MSEC Reporting Schedule



Quality Assessment and Performance Improvement Indicators

|No |

|Significant Adverse Occurrences |

|1 |

|4 |

|7 |

|23 |

|30 |

|31 |

|39 |

|JCAHO Core Measures |

|41 |

| |

|42 |

|49 |

|66 |

|70 |

|74 |

|76 |

|78 |

|81 |

|87 |

|95 |

|96 |

|99 |

|100 |

|103 |

109 |Med Variances compared to Contract Labor |Number of Medication Errors correlated to Nursing Care Hours |TBD |CNO |H, V, P, C,S |QC, MEC, BT

[Semi-annually] |Quality committees will oversee the effectiveness of corrective actions | |110 |Patient Complaints correlated to staffing patterns |Number of Patient Complaints correlated to Nursing Care Hours |TBD |CNO |H, V, P, C,S |QC, MEC, BT

[Semi-annually] |Quality committees will oversee the effectiveness of corrective actions | |

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