Quality Improvement Program of Naval Hospital

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The quality management department of the naval healthcare facility has the following divisions to improve quality. They include a performance improvement division, a risk management division, a credentials division and an infection control division.
The performance improvement division takes care of the command's commitment to the philosophy of continuous performance improvement.


The command's Risk Management Plan is in accordance with Bureau of Medicine and Surgery (BUMED) and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) guidelines. Risk Management means loss prevention, preventing harm, and decreasing the risk of liability to staff and facility. Improving quality of care, improving patient satisfaction and patient outcomes have a direct effect on reducing risks and, conversely, reducing risk has a direct effect on patient outcomes. A proactive, systematic, command-wide approach to identify, analyze, report and correct adverse, or potentially adverse events is followed. The credentials division analyzes and evaluates the effectiveness of the program in meeting established goals and objectives. It is the primary interface between directors, department heads, professional staff, and Professional Affairs Coordinators at other commands, higher echelons, and professionals at civilian, state, and federal agencies. It prepares and presents comprehensive orientation training to support staff and health care providers. ...
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