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Joint Quality Improvement
and Program Committee
Karen Lechter and Robert P. Wise, M.D., Co-Chairs
Program and Quality Improvement Committees joined
forces in 2003 to address clinic issues that spanned the range from
patient record audits to health literacy. The Program Committee
monitors CCIs compliance with the terms of grants and programs
and consults with staff about the scope, nature, and mix of services,
to assure they are consistent with CCIs mission. The Quality
Improvement Committee evaluates the care and services provided by
CCI and makes recommendations to promote excellent services and
responsiveness to patients and staff. Together, the committees consult
staff about the nature and quality of services and activities. In
2003, the committees paid particular attention to clinic efforts
to prepare for accreditation review by the Joint Commission for
Accreditation of Healthcare Organizations (JCAHO).
Among the years activities are the following:
Continuous monitoring of preparations for JCAHO accreditation,
with particular focus on 10 high-priority standards
Review of patient and staff satisfaction surveys and task
force activities generated by those surveys
Examination of WIC activities, including a new facility,
the annual plan for staff activities, budget issues, and new state
initiatives
Monitored medical and administrative audits
Review of personnel actions and statistics
Received reports from the Staff Quality
Improvement Committee
Reviewed staff training, including the
Quality Improvement Seminar and the Cultural Competency Workshop
Approved the annual agency
Performance Improvement plan
Reviewed audits from outside funding sources
Reviewed additions and changes to the Policies
and Procedures manual
Discussed health literacy issues and their
implications for CCI
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