GLD Providing excellent patient care requires effective leadership. This comes from leaders, clinical and managerial leaders and others who hold positions of leadership, responsibility and trust. These leaders identify the organization’s Mission and make sure that the resources needed to fulfill this mission are available. Leaders must work together well to coordinate and integrate all the organization’s activities, including those designed to improve patient care and clinical services. 1. Question: What is the mission statement of our hospital? Answer: “To serve the healthcare needs of the region by giving comprehensive care to prevent and treat illness. To provide advanced procedures and modern technology combined with the traditions of caring and compassion”. 2. Question: What is the vision statement of our hospital? Answer: “To be the healthcare leaders in the Gulf Region”. 3. Question: What are the Core Values of our hospital? Answer: Core Values are: 1. Excellence 2. Quality 3. Patient Rights 4. Team work 5. Safety & Environment 6. Clinical competence 4. Question: What is your organizational structure in managing your hospital? Answer: We have the organizational planning structure that is responsible for the operations of our hospital. We have three governance bodies that will oversee, coordinate and integrate the activities of our hospital namely: the Hospital Management Committee, the Medical Executive Committee and the Higher Executive Committee. 5. Question: What are the role of these three committees; 1. Hospital Management Committee 2. Medical Executive Committee 3. Higher Executive Committee Answer: Each committees’ has their duties and responsibilities and it is stipulated and summarizes in the terms of references, policy and procedures as stated; 1. Hospital Management Committee: Works collaboratively to carry out the organization’s mission and ensure that policies and procedures are followed. 2. Medical Executive Committee: Plans, determines and approves for the type of clinical services required to meet the needs of the patients served by the organization. 3. Higher Executive Committee: Approved (or defines approval authority when delegated) the major policies and strategic plans to operate the hospitals and ensure it is fully implemented. 6. Question: How do you deal with your outsourced contract? Answer: We have a policy guidelines in dealing with outsourced contract (GLD 07-Outsource Contracts Policy Guidelines) which is a service agreement between our hospital and company provider and it entails the tracking down the process on how and what criteria to be followed thus the end result is quality service to our patients. 7. Question: Do you have a guidelines that govern the policy and procedure formation in your hospital? Answer: We have a policy for formulation of general policies and procedures (GLD 008Formulation of General Policies and Procedures) which explain the whole process of the policy formation in our hospital. 8. Question: What are the duration of the revision and expiration of your policies? Answer: Policy revision is every 3 years. 9. Question: Hospital Committees that are responsible for addressing issues which pertains patient’s concern, quality and safety? Answer: We have different committees’ in our hospital and has their own terms of references to carry out their work responsibilities; 1.Drug Utilization Committee 2.Pharmacy and Therapeutic Committee 3.Medical Records Committee 4.Infection Control Committee 5.Credentialing and Privileging Committee 6. Pain Management Committee 7. Laser Safety Committee 8. Blood Utilization Committee 9. Operating Room Users Committee 10.Ethics Committee 11. Quality and Patient Safety Council 12.Outpatient Committee 13. CPR Committee 10. Question: Who is the overall person that is managing the operations in your hospital? Answer: The Chief Executive Officer (CEO). He has specific job responsibilities to govern the institutions. 11. Question: Who is responsible in addressing patient complaints? Answer: Under GLD 021 – Terms of Reference: Ethics Committee 12. Question: Do you have a Patient Bill of Rights? Answer: Yes, we have. We usually provide the patient’s bill of rights and responsibilities prior to their admission and it is also available in their respective rooms.