Quality management of health services (QM)
Target group
Graduates with secondary/higher education who are interested in training/upgrading their skills in the field of quality management of health services, including to be able to occupy the positions established at the level of the quality management unit in hospitals, according to the law.
General objectives
1. Learning and application of fundamental concepts in health care quality management (concept of quality, hospital service, quality improvement, patient satisfaction, patient safety, clinical and non-clinical risk management),
2. Learning and applying the fundamentals of hospital accreditation.
Specific objectives
At the end of the programme, the learner will have to:
1. Know and apply the fundamental concepts in the field of health care quality management (concept of quality, hospital service, quality improvement, patient satisfaction, patient safety, clinical and non-clinical risk management),
2. Know and apply the standards for hospital accreditation.
Skills
At the end of the programme, the learner should have the following practical skills in addition to the standard professional competence as a specialist: to be able to apply all the concepts learnt within the quality management structure in order to ensure and improve the quality of health services.
Program code – MQ
Programme coordinator: Dr. Anca HALDAN
M1. The concept of quality
Theme:
- The concept of quality. Introduction, definitions, evolution of the concept of quality
- Quality management concepts (quality assurance, quality improvement) / PDCA cycle
- Quality measurement. Quality improvement methods and tools
M2. Organisation and functioning of the health system in Romania
Theme:
- Health system definition and characteristics. Structure and organisation of the health system, roles of each actor in the system
- Organisation and functioning of health units. Types of health facilities (bed-based health facilities/outpatient health facilities) – organisational structure, processes, financing
- General notions on strategic management and organisational management in the health care facility
M3. Organisation and functioning of the quality structure within the health unit
Theme:
- SMC principles. Management system at the health unit level
- Organisation and role of the health care quality management structure in a health care facility
- Stages of implementing a quality management system in a healthcare facility. Management responsibility in implementing a quality management system
- Evaluation of the quality management system at the level of the health unit
M4. Standardising the quality of health services
Theme:
- The role and importance of standardisation in health. Evolution of standards systems
- National accreditation standards and regulations on their implementation
- Processes – types of processes at the health unit level
- Quality documents
- Practical applications
M5 The process of planning, implementation, evaluation and quality control in a health facility
Theme:
- Plan to improve the quality of services and patient safety. / Study of reference documents
- Threshold analysis of an event
- Data analysis and monitoring of quality management system performance (use of different types of data, appropriate analysis of each type of data, critical analysis of data, recognition of potential problems, statistical control of processes, identification and monitoring of trends). Non-compliance management
- Constitution and tasks of the Quality Group/Nucleus (QG). Constitution and role of the medical council and specialised committees
M6. Quality management system internal audit and clinical audit
Theme:
- Introduction to internal audit of the quality management system. Types of audit (SMC audit and clinical audit)
- Conducting an audit (audit team, audit process, audit reports). Organising and coordinating the clinical audit process at the health unit level
- Indicators for assessing the quality of hospital services
M7. Patient rights and safety
Theme:
- Patient rights
- Patient satisfaction. Measuring patient satisfaction. / Importance of analysing patient complaints
- The concept of patient safety – definitions, models. / Implementation at health unit level
M8. Communication management at hospital level
Theme:
- Types of communication
- Internal and external communication within the health unit
- Doctor-patient/carer communication
M9. Management of healthcare associated adverse events
Theme:
- Risk management
- EAAAM Management
- IAAM Management
M10. Accreditation of hospitals
Theme:
- Accreditation of health establishments
- Steps in the accreditation process
- Accreditation categories
- Quality certification and accreditation
- Particular aspects of the accreditation process for health facilities in national health systems
Written test
Dissertation – quality management project
