Governance
and Licensing Areas

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Afaq Alhawkamah
Healthcare Governance

Healthcare Governance

Policy And Procedure Development

Development And Implementation: Policies And Procedures Are Developed By Multi-disciplinary Teams That Include Subject-matter Experts In Medicine, Nursing, Quality Management And Law. Such Policies Must Be Approved By The Senior Management Of The Healthcare Organization And Implemented Through Training Programs And Workshops.
Examples: Infection Control Policies, Pain Management Policies, And Emergency Procedures.

Monitoring And Review

Internal Monitoring: This Includes Internal Monitoring Teams That Conduct Periodical Performance Reviews To Ensure Compliance With Policies And Procedures.
External Monitoring: This Involves Audits Conducted By Independent Regulatory Bodies Such As The Ministry Of Health Or International Accreditation Bodies.
Reporting: The Development Of Periodic Reports That Present The Monitoring And Review Results And Recommendations For Improvement.

Risk Management

Identification And Assessment: We Use Risk Analysis Tools Such As Root Cause Analysis And Risk Impact Assessment.
Risk Management: We Develop Risk Response Plans Including Preventive And Corrective Actions.

Transparency And Accountability

Public Reporting: Sharing The Performance And Quality Reports With The Public To Promote Transparency.
Investigation And Accountability: We Form Independent Inspection Committees To Investigate Complaints And Medical Errors And Hold Perpetrators Accountable.

Licensing And Approvals

Licensing And Approvals

Individual Licenses

Licensing Requirements: These Include Holding Recognized Academic Qualifications, Passing National Licensing Tests, And Completing A Certain Number Of Continuous Education Hours.
Renewal: Licenses Must Be Periodically Renewed Subject To Meeting Specific Requirements Such As Continuous Training And Periodic Assessments.

Healthcare Facility Licensing

Licensing Requirements: These Include Meeting Construction And Safety Standards, Provision Of The Necessary Medical Equipment, And Employment Of Qualified Personnel.
Inspections: The Regulatory Bodies Will Conduct Periodic Inspection Visits To Ensure Compliance With Standards.

Accreditations

Standards: Accreditation Bodies Such As The Joint Commission International (JCI) Rely On A Comprehensive Set Of Standards Covering Quality, Safety, And Management.
Evaluation: Professional Audit Teams Will Conduct Comprehensive Evaluation Visits That Include Interviews With Employees, Document Reviews, And Facility Inspection.

Education And Training

Education And Training

Continuing Education

Education Programs: We Provide Training Courses And Workshops Based On The Latest Medical Research And Practices.
Evaluation: We Evaluate The Effectiveness Of Education Programs Through Tests And Questionnaires Directed To Trainees.

Employee Training

Initial Training: We Deliver Comprehensive Training Programs For New Employees That Cover Theories And Practical Aspects.
Periodic Training: We Conduct Periodic Training Courses For Existing Employees To Maintain High Levels Of Efficiency And Knowledge.

Quality And Safety

Quality And Safety

Quality Improvement

Improvement Tools: We Use Tools Such As Process Analysis And Gap Analysis To Identify Areas For Improvement.
Quality Initiatives: We Implement Quality Initiatives Such As Six Sigma And Lean To Improve Process Efficiency And Reduce Errors.

Safety

Safety Policies: We Develop Policies And Procedures To Protect Patients And Staff Against Risks.
Safety Training: We Provide Specialized Training Courses On Safety Management And Emergency Response.

Technology And Information

Technology And Information

Healthcare Data Management

Confidentiality And Privacy: We Apply Policies And Procedures That Protect The Confidentiality And Privacy Of Healthcare Information In Accordance With The Local And International Laws.
Healthcare Records Management: We Use Electronic Healthcare Records Management Systems To Improve The Accuracy And Efficiency Of Healthcare Information Management.

Healthcare Information Systems

Technology Application: We Utilize Healthcare Information Systems To Improve The Quality Of Care. This Includes Medical-decision Support Systems And Patient Management Systems.
Cybersecurity: We Apply Measures That Protect Healthcare Data From Hacks And Cyber Threats.

Examples Of Governance And Licensing Bodies

The Saudi Commission For Health Specialties: The SCFHS Specializes In Regulating And Developing Healthcare Professional Education And Training In Saudi Arabia.
The Joint Commission: The Joint Commission Is A United States-based Nonprofit Organization That Accredits Healthcare Organizations And Hospitals, Based On Quality And Safety Standards.