| 1. |
clinical supervisors (RN/or Advanced degree) |
| 2. |
not sure |
| 3. |
VP of Quality |
| 4. |
The Clinical Board of Governors (comprised of mostly MDs), not the Community Board of Directors. |
| 5. |
Risk manager |
| 6. |
Medical Director of Quality Managemenet |
| 7. |
Quality Committee - mostly nursing |
| 8. |
Multidisciplinary QI Committee |
| 9. |
Medical Director |
| 10. |
President |
| 11. |
Quality Improvement Committee |
| 12. |
Chief Quality Officer |
| 13. |
chief quality officer |
| 14. |
Physician Vice-President of Quality |
| 15. |
Diffuse. Qaluty efforts report to COO and CMO. |
| 16. |
COO |
| 17. |
informal--we're a private practice physicians' group |
| 18. |
me |
| 19. |
VP Quality and Patient Safety |
| 20. |
quality systems reporting directly to the CEO and BOD |
| 21. |
VPMA, VP nursing and CQI dept |
| 22. |
Quality Management Department |
| 23. |
VP Quality |
| 24. |
all of the above |
| 25. |
Vice Presidents |
| 26. |
Chief Nursing Officer |
| 27. |
Chief Quality Officer (VP) |
| 28. |
na |
| 29. |
chief safety officer |
| 30. |
Chief Quality Officer |
| 31. |
QM |
| 32. |
CQO |
| 33. |
Director of Quality |
| 34. |
VP of quality |
| 35. |
Physician members are responsible for their own quality and safety |
| 36. |
vp, quality |
| 37. |
Executive Board |
| 38. |
Chief Quality & Medical Information Officer |
| 39. |
Asst VP for Quality |
| 40. |
we are in the midst of an attempt at better attribution of the responsibility so that all of us are accountable |
| 41. |
not sure |
| 42. |
with physician leader support |
| 43. |
President of Medical Affairs |
| 44. |
VP Quality (RN) |
| 45. |
Senior VP of Quality and safety |
| 46. |
Hospital administrative personnel |
| 47. |
VP of Quality-a physician |
| 48. |
Chief Medical Officer for Quality |
| 49. |
Chief Operating Officer, CMO, and Chief Nursing Officers |
| 50. |
quality departement |
| 51. |
Veterans Health Administration |
| 52. |
Medical Driector for Patient Safety and Quality |
| 53. |
UM/QM Committee and medical management at the direction of the BOD |
| 54. |
local process owners |
| 55. |
Quality Officer |
| 56. |
Medical staff with aid of Performance Improvement |
| 57. |
vice president |
| 58. |
Combination of the above thru 2 multidisciplinary committees, one Board and one in operations |
| 59. |
quality director |
| 60. |
Chief Safety Officer (MD) |
| 61. |
VP of Quality |
| 62. |
Chief of Staff |
| 63. |
The Quality Department for initiating/implementing/educating/ and monitoring. Nursing staff is the most active in carrying out the initiatives. We develop lots of "safety nets" to avoid the docs |
| 64. |
Chief Nursing Officer |
| 65. |
PI director |
| 66. |
Performance Improvement Department |
| 67. |
CMO and CNO |
| 68. |
Agency Director |
| 69. |
compliance officer |
| 70. |
Medical Director |
| 71. |
VP of Quality |
| 72. |
dont know |
| 73. |
Vice President ,Clinical Quality and Patient Safety |
| 74. |
Hospital Operations and Medical Director for the system |
| 75. |
Quality dept; headed by a nurse; supported by Medical Director |
| 76. |
Chief Quality Officer |
| 77. |
risk management |
| 78. |
VP of Patient Safety and Quality |
| 79. |
VP for Quality |
| 80. |
ALL OF THE ABOVE |
| 81. |
External management group |
| 82. |
Chief of Quality and Safety (physician) |
| 83. |
Quality Director |
| 84. |
VP for Performane Improvement |
| 85. |
Don't know |
| 86. |
VP medical affairs |
| 87. |
PI Dept |
| 88. |
Chief Quality Officer |
| 89. |
CMO and Q/A director |
| 90. |
VPMA and Quality/Risk Management Department |
| 91. |
Risk Management |
| 92. |
VP of Quality and Safety |
| 93. |
vp quality |
| 94. |
quality management group |
| 95. |
all fo the above - CMO chairs quality council |
| 96. |
Quality management staff |
| 97. |
chief quality officer |
| 98. |
COO |
| 99. |
Statewide medical director |
| 100. |
Medical Director of Quality and Patient Safety |
| 101. |
sr. VP of quality and safety |
| 102. |
all of the above. |
| 103. |
multidisciplinary team |
| 104. |
VP for Quality & Outcomes |
| 105. |
Quality and safety dept woking with CMO,CNOand COO and Medical staff |
| 106. |
Uncertain |
| 107. |
Amorphous blend of COO and Med Staff. BOD is distant and hands off here. |
| 108. |
Director of Quality |
| 109. |
We have a safety Czar (actually a Czarina) |
| 110. |
Chief Quality Oficer |
| 111. |
hospitalwide performance improvement committee |
| 112. |
VP Quality |
| 113. |
CQO |
| 114. |
no one |
| 115. |
Dedicated staff most of whom are nurses |
| 116. |
Quality and Service Excellence |
| 117. |
Chief of Safety and Risk Manager |
| 118. |
COO & Dir of Quality |
| 119. |
Medical and nursing staff |
| 120. |
Operational VPs |
| 121. |
Nursing staff primarily, but the new CMO is now involving the medical staff |
| 122. |
VP of Quality |
| 123. |
CQO |
| 124. |
The Administrative staff is ultimately responsible, but the second tier admins are the ones with their feet on the ground. There is physician involvement, but in an advisory capacity to engage MDs |
| 125. |
management team |
| 126. |
Quality Department |
| 127. |
QA department |
| 128. |
Quality Dept. |
| 129. |
Jointly shared by Medical and Nursing staffs |
| 130. |
Chief Quality Officer reporting to board |
| 131. |
We have a formal quality committee and the chairperson of that committe is primarily responsible. Role of CEO is to set priorities and provide leadership for that committee. |
| 132. |
VPMA |
| 133. |
don't really know |
| 134. |
Physicians in charge of Quality & Safety initiatives |
| 135. |
SVP, Care Management |
| 136. |
Quality of care Committee of the Board |
| 137. |
Quality Department |
| 138. |
don't know |
| 139. |
Came management Department |
| 140. |
Vice President of quality/pt safety |
| 141. |
office of qulaity improvement |
| 142. |
committee |
| 143. |
The Physicians Council |
| 144. |
Quality committee |
| 145. |
COO and Medical Director |
| 146. |
Medical Director w/support RN staff |
| 147. |
CMO and CNO with joint responsibility |
| 148. |
VP for Quality and Compliance (a nurse) |
| 149. |
Who knows? |
| 150. |
Quality Department with VP |
| 151. |
Sr. VP Quality and Pt Safety |
| 152. |
medical director for safety |
| 153. |
Ultimately it is the CEO but CMO and Director of teh QSD Quality Services Div, are responsible for day to day management |
| 154. |
Board via Qual. Committee/Admin |
| 155. |
A team that reports directly to the BOD |
| 156. |
Chief Quality Officer |
| 157. |
Cahirman or Owner |
| 158. |
ultimately the board is responsible. the implementation is CME, quality management, performance improvement steering council and chartered teams |
| 159. |
Everyone and no one. |
| 160. |
VP Quality (RN) |
| 161. |
rn, JD |
| 162. |
Each department manages its own QA program and have varying levels of commitment and completeness of a QA program |
| 163. |
CQO |
| 164. |
Board Quality (subcommittee of the Board) |
| 165. |
VP of Quality |
| 166. |
CMO and nursing staff. having an entirely voluntary medical staff means their involvement is limited. |
| 167. |
chief quality officer |
| 168. |
Admin MDs and Managers |
| 169. |
VP for Quality |
| 170. |
Unfortunately there is not anyone person charged with this. |
| 171. |
Medical Director for Quality |
| 172. |
Safety officer |
| 173. |
Team effort: MDs and admin staff |
| 174. |
VP Quality |
| 175. |
Patient Safety Officer, a dedicated physician |
| 176. |
Safety officer |
| 177. |
hospital departments reporting to administration |
| 178. |
VP of Quality |
| 179. |
A team of physicians and public health trained administrators. |
| 180. |
Performance improvement staff |
| 181. |
Quality officer |
| 182. |
Really a joint effort. Want to get Medical Staff more involved. |
| 183. |
Medical chair of quality (a physician) and the director of quality and risk management (a nurse) work as a team and report to the CEO and various other quality directors in the parent organization |
| 184. |
Patient Safety Committee |
| 185. |
Director of Quality |
| 186. |
CQO |
| 187. |
Hand picked administrative staff |
| 188. |
VP Quality Improvement and Outcomes |
| 189. |
owners/partnership |
| 190. |
front-line clinicians |
| 191. |
Subcomittee of the Board |
| 192. |
No one primary -diffused throughout organization |
| 193. |
Medical Directors |
| 194. |
Medical Executive Committee |
| 195. |
in flux with resignation of CMO |
| 196. |
Sr. VP of Quality (MD) |
| 197. |
VP Quality |
| 198. |
I believe this question misses the point of quality improvement as a process and a culture wherein everyone is responsible Primarily!!! |
| 199. |
COO, Care management |
| 200. |
Division of Health Care Quality |
| 201. |
Quality Director |
| 202. |
Medical Executive Committee |
| 203. |
VP Quality (reporting to CMO) |
| 204. |
VPMA |
| 205. |
qi director |
| 206. |
Multidisciplinary Quality Performance Improvement Committee |
| 207. |
Quality Office under the Chief of Hospital Services |
| 208. |
Medical Staff Vice-President |
| 209. |
quality dept- variable reporting |
| 210. |
quality dept |
| 211. |
VP for Quaity management who reports to CEO. CMO also has this on his agenda. |
| 212. |
Physicians, nurses and network representatives |
| 213. |
Senior VP Patient Safety and Quality |
| 214. |
VPMA |
| 215. |
Performance Improvement Department |
| 216. |
Quality Mgmt., CMO, Nursing |
| 217. |
PI is separate department |
| 218. |
CQO |
| 219. |
CQO and division of quality |
| 220. |
Comm of docs and staff |
| 221. |
diffuse and unclear |
| 222. |
Chief Quality Officer |
| 223. |
COO, Quality Comm |
| 224. |
chief of staff |
| 225. |
VP Quality |
