Healthcare Quality and Hospital Management

Healthcare Quality and Hospital Management

This course is designed for all healthcare professionals who are seeking in-depth view of Quality Management or who are preparing for the CPHQ examination. The course is modulated over two levels, to allow inter-session study and enhance the competency of healthcare professionals.

The body of knowledge for this course will lead to preparation for “CERTIFIED PROFESSIONAL IN HEALTHCARE QUALITY (CPHQ)” – a program administered by the National Association for Healthcare Quality, USA.


It covers areas critical to professional and leadership development including:

  • Quality Management
  • Case Management Utilization and Risk Management
  • Quality Improvement
  • Patient Safety at All Levels


Learning Objectives:

At the conclusion of this course, participants should be able to:

  • Develop professional standards and improve the practice of quality.
  • Describe of high quality hospital services and community health care.
  • Promote awareness among functionaries involved in Health and Hospital Management.
  • Update the knowledge and skill of the Health & Hospital Administrators and other personnel involved in the management of health care organization through continuous education.


Who Should Attend?

  • CEO’s
  • Quality Directors, Managers, Officers and Coordinators
  • Medical and Nursing Directors, Managers and Seniors Nurses
  • Accreditation and Certification Managers
  • Healthcare Administrators and Managers
  • Risk Managers and Case Managers



Content Outline:
  • Introduction to Healthcare Quality
  • International Patient Safety Goals
  • System Thinking
  • Quality Structure
  • Patient Safety
  • Culture of Safety
  • Root Cause Analysis
  • Risk Management Program
  • Failure Mode and Effect Analysis
  • Infection Control, Risk Management & Management
  • Credentialing, Privileging and Competency Assessment
  • Joint Commission International Standards on Credentialing, Privileging and Competency Assessment



Content Outline:
  • Staff Health and Safety Program
  • Development of Quality Program
  • Development of Priority Areas
  • Selection of Measures
  • Development of Monitoring Tools
  • Development of Review Mechanism
  • Identifying Improvement Opportunities
  • Utilization Management
  • Transition of Care
  • Disease Management and Demand Management
  • Introduction to Healthcare Improvement
  • Testing and Measuring Changes with PDSA Cycles
  • Information Management: Medical Record Management
  • Medical Records – Significant Components, Medical Record Review
  • Interpreting Data, Run Charts, Control Charts, and Other Tools
  • Healthcare Leadership
  • Accreditation Leadership
  • Governance, Leadership and Direction (GLD) Chapter from Joint Commission International Accreditation Standards



The assessment in this course is divided into the following components:

  • During the contact period, assessment will be based on individual and group assignments and presentations, contributions based on interactions.
  • Participation in LIVE Polls
  • Pre and Post Surveys
  • End of Session Assessment – Online


For satisfactory completion of the course requirements, participants have to attain at least 50 % scores in above mentioned assessment components.


Mode of teaching:

The course is highly participatory, offered through interactive plenaries, individual presentations, group case-based learning and presentations, other small group activities including role play.