1. Purpose and Scope
This Quality Assurance (QA) Plan establishes a systematic framework for monitoring, evaluating, and improving the quality of patient care in our family medicine practice.
2. Quality Assurance Committee
2.1 Structure
- Medical Director (Committee Chair)
- Clinical Quality Manager
- Physician Representatives
- Nursing Team Lead
- Practice Administrator
2.2 Meeting Schedule
- Monthly QA committee meetings
- Quarterly all-staff quality reviews
3. Core Quality Metrics
3.1 Clinical Outcomes
- Chronic disease management metrics
- Preventive care compliance rates
- Hospital readmission rates
- Emergency department utilization
3.2 Patient Safety
- Medication error rates
- Adverse event reporting
- Near-miss incident tracking
- Infection control compliance
3.3 Patient Experience
- Patient satisfaction scores
- Access to care metrics
- Wait time monitoring
- Communication effectiveness
4. Quality Review Procedures
4.1 Chart Audits
- Monthly random sample review (10% of active patients)
- Documentation completeness
- Treatment plan appropriateness
- Follow-up compliance
4.2 Clinical Protocol Review
- Semi-annual review of clinical guidelines
- Protocol adherence monitoring
- Best practice updates
5. Performance Improvement
5.1 PDSA Cycles
- Plan-Do-Study-Act methodology
- Quarterly improvement projects
- Staff involvement in solutions
5.2 Staff Training
- Annual quality training requirements
- Ongoing competency assessments
- Skills development programs
6. Reporting and Documentation
6.1 Quality Reports
- Monthly metrics dashboard
- Quarterly trend analysis
- Annual comprehensive review
6.2 Action Plans
- Issue-specific improvement plans
- Timeline and responsibility assignment
- Progress tracking system
7. Compliance and Accreditation
7.1 Regulatory Requirements
- Medicare quality reporting
- State licensing standards
- PCMH certification maintenance
8. Review and Updates
- Annual plan review and revision
- Continuous feedback integration
- Best practice updates