Quality Improvement Committee Meeting Form 💾 Save Data ❌ Cancel Name of Committee: Date: ATTENDANCE RECORD S.No Name Committee Designation Signature X 1 X 2 X 3 X 4 X 5 X 6 X 7 X 8 X 9 X 10 X 11 X 12 X 13 X 14 X 15 X 16 X 17 X 18 X 19 X 20 X 21 X 22 X + Add Member MINUTES OF MEETING COMMITTEE : Quality Improvement Committee MEETING NO. : DATE OF MEETING : 25-11-2025 TIME : No Agenda Discussion / Decision Responsibility Target Date Remarks X 1 Finalization of Committee Members Members of the Committee have been finalized as per list attached. Dr. Gunjan CompleteX 2 Finalization of Committee Scope & Frequency of Meeting Scope of Committee has been defined as document attached Dr. Gunjan CompleteX 3 NABH Process Training Staff trained on NABH process. All staff is aware about rights & responsibilities of their roles. Dr. Gunjan CompleteX 4 SOP, Policy & Manual of Clinic All policies/SOP, Manuals are revised; Training of concerned staff is completed. Dr. Gunjan CompleteX 5 Vision and Mission of Clinic All staff aware for it Dr. Gunjan CompleteX 6 Quality Indicator (Clinical) All quality indicators are within benchmark Dr. Gunjan CompleteX 7 TAT Of Outsource Services TAT maintained and monitored in Excel sheet Shubham CompleteX 8 Site-visits of Outsource Services Site-visits need to be done as per annual calendar and recorded as per format Dr. Harmi CompleteX 9 Recall/amendment of reports of Outsource Services Reviewed and monitored Dr. Harmi CompleteX 10 Organogram of Clinic and each staff having their Job responsibilities All staff aware for it Dr. Gunjan CompleteX 11 MOU / MOA, Agreement and Empanelment Review Brief MOU/MOA in standard format used for Outsource services / agency /Organization Dr. Gunjan CompleteX 12 NABH Assessment Details 28 NCs were addressed ,complied ,implemented with staff training Dr. Gunjan CompleteX 13 NABH Assessment Details 1 Re-Nc recived related to the x-ray usage in the clinic.it was addressed,complied,implemented with staff training Dr. Gunjan CompleteX 14 Calibration of Equipments Equipment list for calibration prepared (in-process) Dr. Renu CompleteX 15 International patients Declaration form for Int. Patients, Form-c details if require, Separate MRD storage, MOU with company details, Estimate in std. format Mr. Bhima CompleteX 16 Equipment wise file Each machines’ details prepared and reviewed in standard format Dr. Renu CompleteX 17 Quality Budget Reviewed and Finalized Dr. Gunjan CompleteX 18 Infection Control Budget Reviewed and Finalized Dr. Gunjan CompleteX 19 Previous Quality Meeting’s pending Tasks Reviewed Dr. Gunjan CompleteX 20 Quality of Dental Lab work Repeat work reported, proper instructions given to the lab technician Dr. Gunjan CompleteX 21 Quality Survey From Staff &/or Patients Dr. Gunjan CompleteX + Add Agenda Item Note: All members are requested to use Minutes of Meetings as a working document/checklist.