MDH Task Force SARS

 

Quality System Procedures

 

1.0           Purpose

To establish effective and efficient procedures that will promote achievement of the goals and objectives of the MDH Task Force SARS.

 

2.0           Scope

The scope of the quality system procedures include the

Organization of the Task Force

Formulation of policies, strategies, and procedures to achieve objectives

of the Task Force

Implementation of policies,strategies, and procedures formulated

Oversight (monitoring, evaluating, and feedback)

 

Note: the MDH Task Force SARS will be used as a template for future task forces that may be established for any infectious disease that threatens the stability of the hospital, an infectious disease that should be avoided in the hospital at all cost in terms both of admission and transmission.

 

3.0           Definition of Terms

SARS – acronym for Severe Acute Respiratory Syndrome.

MDH Task Force SARS – a hospital-wide task force to manage the problem of SARS.

 

4.0           Reference Documents

MDH Documents

DOH Documents

WHO Documents

 

5.0           Procedure

5.1           Organization of a hospital task force on an infectious disease

Top management realizes the presence and threat of an infectious disease that will affect the stability of the hospital.

 

Top management decides on the establishment of a hospital task force to manage (to prevent and control) the infectious disease that may affect the stability of the hospital.

 

Top management decides on persons to constitute membership and leadership of the task force.

           

Top management defines and communicates the responsibilities and authorization of task force.

Task force meets to organize itself and starts formulating policies and strategies to achieve objectives.

 

5.2           Formulation of policies, strategies, and procedures to achieve objectives of the Task Force

 

Task force formulates policies, strategies, and procedures

 

1.    to achieve objectives in the most effective and efficient way possible.

2.    through a multisectoral cooperative and collaborative effort.

3.    within the limits of  professional, ethical, legal, and logistic bounds and in consideration of the culture of the organization and the external clients.

4.    utilizing the eight quality management principles, namely: customer focus, leadership, involvement people, process approach, system approach to management, continual improvement, factual approach to decision-making, and mutually beneficial supplier relationships.

 

Task Force presents formulated policies, strategies, and procedures to top management for approval and authorization for enforcement and implementation.

 

 

5.3           Implementation of policies, strategies, and procedures formulated.

 

Responsibilities and authorization of members of the task force are defined and communicated.

 

Goals and objectives of task force and policies and procedures to achieve objectives of task force are communicated to all stakeholders.

 

Task force enforces formulated policies.

 

Members of the task force implement formulated strategies and procedures with support from leadership of task force and top management.

 

5.4           Oversight (monitoring, evaluating, and feedback)

 

Task force monitors implementation of policies, strategies, and procedures.

 

Task force evaluates results of implementation of policies, strategies, and procedures.

 

Task force considers feedback and plans and implements improvement and refinement measures.

 

 

 

6.0           Quality Records

 

Attachment 1: Memorandum of March 28, 2003 (General policies on SARS)

 

Attachment 2: Organization of MDH Task Force SARS

 

Attachment 3: Goals, tasks, and evaluation criteria of MDH Task Force SARS

 

Attachment 4: Minutes of Meeting (April 4, 2003)

 

Attachment 5: Minutes of Meeting (April 9, 2003)

 

Attachment 6: Memorandum of April 11, 2003 (Ms. Rita Wanninger)

 

Attachment 7: Policies and procedures on MDH employees who have been exposed to persons and places with possible SARS outside MDH 

 

Attachment 8: Policies and procedures on declaration of SARS patients being confined in MDH       

 

Attachment 9: Designation of MDH Consultants on SARS

 

Attachment 10: Memo to medical staff: MDH SARS Preparedness, Policies of Interest to Medical Staff, other SARS Matters

 

Attachment 11: Letters of Designation of Sector Coordinator, Responsibilities and Authorization

 

Attachment 12: Evaluation Report (June 2, 2003)