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TRANSCRIPT
Quality Improvement in Healthcare InstitutionsIn the Kingdom of Saudi Arabia, A Private Hospital’s Perspective
By Dr. M. F. Siddiqui, FRCS, FICSChief of Surgery and Quality Management Director
C B A H I : A F r a m e w o r k f o r Q u a l I t y I m p r o v e m e n t i n H e a l t h c a r e
The process touched every aspect of medicine and healthcare in Mohammad Dossary Hospital based in Al-Khobar, as confirmed by statistics.
This presentation highlights the impact of this process on the quality improvement of local hospitals and subsequently better care provided to clients. We will recommend the same model to less developed
Sep. 11, 2008 Jul. 7, 2008Nov. 4, 2007
Aug. 21, 2007Jul. 11, 2008
Jul. 24, 2008
Sep. 22, 2007
Jan. 8, 2009
countries in order to improve the quality of their healthcare institutions. The cost of implementing these changes could be kept at a minimum, as in our hospital, by assigning the role of Director ofQuality Management to the senior most consultant of the hospital.
Introduction
Preliminary Assessment
Results of Quality Intervention
Message for Others
Effects – A Private Hospital’s Experience
Surveyed Passed Surveyed Passed2004-2005 2005-2006
34
11
23
8
14
2
12
48
1
7
0
Quality Program in Western Region of KSA
Jeddah Mecca Taif
2007
2006
2004
93.28%
93.05%
76.88%
6.72%
6.95%
23.12%
Accounts Receivable
Rejected Collected
The Ministry of Health (MOH) conducted situational analysis of various hospitals to identify problems and opportunities at the current hospital setting.
In the past year serious medical errors were reported on a daily basis by the local press. This has greatly undermined the confidence of the public in the quality of medical care provided by both private and government run institutions in the Kingdom of Saudi Arabia (KSA).
Jan. 6, 2009
Aug. 19, 2007
Aug. 22, 2007
7 Teams
Leadership &
TQM
Nursing
Infection Control
Pharmacy
Laboratory
Safety
Medical
Oct. 28, 2008
10 visits each
4 visits each
22 Chapters881
Standards
Improved revenue base due to lower rejections by insurance companies of the invoices.
Low number of reported incidents and problems.
Upward trend in patient census.
2004 2005 2006 2007 2008 -
50,000
100,000
150,000
200,000
250,000
Admissions ER Visits Clinic Visits
No.
of
Pat
ient
s
2004 2005 2006 2007 2008
384 459 668 787 1,173
2,723
3,608 4,019
4,506 4,830
Deliveries Surgeries
MOH setup the Central Board of Accreditation for Healthcare Institutions (CBAHI) and formulated the National Hospital Standards, at par with JCAHO (Joint Commission on Accreditation of Hospital Organizations), in order to improve healthcare quality in all hospitals within KSA. A key factor in the success of implementing this process was to appoint Consultants to visit the hospitals.
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2008 Quality Indicators
Nosocomial Infection Needle PrickPharmacy Error
No.
of I
ncid
ents
Jul. 24, 2008