Welcome to the Quality Department at IIMS Hospital, Pune – a beacon of excellence in healthcare. As a 200-bed tertiary care hospital, we take pride in our national-level NABH accreditation, reflecting our commitment to providing unparalleled quality care and services.
At the helm of our Quality Department is Dr. Y Ramesh Babu, a distinguished professional serving as the Chairman of the Management Committee, Head of Anaesthesia & Critical Care, and NABH Accreditation Coordinator. Dr. YRB’s leadership ensures that our commitment to quality and patient safety is embedded in every aspect of patient care, implementing rigorous measures and protocols to guarantee patient well-being throughout their healthcare journey.
With a focus on patient-centric care, our Quality Department strives to maintain the highest standards in healthcare delivery. From rigorous accreditation processes to continuous quality improvement initiatives, we are dedicated to ensuring that every patient receives the best possible care.
Choose IIMS Hospital for an unwavering commitment to quality healthcare, where excellence is not just a goal but a standard we consistently achieve. The Quality Department ensures excellence, patient safety, and continuous improvement in healthcare delivery. Here are the core functionalities that define the department’s commitment to maintaining high-quality standards:
- Accreditation and Compliance Management
- Quality Assurance and Improvement
- Committee Oversight and Coordination
- Clinical Audits and Outcome Analysis
- Policy Development and Implementation
- Continuous Training and Education
- Patient Safety Initiatives
- Risk Management and Incident Reporting
- Research Ethics Oversight
- Benchmarking and Performance Measurement
- Patient Feedback and Satisfaction Monitoring
- Emergency Preparedness and Response
The Quality Department at IIMS Hospital is dedicated to fostering a culture of continuous improvement, patient-centered care, and adherence to the highest standards of quality and safety in healthcare. Through these core functionalities, the department plays a pivotal role in creating an environment where patients receive exceptional care and outcomes.
“Elevating Healthcare Excellence: Where Quality Meets Compassion”
Service Standards of IIMS Hospital
At IIMS Hospital, we are committed to providing exceptional healthcare services guided by seven core service standards:
- Caring and Compassion
- Teamwork
- Privacy and Confidentiality
- Effective Communication
- Patient Safety
- Quality Service
- Cost Effectiveness
These seven service standards serve as the foundation of our commitment to delivering healthcare that is not only clinically excellent but also compassionate, patient-centered, and cost-effective. At IIMS Hospital, we continuously strive to exceed these standards, ensuring that our patients receive the best possible care in an environment that values their well-being and satisfaction.
Various Hospital Committees to monitor Quality, Safety & Services Standards:
IIMS Hospital in Pune boasts a robust system of specialized committees within its Quality Department, each contributing to the institution’s commitment to excellence in healthcare. Each committee, chaired by experts in their respective fields, collaborates with multidisciplinary teams to uphold the highest standards of quality, safety, and ethical practices at IIMS Hospital.
- Quality Assurance Core Committee: “Elevating Standards, Ensuring Excellence”
Benchmark: Regular audits and assessments to meet and exceed national quality benchmarks.
Meeting Periodicity: Quarterly meetings for comprehensive evaluations.
- Hospital Infection Control Committee: “Guardians Against Infections, Champions of Health”
Benchmark: Maintaining infection rates below national standards through rigorous protocols.
Meeting Periodicity: Monthly meetings to address and update infection control measures.
- Code Blue Audit Committee: “Swift Response, Saving Lives”
Benchmark: Achieving rapid response times and ensuring optimal code blue outcomes.
Meeting Periodicity: Monthly meetings to review code blue incidents and response protocols.
- Hospital Safety Committee: “Safety First, Always”
Benchmark: Implementing and adhering to safety protocols to create a secure healthcare environment.
Meeting Periodicity: Monthly meetings to assess and enhance hospital safety measures.
- Medical Records Audit Committee: “Preserving Precision, Protecting Privacy”
Benchmark: Ensuring accurate and confidential medical record-keeping practices.
Meeting Periodicity: Quarterly meetings to review and audit medical record-keeping processes.
- Human Resources Audit Committee: “Nurturing Talent, Fostering Excellence”
Benchmark: Employee satisfaction and professional development initiatives above industry standards.
Meeting Periodicity: Quarterly meetings to evaluate HR practices and employee well-being.
- Pharmacotherapeutic Committee: “Medicines with Precision, Care with Compassion”
Benchmark: Optimizing drug therapy and ensuring safe and effective medication management.
Meeting Periodicity: Quarterly meetings to assess and update pharmacotherapeutic protocols.
- Morbidity and Mortality Committee: “Learning from Every Outcome, Improving Every Day”
Benchmark: Analyzing morbidity and mortality rates to enhance patient outcomes and care protocols.
Meeting Periodicity: Monthly meetings to review and improve patient outcomes.
- Institutional Ethics Committee: “Ethics at the Heart of Research, Compassion in Every Decision”
Benchmark: Ensuring ethical standards in all research-related activities and granting permissions.
Meeting Periodicity: Meets once in 6 months or when the need arises.
Emergency Codes at IIMS Hospital:
“Safeguarding Every Moment: Decoding Safety with IIMS Hospital’s Emergency Codes”
- Code Blue (Cardiac Arrest): Immediate response to life-threatening emergencies.
- Code Red (Fire Safety): Swift action for fire-related incidents, prioritizing safety.
- Code Orange (Mass Casualty): Coordinated response for large-scale emergencies.
- Code Yellow (Missing Patient): Rapid search protocol for missing patients.
- Code Pink (Child Abduction): Rigorous procedures to address child abduction.
- Code Brown (Hazardous Spill): Containment and management of hazardous spills.
At IIMS Hospital, safety is paramount. Our emergency codes and trained staff ensure a secure and efficient response to diverse situations, prioritizing the well-being of our patients and maintaining a safe healthcare environment.