Comprehensive Quality Assurance Plan for Plastic Surgery Practices

I. Quality Management Structure

A. Leadership and Oversight

• Medical Director responsibilities
• Quality Committee composition
• Quarterly review meetings schedule

B. Staff Responsibilities

• Surgeon quality metrics tracking
• Nursing documentation requirements
• Support staff compliance duties

II. Clinical Quality Measures

A. Patient Safety Standards

1. Pre-operative screening protocols
2. Surgical site infection prevention
3. Post-operative monitoring guidelines
4. Emergency response procedures

B. Outcome Measurements

• Patient satisfaction metrics
• Surgical complication rates
• Revision surgery tracking
• Photography documentation standards

III. Documentation and Record Keeping

A. Medical Records

• EMR documentation requirements
• Pre/post-operative photo protocols
• Informed consent documentation
• Treatment planning documentation

B. Quality Indicators Tracking

• Monthly surgical outcomes review
• Adverse event documentation
• Patient feedback analysis

IV. Facility Standards

A. Operating Room Requirements

• Equipment maintenance schedules
• Sterilization protocols
• Environmental controls
• Emergency equipment checks

B. Recovery Area Standards

• Monitoring equipment requirements
• Staff certification requirements
• Patient discharge criteria

V. Quality Improvement Activities

A. Continuous Improvement Projects

• Annual review schedule
• Performance improvement initiatives
• Staff training programs

B. Peer Review Process

• Monthly case reviews
• Complications conference
• Best practices sharing

VI. Patient Safety Initiatives

A. Risk Management

• Informed consent process
• Patient education protocols
• Complaint resolution procedures

B. Safety Protocols

• WHO Surgical Safety Checklist
• Time-out procedures
• Site marking requirements

VII. Compliance and Accreditation

A. Regulatory Compliance

• State regulations adherence
• AAAASF/JCAHO standards
• HIPAA compliance measures

B. Professional Standards

• Board certification maintenance
• CME requirements
• Staff credentialing