Strategic Report 01 Overview 02 03 04 An effective model of quality management is an inseparable part of the modern healthcare system. Evidence-based attitude, safety strategy and audit are crucial elements for driving quality improvement. Clinical risk management Hospital infections control and prevention: Clinical risk management is crucial part of our Quality Management Epidemiology (“ICP”) Programme. We are identifying the circumstances and opportunities We pay special attention to infections control and prevention at that put customers at risk of harm and acting to prevent or control hospitals. Our healthcare facilities host a large number of people every those risks to improve the quality and safety in our healthcare day and it is essential to protect our patients, visitors and personnel facilities. Clinical pathway audits, as well as case reviewing activities, from healthcare-associated infections. This area remains a priority take place in hospitals routinely, with the main focus being on and will be constantly monitored. In this regard, we closely cooperate mortality cases, malpractices, near-misses and claims. The quality with the representative office of the Centres for Disease Control and management department is also engaged in the planning and Prevention (“CDC”) in the South Caucasus region. ICP trained nurses designing stage of renovation projects of our healthcare facilities are attached to each hospital and, with the help of our epidemiologists, in terms of safety and infection control risks assessment. In 2018, supervise the hospital infections control and prevention activities. an occupational safety framework was developed. As part of this Our staff are also engaged in developing national ICP guidelines framework, a set of actions were taken, including hepatitis B and C and protocols. screening for our clinical staff network-wide and B hepatitis and influenza vaccinations. Implementation of EMR From the quality control perspective, it is important to have a proper Quality control and improvement medical record database. We have started to work towards a fully Based on the data collected at hospitals and clinical pathway audit integrated health information system that will help us manage our results, the Group plans quality improvement projects. Early sepsis customers more efficiently and deliver a better care to them. GHG management, community-acquired pneumonia management, rational will be the first healthcare company in the country to properly store antibiotic use and surgery care improvement project are the currently and manage patients’ full electronic medical histories. The EMR ongoing improvement projects. Future projects will be selected based system will include a platform to report quality measures and on the findings obtained by analysing the reported hospital data, indicators, which will further contribute to monitoring and improving reviewing medical cases and from clinical pathway audit results. the quality management process. More than 300 protocols were developed GHG clinical quality between 2016 and 2018 training courses In 2018, more than 30 training courses were dedicated to quality management including the topics of infectious control and prevention, TB prevention, root cause analysis and quality management. Around 30 training courses are planned for 2019. 23