating our hospital's Corporate Service Management, Patient and Employee-Focused Services, Health Services, Support Services, and Indicator Management practices, in accordance with the Ministry of Health's "Regulation on the Development and Assessment of Healthcare Quality and the Healthcare Quality Standards Guide."

Corporate Services are managed collaboratively by the General Manager and the Unit Quality Officers, and are monitored by the Quality Management Officer.

All documents related to Corporate Structure, Quality Management, Document Management, Risk Management, Adverse Event Notification System, Emergency and Disaster Management, Education Management, and Social Responsibility are monitored by the Quality Management Officer in accordance with the SKS ADSM booklet, and necessary actions are taken.
Patient and Employee-Focused Services are under the responsibility of the General Manager, Human Resources, Health Services, Administrative Services Directorate, and Patient Rights Officer, and are monitored by the Quality Management Officer. Patient Experience, Access to Service, End-of-Life Services, and Healthy Work Life are monitored by the Quality Management Officer in accordance with the SKS ADSM booklet, and necessary actions are taken.
Healthcare Services are the responsibility of the General Manager, Chief Physician, Warehouse Manager, and Administrative Services Manager, and are monitored by the Quality Management Officer.
Patient Care, Medication Management, Infection Prevention and Control, Cleaning, Disinfection, and Sterilization Services, Radiation Safety, Prosthetic Laboratory Services, and Operating Rooms are monitored by the Quality Management Officer in accordance with the SKS ADSM booklet, and are monitored as necessary.
Support Services are the responsibility of the General Manager, Facility Services Manager, IT Manager, Warehouse Manager, and Archive Manager, and are monitored as necessary by the Quality Management Officer.
Facilities Management, Hotel Services, Information Management System, Material and Device Management, Medical Records and Archive Services, Waste Management, and Outsourcing are monitored by the Quality Management Officer in accordance with the SKS ADSM booklet, and are monitored as necessary.




QUALITY MANAGEMENT SYSTEM HIERARCHY:
The Denizli Surgical Hospital Quality Director reports to the General Manager/Chairman of the Board of Directors and has a vertical hierarchy. The OHS Specialist, Department Quality Officers, Committees, Indicators, and Self-Assessment activities are located vertically under the Quality Director, and these units are located horizontally within each other.

QUALITY MANAGEMENT UNIT DUTIES, AUTHORITIES, AND RESPONSIBILITIES:

•    Ensure coordination of work carried out within the framework of the SKS Adsm,

•    Follow up work aimed at corporate goals and objectives,

•    Manage self-assessments,

•    Manage processes related to Adverse Event Reporting,

•    Manage processes related to risk management,

•    Manage studies related to the measurement of Patient Experience Employee Feedback Surveys (such as survey applications, evaluation of survey results, and improvement efforts related to survey results),

•    Ensure document management within the framework of the SKS,

•    Manage processes related to quality indicators,

•    Participate as a member of committees designated within the SKS,

•    Ensures that the quality policy is communicated to employees and that employees' quality awareness is raised.

•    Checks the quality documents prepared by the relevant unit and submits them to the Chief Physician for approval. •    Oversees the awareness and implementation of the quality policy in all units of the institution.
•    Assesses the representative role in introducing our institution's Quality Policy and Quality Management System to other institutions and organizations and conducting benchmarking.
•    Works in coordination with committee officers.
•    Works in coordination with departmental quality officers regarding the implementation of the Quality Management System (QMS).
•    Participates in evaluation meetings regarding service delivery.
•    Ensures that practices are implemented in the institution in accordance with the instructions issued by the Ministry regarding clinical quality processes.
•    Monitors the processes for improving data quality in coordination with the NHS data officer.
•    Reports clinical quality-related problems encountered in the institution and corrective and preventive action recommendations for these problems to senior management.
•    Coordinates the implementation of quality improvement activities regarding nonconformities.
•    Ensures the establishment of the Quality Records System, identification and maintenance of records.
•    Preparing/having Quality Management System documentation prepared, reviewing it, carrying out general coordination, supervision and control, ensuring that the Quality Management System is maintained in a dynamic, continuous, innovative and progressive manner,