Clinical Performance Improvement in Obstetrics and Gynecology: RTCOG

Abstract

There is little doubt but that a managed care organization can have an impact on the quality of care and service, the strength and ability to overcome illness The questions which need the answers are; where did we start, where are we at now, how did we get there, what did we achieve. In Thailand, the variety of accreditation and certification program, described quality improvement initiatives, are recently launched and intervened: IS09002 (International Organization for Standardization), Hospital Accreditation (HA), Quality Assurance (QA), and so on. Nevertheless, a common misperception persists: many people view health care quality as being determined exclusively by the provider. It is not. Providers increasingly must rely on support from the systems in which they operate in order to deliver excellent care and service. Clinical quality improvement (CRI) stresses outcomes and results. CQI addresses the actual medical needs of the clients (diagnosis, treatment and prevention) by the parameters of the effectiveness and appropriateness, as the cost-effectiveness.