Steering Committees

1. Create a Project Steering Committee

• To improve quality of medical care for the population
• To increase satisfaction among patients and medical workers

• Internal and external controls
• Analysis of patient care data in the medical institutions (polyclinic and hospital)
• Analysis of patient satisfaction data
• Preparation and acceptance of management decisions based on the data
• Responsibility and accountability for management decisions

• Meetings of the committee were conducted quarterly
• The committee examined the analysis of the data with the help of a computer program or other methods.
• Questions were raised concerning examination and acceptance of management decisions.
• The committee controlled the adequacy and timing of these decisions, prepared suggestions for the city administration and health department about necessary structural changes, prepared a report for the administration or other organizations, and organized education of specialists regarding questions of quality management.

• Medical Director: To lead guidelines/care path development
• Quality Coordinator: To gather the survey and outcome data, and use these data in education and CQI
• Financial Coordinator: To assess the financial implications of the guidelines/care path

• Common clinical outpatient and hospital diagnoses
• Prevalence of the illness in the city
• Scope of the illness in the population
• Interest in the illness by a maximum number of groups, including specialists, Ministry of Health officials, primary care workers, and patients
• Illness management: inefficiencies of care in the current structure
• Ability to receive and evaluate results of the new guidelines/pathway within the timeframe of the project

• Medical and surgical specialists
• Primary care physicians
• Nurses and/or feldshers
• Patients with the selected disease

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