Board policy manual & workplace conduct - Kingston General Hospital

ISSUED BY:AUTHORIZED BY:CATEGORY:COMMITTEE:KGH Board of DirectorsKGH Board of DirectorsQuality and EffectivenessQuality of Patient CareNUMBER: III-1ISSUE DATE: April 2010REVISION DATES: May 2011REVIEW DATE: March 2011PAGE: 1 of 1SUBJECT:QUALITY IMPROVEMENT AND SAFETYArticle 4.10 (c)(v) provides for the Board of Directors to approve goals and performance metricsfor quality, effectiveness, and patient and safety.The Board of Directors of Kingston General Hospital defines quality as the degree of excellenceachieved by the organization. The Hospital will meet or exceed established and evolvingstandards of quality and patient safety. The Hospital is committed to addressing quality issues,and identifying and acting upon opportunities to continuously improve safety, patient care andservice delivery.The Board recognizes the importance of the safe delivery of its services, as well as theimportance of reducing or preventing the potential for injury or loss to its patients, visitors, staff,physicians, volunteers and learners, and damage to or loss of the Hospital’s assets.The Board will:i) implement effective processes for reviewing and recommending policies andstandards;ii) comply with quality and safety related issues, including requirements set out bylegislation and accreditation; andiii) ensure the hospital has an effective process for reviewing and responding followingadverse events.The Board, with the assistance of the Quality of Patient Care Committee, will annually establishperformance targets and performance metrics related to clinical quality, and patient safety formonitoring by the Quality of Patient Care Committee. Quarterly, the Quality of Patient CareCommittee will monitor the Hospital’s quality of patient care and safety against the definedperformance targets and performance metrics and report to the Board.The Board will discuss issues related to quality of patient care and safety and the overallmeeting time is dedicated to this focus.