1. QUALITY MANAGEMENT SYSTEM
Objective;
As Private Moodist Hospital; We aim to plan, execute, control and continuously improve in accordance with the laws and regulations of the Republic of Turkey, the Ministry of Health and international quality standards, as well as to keep the safety and satisfaction of our patients and employees at the highest level by prioritizing patient, employee and facility safety.
As Quality Management Directorate;
- Establishment, control and follow-up of a managerial structure to ensure the planning, execution, coordination and continuity of quality improvement activities in line with legal regulations, institutional policies, goals and objectives
- Ensuring the organization of management review, council, committee and other relevant quality meetings, taking minutes and submitting reports
- Organization and follow-up of studies to measure patient and employee satisfaction
- Creation, approval, publication, revision and follow-up of all documents to be used in Moodist Hospital
- Ensuring effective reporting and follow-up of unwanted event notifications
- Organizing and conducting self-assessments, reporting the results and ensuring that identified nonconformities are addressed
- Identification, collection, monitoring, analysis and reporting of quality indicator data
- Organization and follow-up of Ministry of Health data
- Ensuring that the operation of the quality management system is carried out effectively and efficiently
1.1. Quality Management Unit
Deputy Chief Physician, Quality Management Director and all unit quality officers
1.2. Department Quality Officers
| CORPORATE SERVICES | |
|---|---|
| Section | Title |
| Corporate Structure | General Manager |
| Quality Management | Quality Management Director |
| Document Management | Quality Management Director |
| Unwanted Event Notification System | Quality Management Director |
| Risk Management | Chief Physician |
| Disaster and Emergency Management | Chief Physician |
| CBRN Hazards Management | Chief Physician |
| Education Management | Human Resources Manager |
| PATIENT AND EMPLOYEE-ORIENTED SERVICES | |
|---|---|
| Section | Title |
| Patient Experience | Patient Rights Officer |
| Access to Service | Patient Services Manager |
| End of Life Services | Assistant General Manager |
| Healthy Working Life | Human Resources Manager |
| HEALTH SERVICES | |
|---|---|
| Section | Title |
| Patient Care | Director of Nursing Services |
| Psychiatry Services | Chief Physician |
| Medicines Management | Pharmacist |
| Prevention and Control of Infections | Infection Control Nurse |
| Cleaning, Disinfection and Sterilization Services | Infection Control Nurse |
| Radiation Safety | Radiology Responsible Technician |
| Emergency Service | Emergency Service Responsible Nurse |
| Biochemistry Laboratory | Biochemistry Laboratory Responsible Physician |
| SUPPORT SERVICES | |
|---|---|
| Section | Title |
| Facility Management | Technical Services Officer |
| Hotel Management Services | Assistant General Manager |
| Information Management System | Information Systems Officer |
| Material and Device Management | Purchasing Manager, Biomedical Technician |
| Medical Records and Archive Services | Medical Records and Archives Officer |
| Waste Management | Cleaning Services Supervisor |
| Outsourcing | Purchasing Manager |
| Monitoring Indicators | Quality Management Director |
1.3. Our Committees and Teams
Our Committees
| PATIENT SAFETY COMMITTEE MEMBERS |
|---|
| Chief Physician / Responsible Manager |
| Quality Management Director |
| Deputy Chief Physician |
| Assistant General Manager |
| Psychologist Services Manager |
| Director of Nursing Services |
| Pharmacist |
| Patient Services Manager |
| Laboratory Responsible Technician |
| EMPLOYEE HEALTH AND SAFETY COMMITTEE MEMBERS |
|---|
| Assistant General Manager |
| Chief Physician |
| Deputy Chief Physician |
| Occupational Safety Specialist |
| Workplace Physician |
| Quality Management Responsible |
| Human Resources Manager |
| Patient Services Manager |
| Technical Services Officer |
| Cleaning Services Supervisor |
| Infection Control Nurse |
| Director of Nursing Services |
| Laboratory Technician |
| Radiology |
| Neurophysiology Laboratory Supervisor |
| Psychologist Services Officer |
| Contracted Institutions Manager |
| EDUCATION COMMITTEE MEMBERS |
|---|
| Human Resources Manager |
| Education Officer |
| Chief Physician / Responsible Manager |
| Deputy Chief Physician |
| Quality Management Director |
| Assistant Director of Nursing Services |
| Psychologist Services Manager |
| Pharmacist |
| Patient Services Manager |
| Patient Rights Officer |
| Infection Control Nurse |
| FACILITY SAFETY COMMITTEE MEMBERS |
|---|
| Assistant General Manager |
| Occupational Health and Safety Specialist |
| Chief Physician / Responsible Manager |
| Deputy Chief Physician |
| Quality Management Responsible |
| Director of Nursing Services |
| Infection Control Nurse |
| Chief Operating Officer |
| Cleaning Services Supervisor |
| Technical Services Officer |
| Security Supervisor |
| INFECTION CONTROL COMMITTEE MEMBERS |
|---|
| Internal Medicine Specialist |
| Infection Control Nurse |
| Chief Physician / Responsible Manager |
| Deputy Chief Physician |
| Biochemistry Specialist |
| Quality Management Director |
| Director of Nursing Services |
| Pharmacist |
| Cleaning Services Supervisor |
| QUALITY MANAGEMENT COMMITTEE MEMBERS |
|---|
| Chief Physician / Responsible Manager |
| Quality Management Director |
| Assistant General Manager |
| Deputy Chief Physician |
| Psychologist Services Manager |
| Chief Operating Officer |
| Finance Director |
| Psychologist Services Manager |
| Director of Nursing Services |
| Assistant Director of Nursing Services |
| Human Resources Manager |
| Infection Control Nurse |
| Pharmacist |
| Patient Services Manager |
| Patient Rights Officer |
| CLINICAL QUALITY IMPROVEMENT COMMITTEE MEMBERS |
|---|
| Chief Physician / Responsible Manager |
| Quality Management Director |
| Deputy Chief Physician |
| Neurology Specialist |
| Psychiatry Specialist |
| Director of Nursing Services |
| Internal Medicine Specialist |
| Information Systems Officer |
| EMERGENCY AND DISASTER MANAGEMENT TEAM |
|---|
| Chief Physician / Responsible Manager |
| Assistant Responsible Manager |
| Director of Nursing Services |
| Assistant Director of Nursing Services |
| Assistant General Manager |
| Emergency Physician |
| Emergency Nurse |
| Security Officer |
| Infection Control Nurse |
| Laboratory Responsible Technician |
| HAP Office Staff |
| Quality Management Director |
| Occupational Health and Safety Specialist |
| ARCHIVE PRESERVATION, SORTING AND DESTRUCTION COMMITTEE |
|---|
| Chief Physician / Responsible Manager |
| Medical Records and Archives Officer |
| Deputy Chief Physician |
| Quality Management Director |
| Director of Nursing Services |
| Patient Services Manager |
| Medical Accounting Manager |
| INFORMATION MANAGEMENT COMMITTEE |
|---|
| Chief Physician / Responsible Manager |
| Deputy Chief Physician |
| Assistant General Manager |
| Human Resources Manager |
| Information Systems Officer |
| Director of Nursing Services |
| Quality Responsible |
| Patient Services Manager |
| MEDICINES MANAGEMENT COMMITTEE |
|---|
| Chief Physician / Responsible Manager |
| Quality Management Director |
| Deputy Chief Physician |
| Psychiatry Specialist |
| Internal Medicine Specialist |
| Director of Nursing Services |
| Pharmacist |
| Infection Control Nurse |
| ADVERSE EVENT ASSESSMENT TEAM |
|---|
| Chief Physician / Responsible Manager |
| Quality Management Director |
| Deputy Chief Physician |
| Human Resources Manager |
| Psychologist Services Manager |
| Director of Nursing Services |
| Pharmacist |
| Laboratory Technician |
| Patient Rights Officer |
| OCCUPATIONAL HEALTH AND SAFETY COMMITTEE |
|---|
| Chief Physician / Responsible Manager |
| Quality Management Director |
| Workplace Physician |
| Occupational Safety Specialist |
| Assistant General Manager |
| Psychologist Services Manager |
| Director of Nursing Services |
| Human Resources Manager |
| Infection Control Nurse |
| Technical Services Officer |
| CONSULTATION BOARD |
|---|
| Chief Physician / Responsible Manager |
| Quality Management Director |
| Deputy Chief Physician |
| Neurology Specialist |
| Anesthesiologist |
| Psychiatry Specialist |
| Psychiatrist-Child |
| Dietitian |
| Internal Medicine Specialist |
| Emergency Physicians |
| Floor Physician |
| RISK MANAGEMENT BOARD |
|---|
| Chief Physician / Responsible Manager |
| Deputy Chief Physician |
| Quality Management Director |
| Human Resources Specialist |
| Internal Medicine Specialist |
| Technical Services Officer |
| Assistant General Manager |
| Radiology Technician |
| Director of Nursing Services |
| Finance Director |
| Technical Services Officer |
| Occupational Safety Specialist |
| Workplace Physician |
| Patient Rights Officer |
| Cleaning Services Supervisor |
| Infection Control Nurse |
Our Teams
| Employee Opinions, Suggestions and Complaints Evaluation Team |
| Patient / Patient Relative Opinions, Suggestions and Complaints Evaluation Team |
| Patient and Employee Satisfaction Surveys Evaluation Team |
| Medicines Management Team |
| Building Tour Team |
| Code White Team (Team members have been determined as On and Off Duty) |
| Code Blue Team (Team members have been determined for on and off duty) |
| Code Pink Team (Team members have been determined for on and off hours) |
| Code Red Team (HAP Members) |
| Nutrition Support Team |
| Information Security Team |
| Occupational Health and Safety Team |
2. OUR QUALITY POLICY
- By keeping the mission and vision values of our institution in the forefront; To continue our activities to follow the innovations with the developing technology and to develop ourselves as an institution in this direction, to reach the highest point in care service and to provide health services in accordance with the standards in every service provided.
- To provide multidisciplinary medical care services in all diagnosis, diagnosis and treatment services provided by our hospital, patient and employee-oriented, creating a safe environment, in accordance with standards with a multidisciplinary approach, open to continuous development and improvement studies, aiming to respond to all training needs of patients and patient relatives with an institutional language and to provide multidisciplinary medical care services to achieve the best in the treatment process.
- To follow technological innovations and scientific developments and to provide care to our patients with suggestions and applications.
- To provide quality health care services by following the standards and current guidelines and to provide our employees with a dynamic team in the field that constantly iterates itself in accordance with the standards and to provide a space for continuous improvement of care services.
- To operate in accordance with the regulations in occupational health and safety services, to provide measures to protect patient and employee safety at the highest level and to provide a reliable working environment.
- To comply with the annual training plans made continuously within the organization, to encourage employees to participate in trainings, to reflect the training activities within the organization in the field by supporting certification and external training activities.
- To ensure the best service procurement process by exhibiting a solution-oriented professional approach to all negative situations that may occur in all services provided by our patient rights unit in our hospital.
- To follow up the wishes, suggestions and complaints of employees, to ensure joint work with employee representatives and unit managers and to continue the necessary improvement work activities in the face of problems.
- To implement all necessary measures related to the information security management system and KVKK, and to ensure that necessary measures are taken against risks.
