There are extensive quality improvement/quality assurance (QI/QA) and risk management plans in place through the Florida Department of Health that cover clinical services and management, confidentiality of patient records, monitoring of clinical and financial performance measures, risk management, and patient satisfaction.
The direction of the quality improvement/assurance program and the provision of high quality patient care will be vested in the Chief Nursing Officer, who has an extensive background in this area. The program will be based on clinical audits and reviews of charts, financial data, and reports generated through the Department of Health’s Health Management System (HMS), and presented to the New River CHC leadership team, consisting of members of medical and administrative members. The New River CHC board will have a QA/QI committee and all results will be presented to that committee. It will also serve as a two way channel of communication between the board and the clinical and management team.
The existing program will be augmented to assure that periodic assessment of the appropriateness of service utilization, quality of services delivered, and/or the health status/outcomes of health center patients is central to the process. It will assure that:
• physicians are active participants;
• It is based on the systematic collection and evaluation of patient records;
• It identifies and documents the necessity for change in the provision of services by the organization and results in the institution of such change, where indicated;
• Appropriate clinical information systems are/will be in place for tracking/analyzing/reporting key performance data;
• It includes how the findings of the QI/QA process are/will be used to improve organizational performance;
• It focuses on board-approved policies and procedures related to:
a. Current clinical standards of care;
b. Provider credentials and privileges;
c. Risk management procedures;
d. Patient grievance procedures;
e. Incident management; and
f. Confidentiality of patient records.
All health providers in The New River Community Health Center service area have formally committed to the future success of New River CHC as a Section 330 Community Health Center, including the only two physicians in private practice; the Critical Access Hospital (which also has a designated RHC), and which will support ancillary and diagnostic services for New River CHC; the PharmD owner of the local pharmacy, who has also agreed to become New River CHC’s Section 340B pharmacy coordinator (see Attachment 7); and the The New River Community Health Center service area Health Department, which will commit its current outreach, education, and public health services to this effort. The chief medical group from neighboring Bradford County has lent its support, and will help coordinate specialty referrals. Shands Starke, in neighboring Bradford County will grant admission privileges to...