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CMC Hospital Accreditation:Challenges & Rewards

Dr. Y. K. ChanSMO(MG) & Hospital Coordinator (Q&S)

Caritas Medical Centre

8 June 2011

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Challenges

Corporate-wide challenges Hospital-specific challenges

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� Start from scratch� Historical gaps:Credentialing Document control Sterilization Care planning

CorporateCorporate--Wide ChallengesWide Challenges��

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CMCCMC--Specific ChallengesSpecific Challenges��� Manpower constraint � Limited resources� Sizeable hospital deficit� Phase II re-development � Cluster services

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We are proud of our We are proud of our achievementachievement

30 July 201030 July 20105

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Rewards

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Benefits from Hospital AccreditationBenefits from Hospital Accreditation� Improve quality and safety: OPD pharmacy� Build up CQI culture: document control

� Customer-centered: community partnership committee

� Get more funding support: infection control � Reduce workload: MAR form

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Benefits from Hospital AccreditationBenefits from Hospital Accreditation� Eliminate blind spots: cotton wool ball, flash

sterilization

� Strengthen teamwork: patient care plan � Enhance sense of belonging: ownership � Acclaim international recognition

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ACHS

Hospital Accreditation

Journey

ItIt��s only the starting point s only the starting point of our Quality Journey :of our Quality Journey :

CContinuous ontinuous QQuality uality IImprovementmprovement

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-Safety-Quality-Performance

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Acknowledgement: CMC Q&S Team members