The majority of the funcions of the departmental quality assurance has be absorbed into the various performance improvement teams. It is also represented on the Performance Improvement Committee which is the oversight committee for all hospital quality endeavors. These representative, not only participate in the work of the teams but report back monthly to department during monthly departmental meetings. A copy of the University of Louisville Hospital Qualtiy Improvement Plan follows the Quality Management section. At least annually, the Quality Irnprovement Program will be evaluated and revised as necessary.
Competence is a human decision.
The best indication of competence is outcome. Humans are inherently fallible. Measured by certain minimal acceptable levels. Judgments about competency are based on errors made. The department will make the final decision in all instances.