Our Quality Policy

Our Quality Policy:

• Our hospital continues its operations in full compliance with national and international quality standards.
• To provide quality healthcare services integrated with the modern technology required by contemporary medicine.
• To offer high-quality services in line with national and international patient safety goals.
• To contribute to studies that protect and improve public health.
• To ensure the satisfaction of patients, patients' relatives, and employees, and to continuously enhance their training and education.
• To ensure optimum financial performance.
• To maintain strict adherence to the requirements of the Quality Management System and continuously increase its effectiveness.
• To ensure continuous development and sustainability.

Our Duties as the Quality Unit

• To ensure the coordination of departmental operations within the framework of national and international standards.
• To evaluate the analysis results conducted by departments regarding their specific objectives.
• To manage and oversee self-assessments.
• To evaluate the results of patient and employee satisfaction surveys.
• To protect the Rights and Responsibilities of patients and their relatives.
• To determine committees within the framework of national and international standards, to maintain committee operations, and to ensure their rigorous follow-up.

Our Information Security Management System Policy

Our primary objective is to secure our information assets and to instill and maintain absolute trust among the institutions, organizations, and patients/patients' relatives we serve.

In this context, our relationships with patients/patients' relatives, official institutions, and suppliers with whom we cooperate are highly valuable. The continuity of the services we provide, the confidentiality of the information we hold, and the integrity of the information assets belonging to our clients or our internal organization are of paramount importance.

Core Principles of Our Information Security Policy

• Ensuring the complete security of all information assets belonging to our patients/patients' relatives, staff, suppliers, and solution partners.
• Identifying potential risks to information assets and establishing a robust risk management system utilizing methods such as risk acceptance, risk avoidance, risk mitigation, risk control, and risk transfer.
• Meeting all statutory obligations, security clauses in contracts, and corporate requirements, thereby preventing any damages that may arise from the inappropriate use of information.
• Protecting corporate information against all internal or external, intentional or unintentional threats.
• Protecting the confidentiality of information against unauthorized access that could disrupt data integrity.
• Ensuring business continuity and minimizing potential losses.
• Striving for continuous improvement and seamlessly adapting to evolving information assets and their developing storage, transmission, and usage environments.
• Ensuring the sustainability of all efforts related to Information Security and continuously developing them towards excellence.
• We commit to keeping our policy fully transparent and accessible to all our employees and the general public.

Our Quality Organizational Structure

Vertical and Horizontal Coordination & Integration Points:

The structure of our Quality Organization is clearly delineated in the "Quality Management Director Organizational Chart." At the highest tier sits the Chief Physician & Responsible Manager. Below them, a Deputy Chief Physician acts by proxy when necessary, and the Quality Management Director operates directly underneath this vertical line. The Quality Management Director works directly with the Quality Unit Supervisors.

Committees Affiliated with the Quality Management System:

• Patient Safety Committee
• Patient Rights Committee (Patient Suggestions and Complaints)
• Occupational Health and Safety Committee
• Education Committee
• Facility Safety Committee
• Transfusion Committee
• Infection Control and Prevention Committee
• Risk Management Committee
• Radiation Safety Committee
• Baby-Friendly Hospital Committee

Teams Affiliated with the Quality Unit:

• Code Blue Team (Medical Emergency Response)
• Code White Team (Staff Safety & Workplace Violence Response)
• Code Pink Team (Child/Infant Security Response)
• Nutritional Support Team
• Code Red Management Team – Emergency and Disaster Management (HAP)
• Code Orange Team (Hazardous Material Response)
• Building Tour Team (Affiliated with the Facility Safety Committee)
• Medication Management Team
• Self-Assessment Team
• Emergency Referral Evaluation Team
• Monitoring of Indicators (Clinical and Corporate Indicators) – Conducted in collaboration with Quality Unit Supervisors
• Adverse Event Reporting System – Conducted in collaboration with Quality Unit Supervisors

Departmental Quality Representatives:

Composed of personnel working at supervisory levels who represent each distinct department.

Our Corporate Services

• Corporate Structure
• Quality Management
• Document Management
• Risk Management
• Safety Reporting System (Adverse Event Reporting)
• Emergency and Disaster Management
• Training Management
• Social Responsibility

Patient and Employee-Oriented Services:

• Patient Experience
• Access to Services
• End-of-Life Services (Palliative Care)
• Healthy Working Life

Healthcare Services:

• Patient Care
• Medication Management
• Infection Prevention
• Cleaning, Disinfection, and Sterilization Services
• Transfusion Services
• Radiation Safety
• Emergency Department
• Operating Theater
• Intensive Care Unit (ICU)
• Neonatal Intensive Care Unit (NICU)
• Maternity Services
• Biochemistry Laboratory
• Physical Medicine and Rehabilitation Services

Support Services:

• Facility Management
• Hospitality and Housekeeping Services
• Information Management
• Material and Device Management
• Medical Records and Archiving Unit
• Waste Management
• Outsourcing / External Resource Utilization

Indicator Management:

• Department-Based Indicators
• Clinical Indicators

Responsibilities and Relationships:

The supervisors of each unit are vertically designated by their respective executive management and submitted for the evaluation of the Quality Management Director. Upon the favorable endorsement of the Hospital Administrator, the appointments are officially served to the designated individuals. Assignments may be revised and new appointments may be made based on corporate requirements.

Operational Processes of the Organization:

Individuals within the quality organizational structure convene, evaluate, and make decisions in strict compliance with the "Departmental Quality Representative Job Description" and "Unit Quality Objectives." Quality representatives gather at least once every three months to share, discuss, and resolve issues concerning Quality processes.

Last Updated: April 21, 2024