Quality Improvement - Oklahoma State Department of Health

email | print

Quality Improvement

(This page is under construction)

Creating an environment of quality care for Trauma patients

The purpose of continuous quality improvement:

Create a system of optimal care for all trauma patients
Measure, evaluate, and improve the quality and effectiveness of care
Assure trauma standards of care are met and inappropriate variations of care are minimized
Prevent and decrease death and disability

CQI is a requirement of Senate Bill 1554:

"The Oklahoma Trauma Systems Improvement and Development Act"

This legislation created the:

Medical Audit Committee
Regional Continuous Quality Improvement Committees

The Regional CQI Committees are sub-committees of the RTABs (Regional Trauma Advisory Boards.) These committees are made up of representatives from Hospitals, EMS Services, Air Services and Physicians. The various roles of the committee members help to deliver a multi-faceted perspective on cases reviewed. The Regional CQI Committees are tasked with review of quality related issues that occur in the Region which are system or process related.

The Medical Audit Committee membership is comprised of nine Physicians and Surgeons appointed by the Commissioner of Health. These Physicians and Surgeons come from all over the state and represent rural and urban populations. Their focus is to review cases that are related to clinical issues, sentinel events or adverse outcomes. They are also tasked with the work of the Regional Committees.

What is the purpose of a REFERRAL?

R-Review of what happened
E-Ensure expeditious and expert care was given
F-Formulate a time-line of events
E-Examine reasoning for decisions
R-Regional Plans/T3 Algorithms/patient priority (application of)
R-Recommendations from Committee
A-Action is required!
L-Loop closure letters (how the required actions are communicated)

Medical Audit Committee Members Oklahoma Trauma System Performance Improvement Process Referral Intake Form	OSDH Home > Protective Health > Trauma Division > Quality Improvement
	email \| print Quality Improvement (This page is under construction) Creating an environment of quality care for Trauma patients The purpose of continuous quality improvement: Create a system of optimal care for all trauma patients Measure, evaluate, and improve the quality and effectiveness of care Assure trauma standards of care are met and inappropriate variations of care are minimized Prevent and decrease death and disability CQI is a requirement of Senate Bill 1554: "The Oklahoma Trauma Systems Improvement and Development Act" This legislation created the: Medical Audit Committee Regional Continuous Quality Improvement Committees The Regional CQI Committees are sub-committees of the RTABs (Regional Trauma Advisory Boards.) These committees are made up of representatives from Hospitals, EMS Services, Air Services and Physicians. The various roles of the committee members help to deliver a multi-faceted perspective on cases reviewed. The Regional CQI Committees are tasked with review of quality related issues that occur in the Region which are system or process related. The Medical Audit Committee membership is comprised of nine Physicians and Surgeons appointed by the Commissioner of Health. These Physicians and Surgeons come from all over the state and represent rural and urban populations. Their focus is to review cases that are related to clinical issues, sentinel events or adverse outcomes. They are also tasked with the work of the Regional Committees. What is the purpose of a REFERRAL? R-Review of what happened E-Ensure expeditious and expert care was given F-Formulate a time-line of events E-Examine reasoning for decisions R-Regional Plans/T3 Algorithms/patient priority (application of) R-Recommendations from Committee A-Action is required! L-Loop closure letters (how the required actions are communicated)	Q: Who may refer a case? A: A physician, nurse, or other health care provider, or member of the public may refer a case for quality improvement review. Q: What may be reported? A: Any situation involving the care of trauma patients, including patient transfer and referral issues, patient care issues, patient transport problems may be referred for quality improvement review. Q: What happens after I make a referral? A: Oklahoma State Department of Health (OSDH) staff will obtain and review relevant records and determine the appropriate reviewing committee/subcommittee. The reviewing committee may make recommendations for trauma system education, refer the case situation for review by an agency/entity’s internal quality improvement process, or identify other system issues, as appropriate. Q: Will I know the outcome of my report? A: You will be notified of receipt of your referral. However, the results of the review are confidential and will not be released to the individual making the referral or to the public. Q: How do I make a referral? A: Referrals may be made to the Medical Audit Committee by submitting a completed Oklahoma Trauma System Performance Improvement Process Referral Intake Form (via secure fax line 405/271-1045, or by mail to: CQI Coordinator, OSDH-PHS-Emergency Services, Oklahoma State Department of Health 1000 N.E. 10th Street, Room 1104, Oklahoma City, Ok 73117-1299.)For question, please contact the CQI Coordinator, Emergency Systems: 405-271-4027.

	Copyright © State of Oklahoma Help Desk \| Policies \| About Oklahoma's Web Portal \| Feedback \| Accessibility