500 Pastoral Services has a system of accountability which measures both the quantitative and qualitative aspect of its service. 511 The Pastoral Services staff is involved in continuous quality improvement efforts or activities in the organization. The hospital has planned, systematic, hospitalwide approach to process design and performance measurement, assessment, and improvement. These activities are collaborative and interdisciplinary. The hospital collects data on important processes or outcomes related to patient care and organization functions.
Directors continuously assess and improve their department's performance.
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