Comprehensive Cardiology Practice Quality Assurance Plan

1. Purpose and Scope

• Ensure consistent, high-quality cardiovascular care delivery
• Maintain compliance with regulatory requirements
• Establish systematic monitoring of clinical outcomes
• Define quality metrics and benchmarks

2. Quality Leadership Structure

2.1 Quality Committee

• Medical Director
• Quality Assurance Coordinator
• Clinical Department Heads
• Administrative Representative

3. Clinical Quality Metrics

3.1 Patient Care Indicators

• Door-to-ECG time (<10 minutes for chest pain)
• Door-to-balloon time for STEMI (<90 minutes)
• Appropriate stress test utilization
• Echo reporting turnaround time

3.2 Patient Safety Metrics

• Medication reconciliation completion rate
• Adverse event reporting and analysis
• Critical test result communication

4. Documentation Standards

• Complete and timely medical records
• Structured reporting for diagnostic tests
• Documentation of informed consent
• Care plan documentation

5. Equipment Quality Control

5.1 Regular Maintenance

• ECG machines calibration
• Echo equipment maintenance
• Nuclear medicine camera QC
• Stress test equipment certification

6. Performance Review Process

• Quarterly peer review sessions
• Monthly quality indicator analysis
• Annual comprehensive review
• Action plan development

7. Patient Experience Monitoring

• Satisfaction surveys
• Complaint management system
• Wait time monitoring
• Access to care metrics

8. Continuous Quality Improvement

• Staff education programs
• Clinical pathway updates
• Best practice implementation
• Quality improvement projects

9. Reporting Requirements

• Monthly quality dashboard
• Quarterly committee reports
• Annual quality assessment
• External quality reporting

10. Plan Review and Updates

• Annual plan review
• Quarterly metric evaluation
• Ongoing compliance monitoring