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What are the applications for ISO 9001 in Healthcare

How can ISO 9001 be applied to Healthcare?  [PDF VERSION]

Definition of ISO:

  • ISO means “all sides being equal”. To date, more than ½ a million organizations in 149 countries have implemented the ISO Standards.
  • ISO 9001 is a fundamental quality management system standard that requires an organization to identify, define, document, implement (follow), monitor/measure, and continually improve the effectiveness of its processes. It is a self-directed system that requires the organization to identify and address all imposed requirements; as well as improve its organizational performance by modifying systemic issues (e.g. those traditionally associated with the “hand-offs”).

Application of ISO in Healthcare:

Using the ISO Family of Standards, the organization can establish a comprehensive Quality / Business Management System which:

  • Provides a solid basis for compliance with all imposed requirements (e.g., JCAHO, AABB, Federal & State regulations).
  • Makes all other certification & accreditation processes easier and less costly.
  • Facilitates improved understanding of roles & responsibilities among employees; and enhanced communication/coordination between departments.
  • Requires the establishment of measurable improvement objectives and accountability to those objectives through monitoring/measuring and reporting.
  • Results in improved systems, processes, and outcomes.

Structure of the ISO 9001 Standard:

The ISO 9001 Standard is comprised of 8 Clauses. The 1st 3 are introductory in nature. The subsequent 5 clauses include the requirements the organization must address. They are:

  • Clause 4 – Quality Management System
    • Process Management, Documentation Requirements, Records Control
  • Clause 5 – Management Responsibility
    • Customer/Patient Focus, Policy, Objectives, Planning, Responsibility & Authority
  • Clause 6 – Resource Management
    • Human Resources, Infrastructure, Work Environment
  • Clause 7 – Product / Service Realization
    • Planning of New Products & Services, Customer Interface/ Communication, Design, Purchasing/Supplier Management, Production/ Service Operations, Calibration
  • Clause 8 – Measurement, Analysis, and Improvement
    • Internal Audits, Customer/Patient Satisfaction, Monitoring/Measurement of Products/Services and Processes, Handling Nonconformances, Corrective & Preventive Action, Continual Improvement

Process / Methodology

While the standard does not prescribe the approach or methodology to be utilized by an organization, the following is recommended.

  1. Obtain Management commitment to support, understanding, involvement, provision of resources
  2. Educate Management & Staff about the ISO 9001 Standard, Scope of Work, Organizational impact
  3. Define Key Improvement Objectives (*see next page)
  4. Identify and Map Organizational Processes, key as well as support. Address all imposed requirements. (*see next page Sample Process Interaction Diagram)
  5. Develop the organization’s Quality Policy and Quality Manual (*see next page, Sample Quality Policy)
  6. Establish approach to document control and access.
  7. Develop, review/revise, and incorporate all required support documentation (e.g. Department Policies/Procedures, forms).
  8. Educate Staff on QMS documentation
  9. Establish and implement monitoring/measurement for each process
  10. Train internal auditors. Implement an Internal Audit Process.
  11. Conduct a Management Review of the QMS.
  12. Undergo a Pre-Assessment or “Mock Survey” to assess system implementation, readiness
  13. Make required corrections
  14. Submit Document Review to Registrar (Quality Manual, Processes)
  15. Undergo the Certification Audit

Sample Key Improvement Objectives

  • Improve Patient Satisfaction
    • Goal: Improve to 70th Percentile
    • Department Goal: Reduce Wait time for Outpatient Registration to < 4 minutes
  • Improve Patient Safety
    • Goal: Reduce Medication Error Rate to < .3%
    • Goal: Reduce fall rate to < 2.6 per 1,000 patient days

    Note: Organizational/Hospital-wide objectives are then translated to related departmental, process, individual goals/objectives

Sample Process Interaction Diagram

Sample Quality Policy

We will strive to be the leading provider of healthcare services in Southern Ohio. We will accomplish this through

  • Consistent compliance with all imposed requirements;
  • Our focus on Patient Safety and Satisfaction; and
  • Continual improvement of our products, services, and processes.

 

"Our success is measured by the success of our clients."

100% first-time success in Initial Registration Audits, many with zero nonconformities.

Innovative Quality Solutions Company is a full service training and consulting firm focused on total customer satisfaction, performance improvement and achievement of organizational objectives.  Innovative Quality Solutions provides all aspects of support to organizations seeking certification and compliance to the ISO 9001, ISO 14001, AS 9100 and ISO/TS 16949 (TS 16949) Standards.  Since 1995, the firm has lead more than 250 organizations to successful first time certification/registration.

Innovative Quality Solutions is located in Cleveland and Columbus.  Paula Fyda, President may be contacted at 330.725.9927 or email: paulaf@iqsconsulting.net

 

 

Point of Contact

Paula Sabo Fyda
President
Ph: 330-725-9927
Em: paulaf@iqsconsulting.net

Frequently Asked Questions

Our Approach

  • Customized Implementation Plan
  • Straight-forward and effective business system development, documentation and implementation
  • Comprehensive Service, including Planning, Training and Consulting
  • Project Management, Documentation Development, and Auditing
  • Focus on Continual Performance Improvements
  • Program Management by single consultant with organizational support
  • Commitment to Total Customer Satisfaction
  • Streamlined, effective Business Management System
 

ISO 9001 Healthcare  | ISO 14001 | ISO/TS 16949 | AS9100 | ISO 9001 Consulting