Policy
The mission of Nebraska Urban Indian Medical Center is to elevate the health
status of Native Americans to the highest level possible, as well as to
serve persons currently underserved in our community. Quality Assurance and
Quality Improvement is an essential component of all medical clinic
operations. Nebraska Urban Indian Medical Center is an organization
committed to continuous improvement that is customer driven.
Procedure
1. Everyone
employed within the NUIMC clinic will participate in the Quality Improvement
Plan.
2. This
plan of quality improvement will provide care within the scope of clinical
practice, encompassing
provider and
nursing activities, which are directed toward health problems of various
levels of complexity.
3. Annually,
10% of the average number of patients seen monthly will be requested to
complete a Patient
Satisfaction Survey. If the patient
has difficulty completing the items, a staff member will read each item to
the patient, and assist the patient
in completion of the survey.
4. Evaluation
of patient care will be based on observable response of patients and patient
records.
5. Results
of the Patient Satisfaction Survey will assist the staff in making changes,
which will result in improved
and/or additional services being
provided.
6. Surveys
will take place within the last quarter of the current calendar year.
7.
The Clinic Manager will forward the
completed compilation of the surveys to the Executive Director no later than
the end of the first month of the
calendar year.
8. The
Executive Director will report to the Board of Directors at the next
scheduled meeting.
9. Additional
quality improvement activities include annual patient chart audits.
10. The
staff will audit 10% of the average monthly number of patients seen on an
annual basis.
11. The
Clinic Office Manager will manage the overall plan and activities.
12. The
Clinic Office Manager will be immediately responsible for evaluation of
medical care on all patients.
The provider and Office Manager review “problem cases” as soon as
possible.
13. Communication
to all clinic staff regarding audit results and recommendations for
improvement is
relayed through monthly staff meetings and any individual communication
via memos or with individual
staff members as needed.
Implementation of
quality improvement is supplied by:
1.
Firm commitment by administration to
recognize the importance of Nebraska Urban Indian Medical Center
and to
the necessity of operating in a manner that provides the highest standard of
care.
2.
Education of the public and our patients of
the importance of disease prevention and wellness,
through providing patient education and instruction at the time of
patient appointments, and/or through
public information events.
3.
Orientation, education and utilization of
concerned members of the community who provided valuable
volunteer service hours.
4.
Record review and medical nursing audit
establishing criteria to insure high quality care provided at
Nebraska Urban Indian Medical Center.
