Quality
Our health system's quality department is responsible for identifying areas for improvement, and compliance in operations to ensure our organizations continue to evolve to meet the needs of our patients. They use a variety of tactics from quality improvement projects to patient care coordinators to daily safety huddles to help us grow. They use a variety of tactics to analyze data on patient outcomes, trends in medical errors, or patient complaints. They conduct surveys to gather feedback from patients and staff. They seek to establish standards based on common medical protocols, ensure compliance with quality management systems, and formulate policies to ensure patient safety and quality of care. They monitor staff to ensure control over standards and corrective actions, and conduct audits to check procedures and identify medication errors.
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What is the Daily Huddle? These daily quality assurance meetings are a benchmark in safety and consistency for the organization. It involves upwards of 30 staff members per day and is an opportunity to consistently communicate important operational information and updates between all WCHS departments. It is a proven effective method of updating all staff on safety reports, daily staffing, events, etc. Participants range from executives to employee health, to primary care, to preventive, to acute. It is an invaluable opportunity to keep everyone safe, happy, and educated. It has been a vital asset to WCHS as we work toward their vision of leading the nation in health for indigenous people. View Daily Huddle Notes
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See something, Say something. Use the form below to provide information about occurrences and observations of unintended or untoward events, acts or omissions (all considered "events") that could have or did result in harm, damage or loss to patients, workers, visitors or the organization. "Near misses" and "good catches" should also be captured here. The primary intent of this event reporting system is not to find fault, but rather to document such events & analyze them for opportunities for improvement.
You may submit this information anonymously. The data fields with red asterisks (*) are required; the rest - including the identity of reporter - are optional. Be aware that the value of the information is in its analysis and use for process improvement, and as such reporters shall have no reasonable expectation of privacy regarding the information submitted. Use of the system implies understanding and consent to that principle.
This report and attachments are a Medical Quality Assurance Record as defined in 25 U.S. Code § 1675 and are confidential and privileged. Such records may not be disclosed to any person or entity, except as provided by law.
Resources
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MOAB Training: [Management of Aggressive Behavior] Training teaches important de-escalation skills and strategies. This valuable knowledge empowers employees with the necessary skills to avert conflict and injuries through various de-escalation techniques using verbal and non-verbal skills to diffuse a situation.
Fire Safety Training: Fire safety training in hospitals is essential to ensure the safety of patients, staff, and property. It equips staff with the knowledge and skills to evacuate patients safely, respond effectively to fires, and minimize damage. Compliance with fire safety regulations and standards is crucial to legal adherence and maintaining community safety.
Incident Command Drills: Incident command training is a structured approach to managing emergency incidents, providing a framework for coordinating response efforts. It ensures effective communication, coordination, and decision-making among response teams, enabling a more organized and efficient response to emergencies. By implementing incident command training, organizations can better mitigate risks, minimize the impact of emergencies, and safeguard lives and property.
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Soliciting and reviewing patient feedback is critical to our organization's development. If you or your patients have +/- feedback to share? We want to hear from you.
Intentional Intervention Options:
DURING CARE | SPEAKUP! If Patients/relatives have any questions, compliments, or concerns Our care team managers, quality assurance team, and administrators will be rounding throughout the facility. If you would like to provide feedback directly or discuss a recent experience, please contact our Patient Experience Specialist.
Call 402-745-3950 x 4501
Stop by in-person Mon – Fri, 08:00 am to 04:30 pm, room D166.The office is located on the main floor by the east elevators.
LEAVING CARE | HAPPY OR NOT: Patients/relatives can use our exit kiosks to click the emoji and answer a few questions to let us know how you are feeling in two minutes or less.
AFTER CARE | PRESS GANEY: Patients/relatives can fill out and submit or return the emailed or mail surveys from Press Ganey to Press Ganey.
ESCALATION OPTION: Patients/relatives have the option to file a formal grievance. With this process, grievances are escalated to a dedicated committee for formal investigation and resolution. For full policy, please see PolicyStat.