Quality Improvement Department staff
Donna Holgui, RN, MSN
Quality Improvement.Health and Safety Director
Phone: 545-6541
Fax: 545-7549
Donna.Holguin@ttuhsc.edu
Quality Improvement/Performance Improvement Committee
Hector O. Pacheco, M.D.Performance Improvement Committee Chairman
Hector.Pacheco@ttuhsc.edu
The purpose of the Quality Improvement Committee is to 1) Assess the quality of patient care rendered within TTUHSC at El Paso School of Medicine and its Ambulatory Clinics; 2) Identify and assess the cause and scope of problems or concerns in the care of patients at TTUHSC at El Paso School of Medicine and its Ambulatory Clinics; 3) Determine the priorities for investigation and the resolution of problems based on the potential for adverse impact on patient care; 4) Implement decisions designed to alleviate any identified problems or concerns; 5) Implement activities designed to monitor the effectiveness of recommended actions; 6) Appropriately document the effectiveness of the overall program to enhance patient care; 7) Make recommendations to the Clinic Operations Committee or other committees or groups regarding policy, procedure or curative actions related to all quality assessment programs at TTUHSC at El Paso.
THIS COMMITTEE MEETS MONTHLY; ISSUES FOR CONSIDERATION BY THE COMMITTEE MAY BE BROUGHT TO THE ATTENTION OF ANY COMMITTEE MEMBER.
Clinic Operations Committee
Carlos Antonio Jesurun, M.D., M.M.M.
Clinic Operations Committee Chairman
Antonio.Jesurun@ttuhsc.edu
The purpose of the Clinic Operations Committee is to 1) Receive activity reports from committees and implement changes when appropriate or recommend changes to the MPIP Policy Committee; 2) Develop patient care policies for the Ambulatory Clinics that are consistent with the current standards of practice and accreditation requirements; 3) Review matters relating to legal and professional conduct of the TTUHSC at El Paso School of Medicine, its Ambulatory Clinics and support staff and make recommendations as appropriate; 4) Develop and monitor referral protocols; 5) Monitor Quality Assessment and Improvement, Infection Control and Management Program; 6) Recommend appropriate actions and resolutions of identified problems within the Ambulatory Clinics; 7)Perform such other duties as requested by the Regional Dean.
THIS COMMITTEE MEETS MONTHLY; ISSUES FOR CONSIDERATION BY THE COMMITTEE MAY BE BROUGHT TO THE ATTENTION OF ANY COMMITTEE MEMBER.