Description of Tairawhiti Healthcare Limited Quality Assurance Activity
1. Interpretation---In this Schedule, the term ``activity'' means the
Tairawhiti Healthcare Limited Quality Assurance Activity.
2. Sponsor---The activity is carried out under the auspices of
Tairawhiti Healthcare Limited, which is a hospital and health service.
3. Method---(1) The activity is based on information derived from
Tairawhiti Healthcare Limited.
(2) The activity involves---
(a) The examination of patients' records; and
(b) The analysis of the following data on patients:
(i) Admission and discharge; and
(ii) Morbidity; and
(iii) Mortality; and
(iv) Outcomes of treatment; and
(c) The identification and analysis of good and adverse outcomes; and
(d) The holding of peer review meetings; and
(e) The review of---
(i) Management of patients' care; and
(ii) Treatment decisions; and
(f) The monitoring of the performance of individual medical
(g) The making of recommendations on how the medical practitioners who
are engaging in the activity can improve their performance so as
(i) Improve the quality of care they provide; and
(ii) Reduce the incidence of adverse outcomes; and
(h) The facilitation and monitoring of the implementation of any such
(i) The review of incidents, which involves---
(i) The completing and filing of incident reports; and
(ii) The examination of the records of patients involved in
(iii) The identification, analysis, and review of adverse
outcomes of incidents; and
(iv) The preparation of documentation, and the gathering of
information, on incidents; and
(v) The holding of quality committee meetings on incidents;
(vi) The discussion, and documentation of the discussion, of
(vii) The comparison of the results of the analysis of
reported incidents with internal and external benchmarking
(viii) The internal or external review of incidents; and
(ix) The making of recommendations relating to incidents; and
(x) The facilitation and monitoring of the implementation of
any such recommendations; and
(xi) The preparation of documentation that summarises incident
reports and identifies trends showing up in them; and
(xii) The development of strategies to reduce the incidence of
reported adverse clinical events or outcomes in the provision of
hospital and health services; and
(xiii) The reporting to quality committees on the actions
taken under subparagraphs (i) to (xii).
4. Objective---As required by Part VI of the Medical Practitioners Act
1995, the objective of the activity is to improve the quality of care
provided by medical practitioners engaged in the activity.
Dated at Wellington this 20th day of October 1998.
Associate Minister of Health.