Quality assurance Completion in 2008 of at least one Existence of a with one (or more) project”, project” procedure(s) written, approved, implemented and evaluated implemented and evaluated Responsiveness Evaluation of the performance of the Existence of an evaluation department or the reception report Carry out at least a satisfaction survey of Survey conducted and users during the year 2008 results analyzed Hygiene and Existence of an action plan for the CLIN (i) Existence of an action plan Infections validated by the CME and the hospital validated and approved management team, (ii) approved by the Board and (iii) including a program for surveillance of hospital-based infections (monthly measure of incidence of infections in the at-risk departments, prevalence survey) and a program for staff training Quarterly meetings of the CLIN Existence of meeting minutes Existence of an annual report of activities of Annual Report available the CLIN Establishment of a protocol selected from Existence of a written, the priority themes identified by the MoH validated and implemented protocol Quality of care Evaluation of two treatment protocols for Existence of evaluation the management of two conditions among reports the ten most common in the hospital Accommodation quality Introduction of tracking tools for utilization Existence of a monthly of sheets record Regular checks of sheets allocations. Existence of a quarterly record of on-site audit of allocations in the linen services
Quality assurance Completion in 2008 of at least one project”, with one (or more) procedure(s) written, approved, implemented and evaluated Existence of a project” implemented and evaluated Responsiveness Evaluation of the performance of the department or the reception Existence of an evaluation report Carry out at least a satisfaction survey of users during the year 2008 Survey conducted and results analyzed Hygiene and Infections Existence of an action plan for the CLIN (i) validated by the CME and the hospital management team, (ii) approved by the Board and (iii) including a program for surveillance of hospital-based infections (monthly measure of incidence of infections in the at-risk departments, prevalence survey) and a program for staff training Existence of an action plan validated and approved Quarterly meetings of the CLIN Existence of meeting minutes Existence of an annual report of activities of the CLIN Annual Report available Establishment of a protocol selected from the priority themes identified by the MoH Existence of a written, validated and implemented protocol Quality of care Evaluation of two treatment protocols for the management of two conditions among the ten most common in the hospital Existence of evaluation reports Accommodation quality Introduction of tracking tools for utilization of sheets Regular checks of sheets allocations. Existence of a monthly record Existence of a quarterly record of on-site audit of allocations in the linen services
688060ESW0P1070l0reform0in0Senegal.docx