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. When indicated, a plan of correction will be formulated and implemented. All correction plans will be evaluated for effectiveness using methodology described in Chapter 4.