Head of Department: Doctor Haleh Matin Rokh

Direct Telephone Line: 29121193

Location: Adjoined Building

Quality Improvement & Accreditation Services:

– Compile a 3-year Strategic curriculum

– Review annual strategic curriculum

– Comprehensive plan for hospital accreditation system establishment

– Monitor the progress of the hospital accreditation System

– Compile & develop hospital indicators

– Monitor the Indicators based on the accreditation Standards

– Implement quality management System

– monitor Medical Committee regularly

– Monitor Standard Compilation & development process

– Control & monitor review process, Control documentation & prevent Publication of obsolete documents

– Supervise the procurement process of hospital forms based on accreditation measures approved by health Information            Management Committee

– Prepare Statistical manual of measured indexes monthly

– Conduct internal audits every three months