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Quality and Patient Safety (QPS)

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Quality Management

About Us

Quality Management (QM) division programs support the ongoing assessment and improvement of healthcare outcomes and healthcare delivery processes. Our program offices help ensure we are hiring the right providers, identifying evidence-based practices, screening for deviations from standards of care, and keeping our facilities in a continuous state of readiness and compliance with industry standards.

QM includes the following programs:

Center for Improvement Coordination
engages with networks, facilities, and program partners to support effective use of analytics, quality improvement and learning to strengthen care delivery for Veterans.
Clinical Risk Management (CRM)
oversees VHA's Clinical Risk Management Program, consisting of Risk Managers employed at every VA medical facility across the country. CRM's areas of responsibility in VA medical facilities include oversight of peer review for quality management, tort claim filings, and disclosure of adverse events (institutional disclosure). Additionally, CRM provides policy guidance on issues related to preventing malpractice and reducing harm to the patient or organization.
Evidence-Based Practice
works to improve the overall health of Veterans and those who use DoD health care facilities by increasing the adoption of evidence-based practices throughout the VA and DoD health care systems.
External Accreditation
ensures sustained compliance with accepted industry standards for healthcare operations and quality through the management and oversight of VHA national contracts for Rehabilitation Program Accreditation, Healthcare Accreditation, and Healthcare Accreditation Continuous Readiness.
VHA's Journey to High Reliability
represents a long-term commitment to both Veterans and the VHA workforce to keep harm prevention and process improvement at the forefront at all times. A High Reliability Organization (HRO) is an organization that experiences fewer than anticipated accidents or errors, despite operating in a highly complex or high-risk environment. Since formally launching the VHA High Reliability Journey in 2019, VHA remains committed to integrating HRO Principles and practices within the fabric of VHA operations and culture to provide world-class care for Veterans.
Medical and Legal Affairs
coordinates the review and reporting of clinical malpractice in VA medical facilities in response to the Health Care Quality Improvement Act of 1986.
Medical Staff Affairs
has policy oversight for credentialing and privileging of health care providers, reporting to state licensing boards, reporting to the National Practitioner Data Bank. The office is also responsible for the maintenance of the national electronic credentialing system
Systems Redesign and Improvement
supports VHA's journey to become a High Reliability Organization by promoting a culture of continuous process improvement and providing the tools, principles and education to improve health care delivery. This is achieved through national improvement initiatives and offerings, such as team-based Improvement Collaboratives, Improvement Advisor and Inpatient Flow Academies, Lean Training Programs, and Patient Flow Support and Consultation.