Quality Improvement

Overview

Quality is defined by the National Academy of Medicine as the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.

The Department of Quality and Regulatory Affairs identifies and executes all quality and regulatory affairs for the health system. We lead and collaborate on initiatives that improve patient outcomes, minimize risks, and decrease health care costs. We also oversee efforts to maintain the highest standards of quality and safety set forth by accrediting agencies and ensures we meet all regulatory requirements.

Mission: To be a high reliability organization providing exceptional patient-centered care and health outcomes through continuous improvement, standardization, and accreditation and regulatory compliance with a focus on quality, safety, equity and innovation

Vision: To be a nationally recognized leader in quality and regulatory affairs with an equity lens across the care continuum

Quality Improvement

What is Quality Improvement?

CMS defines quality improvement as the framework used to systematically improve care. Quality improvement seeks to standardize processes and structure to reduce variation, achieve predictable results, and improve outcomes for patients, healthcare systems, and organizations. Structure includes things like technology, culture, leadership, and physical capital; process includes knowledge capital (e.g., standard operating procedures) or human capital (e.g., education and training).