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Cincinnati VA Medical Center

 

Reporting Safety or Quality Issues

Quality Management

The Cincinnati VA Medical Center (CVAMC) is committed to providing quality health care to eligible Veterans through a Quality Management System that optimizes health care processes and outcomes.  An organized, systematic approach to planning, delivering, measuring and improving health care is required to effectively link the CVAMC mission, vision and core values to the day-to-day operations.

Quality Management Areas of Focus include:

  • Accreditation – to ensure that accepted standards of health care operation are met.  Accreditation organizations providing this service for CVAMC include, but are not limited to the Joint Commission and CARF (Commission on Accreditation Rehabilitation facilities).
  • Performance Measures / Monitors – the VA office of Quality and Performance set national benchmarks for the quality of preventive and therapeutic healthcare services.
  • Risk Management is an integrated set of activities to systematically identify, evaluate, reduce and /or eliminate, and monitor the occurrence of adverse events and situations arising from operational activities and environmental conditions.
  • Physician Peer Review – designed to contribute to improving the quality of care and appropriate utilization of health care resources.
  • Utilization Management – strives to assure the right care, for the right patient, at the right time and for the right reason.
  • System Redesign / Performance Improvement – is about improvement in the way our system works.  System Redesign offers every employee an opportunity to IMPROVE OUR WORK and thus our mission.

Patient Safety

The Patient Safety Program uses a system-based approach, driven by organizational leadership, to promote patient safety through the proactive identification and management of actual and potential risks to patients, visitors, the organization and its staff.  The program fosters a culture of “No Blame” and thus creates a unique opportunity to learn, and is a critical element in the creation of a safety culture.
Patient Safety Areas of Focus include:

  • Prompt review of adverse events, identification and review of near-miss events, and communication with patients and families when an unanticipated negative outcome occurs.
  • Root Cause Analysis - we study health care-related adverse events, sentinel events and close calls using a multidisciplinary team approach.
  • HFMEA (Healthcare Failure Mode and Effects Analysis) – proactive risk assessment method of evaluating a process to identify systems and their associated corrective actions, before an adverse event occurs.
  • National Patient Safety Goals – developed by The Joint Commission.

The Joint Commission

If you have a safety or quality of care concern which has been unresolved through hospital management, employees and patients have the right to contact The Joint Commission by dialing 1-800-994-6610 or email patientsafetyreport@jointcommission.org. Disciplinary action may not be taken against any employee or patient who reports a safety or quality concern to The Joint Commission.