Basic Orientation on:

QUALITY MANAGEMENT SYSTEM OF DR. JOSE N.

RODRIGUEZ MEMORIAL HOSPITAL AND SANITARIUM

JOSEPH ALVIN B. REPOTENTE

Nurse III
Strategy and Quality Management Office
COURSE OBJECTIVES:

At the end of this orientation, the participants will be able to:

1. Define quality management system;
2. Discuss continuing quality improvement;
3. Demonstrate the application of PDCA approach and process approach in
area/s of work assignment.
4. Conform to the duties and responsibilities as employees of this Hospital in
the implementation of Quality Management System.
OVERVIEW OF QUALITY MANAGEMENT SYSTEM
 OVERVIEW

Legal Basis
Section 1. Institutionalization of Quality
Management Systems in Government
“…All departments and agencies of the Executive
branch…are hereby directed to adopt the ISO
9001:2000 Quality Management Systems as part of
the implementation of a government-wide quality
management program. The quality management
systems shall be certified for demonstrated
conformity with ISO 9001:2000…”
Mandated under Executive Order No. 605
s. 2007, Institutionalizing the Structure,
Mechanisms and Standards to Implement
the Government Quality Management
Program, amending for the purpose
Administrative Order No. 161 s. 2006
 OVERVIEW

Legal Basis

Pursuant to FOURmula One Plus for

Health as directed by AO No. 2018-0014
 DEFINITION

ISO: International Organization for Standardization

ISO is a worldwide federation of national standards
bodies. 2015 : Year/ Edition / Version of the ISO standard

ISO 9001:2015
9001 : International Standard for Quality Management System
To date there are more than 15,000 standards published.
Examples:
• ISO 9001 – Quality Management Systems
• ISO 14000 – Environmental Management Systems
• ISO 22000 – Food Safety and Management Systems
• ISO 27000 – Information Security Management Systems
• and many more
 QUALITY

distinguishing feature
Definition
quality
: degree to which a set of inherent characteristics
of an object fulfils requirements

entity need or expectation that is

item stated, generally implied, or
anything perceivable obligatory.
or conceivable
Example: Product, Service,
Process, Person, Organization,
System, Resource
 MANAGEMENT

Definition
management
: coordinated activities to direct and control an
organization

Management can include establishing policies and objectives,

and processes to achieve these objectives.
 SYSTEM

Definition
system
: set of interrelated or interacting elements
 MANAGEMENT SYSTEM

Definition
management system
: Set of interrelated or interacting elements of an
organization to establish policies and objectives,
and processes to achieve those objectives.
 QUALITY MANAGEMENT

Definition
quality management
: management with regard to quality

Quality management can include establishing quality policies

and quality objectives, and processes to achieve this quality
objective through quality planning, quality assurance, quality
control, and quality improvement.
 QUALITY MANAGEMENT SYSTEM

Definition
quality management system
: set of interrelated or interacting elements of an
organization, to establish quality policies, quality
objectives and processes and to achieve those
quality objectives.
QUALITY MANAGEMENT SYSTEM OF DR. JOSE N. RODRIGUEZ
MEMORIAL HOSPITAL AND SANITARIUM

4th & 5th

Surveillance 6th Surveillance
Certification to Audit; Audit with
ISO 9001:2008 Transition for Reassessment
Certification and was Re- 1st & 2nd
1st Surveillance to certified to Surveillance
Audit ISO 9001:2015 ISO 9001:2015 Audits

2014 2015 2016 2017 2018 2019 2020

Start of QMS 2nd & 3rd 3rd, 4th &

journey Surveillance 5th
Audits Surveillance
Audits
WHAT ARE THE PURPOSE OF THE QMS OF THIS HOSPITAL?

Q Ensure (and enhance) client

satisfaction

M
Become more effective, efficient,
and responsive in health service PURSUE CONTINUAL
delivery IMPROVEMENT

S
Provide an operational framework
for continuing quality
improvement
BASIC ILLUSTRATION…

Quality
Customer
Health
Satisfaction
Service
Quality Management
System
WHO BENEFITS IN THE QMS OF THIS HOSPITAL?

• CLIENTS

• EMPLOYEES

• MANAGEMENT

• ORGANIZATION
 QMS APPROACH: PROCESS APPROACH

PROCESS
INPUT (Set of interrelated or OUTPUT
interacting activities)

- Objectives/ Targets
Result of the process:
- - Service delivery
Policies and Procedures
- - Attainment of targets/ objectives
Manpower
- - Client satisfaction
Money
- Infrastructure
- Needs and Expectations of
Interested Parties
QMS APPROACH: RISK MANAGEMENT

Strategic Goals and

Objectives

OPPORTUNITIES

RISK
MANAGEMENT

RISKS
QMS APPROACH: RISK MANAGEMENT

• To determine factors that could affect the

results of the processes in deviating from the
planned results.
• To place controls in order to prevent
negative effects or occurrence.
• To maximize opportunities.
QMS APPROACH: PDCA CYLE

The use of P-D-C-A Cycle enables this Hospital

to ensure that its processes are adequately
resourced and managed, and that opportunities
for improvement are determined and acted on.
APPLICATION OF PDCA CYCLE TO PRACTICE…

Establish/ determine the objectives and processes necessary

to deliver results in accordance with customer requirements
and the organization’s policies (refer to OPCR/ DPCR/SPCR)

Implement the processes/ procedures as it is planned (refer

to your Manual of Operations, SOPs, SOIs, etc.)

Monitor & measure processes and product against policies,

objectives and requirements for the product or service and
report the results (Accomplishment/ attainment of targets/
monthly reports)

Take actions to continually improve process performance

(Request for Actions – RFAs; Opportunities for Improvement –
OFIs)
What can you contribute for the success of
QMS of this Hospital?

is the key on success of

implementing quality
management system.

rv e…
Obs mmunicate…
e
Co ti a te … …
Ini ticip a te
P a r
What are the implications with non-
compliance to QMS requirements?

• Regulatory noncompliance
• Delays on delivery of services
• Rejected products or services
• Repeat issuance of product or services
• Additional operational costs
• Dissatisfaction from clients
• Potential complaints
• Penalties
QUESTIONS?
THANK YOU!