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GOOD HOSPITAL PRACTICE

GOOD HOSPITAL PRACTICE

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The QM manual for the entire hospital

4.2.10 QM annual report

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Goal and purpose

The management prepares an annual report from the data of the departments. The report should contain data of general interest that is helpful for orientation among the departments. The report can be linked to the internal audit.

An annual report is to be prepared for internal use and to inform the public.

The scope of reporting by the departments to the management should be defined. The reports must reflect the facts, be complete and comprehensible, but limited to what is necessary.

The reports should summarise the performance results across all professional groups. The management should summarise the reports and make them available internally - also as a working basis.

The requirements of the G-BA must be observed.

Application

Description of the process

Risks

Resources

Material

Time required

Documentation

Responsibility and qualification

Notes and comments

Applicable documents

Validation documents

Terms

Attachments

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