UHS Quality
UHS Quality

Quality Process

Putting patients first through quality management

UHS approaches quality improvement and safety in a collaborative, systematic manner. Each UHS organization has a Quality Management program which supports the UHS commitment to quality and patient care with a focus on supporting and improving:

  • Organizational mission, vision and values
  • Compliance with regulator, accreditation and license requirements
  • Safety and quality of patient care services
  • Patient/family, physician and employee satisfaction
  • Organizational processes to provide value to the customer

The Quality Management program is a comprehensive, multi-dimensional approach to assessing and improving the quality of care and services provided at each organization. The program is developed, implemented and maintained to guide the Quality Assurance and Performance Improvement (QAPI) activities of the organization. The program uses evidence-based clinical practices to achieve a culture of "best practices," ensuring patients optimal, appropriate care in the safest environment.

Components of the quality program include:

  • Standardized models for quality improvement.
  • Data collection and benchmarking
  • Incident reporting
  • Criteria based audits
  • Root cause analysis
  • Rapid cycle action teams
  • Use of a Quality Improvement grid with department-specific and institutional metrics geared to promote various aspects of performance improvement
  • Peer review
  • Complaint and grievance reporting
  • A committee structure which promotes quality throughout the organization, beginning with the boards of trustees and continuing through administration and each division and department
  • A Quality Management division which oversees the entire Quality Management program