Quality Management - Training and Outreach Department
INTRODUCTION
1. Functions and Duties
1.1. Position and functions:
The Quality Management - Training and Outreach Department is a functional department under the direct leadership of the Hospital Director. It advises and assists the Director in organizing, managing and implementing hospital quality management, practical training and provincial outreach activities in accordance with the regulations of the Ministry of Health.
1.2. Duties and powers:
- Develop outreach plans for lower-level facilities and submit them to the Hospital Director for approval and implementation.
- Monitor, follow up, inspect and evaluate the effectiveness of professional and technical activities at lower-level facilities.
- Coordinate with clinical specialties to provide continuing education for staff of lower-level facilities, while also conducting scientific research. Periodically review and draw lessons from outreach work, report to the Hospital Director and to higher authorities.
- Compile statistics and archive records in accordance with hospital regulations.
- Develop plans and activities for quality management in the hospital and submit them to the Director for approval.
- Implement, monitor, supervise, evaluate, report on, coordinate and support quality management activities and quality assurance and improvement projects in the departments.
- Serve as the focal point for establishing the error and incident management system, including detection, compilation, analysis, reporting and research, and proposing corrective solutions.
- Serve as the focal point for coordinating with departments to resolve petitions, complaints, denunciations and issues related to patient satisfaction.
- Collect, compile and analyze data, and manage and secure information related to hospital quality. Coordinate with the hospital's statistics and IT units to measure hospital quality indicators.
- Conduct or coordinate training and capacity building on quality management. Organize internal quality assessments of the hospital based on quality management criteria and standards issued or recognized by the Ministry of Health.
- Assess compliance with the professional regulations and guidelines of the Ministry of Health. Develop and implement the patient safety program.
- Perform other tasks assigned by the hospital's Board of Directors.
- Plan practical training for medical practicing licenses at the hospital and for pharmacy professional practice.
- Organize practical training for health sciences education.
- Advise on developing, supervising and maintaining the quality management system (QMS) to ensure that medicines and raw materials meet GMP, GLP and GSP standards.
- Advise on compliance with the core principles of the pharmaceutical quality system to comprehensively control the splitting or crushing of medicines that alters pharmacokinetics, with in-depth analysis of whether splitting tablets delivers an accurate dose.
- Analyze drug use in prescriptions and medical records. Survey antibiotic use within the hospital. Coordinate medical record and prescription reviews, scientific meetings and other activities evaluating rational and safe prescribing and drug use.
- Participate in evaluating the implementation of hospital quality criteria related to clinical pharmacy, medication safety and antibiotic stewardship; report to the Board of Directors and propose improvement solutions.
- Coordinate the inspection and supervision of professional procedures and guidelines related to drug use under the hospital's quality management plan.
- Perform other clinical pharmacy tasks assigned by the Board of Directors.
2. History
The Quality Management - Training and Outreach Department is a functional unit of Tra Vinh General Hospital, established and strengthened in successive stages to meet the need to improve the quality of medical examination and treatment and to advance professional development.
- The Quality Management – Social Work Department was established in 2018 under Decision No. 180A/QĐ-BVĐK.
- In 2024, under Decision No. 2555/QĐ-BVĐK, the Quality Management – Social Work Department was split into two independent units, the Quality Management Department and the Social Work Department, to improve the effectiveness of each field's functions and duties.
- In October 2025, under the Decision of the Vinh Long Provincial People's Committee defining the functions, duties, powers and organizational structure of Tra Vinh General Hospital under the Vinh Long Provincial Department of Health, the Quality Management Department was restructured and renamed the Quality Management – Training and Outreach Department, and was additionally assigned functions and duties in training and outreach.
3. Development Orientation
- Continue to maintain and raise the hospital's quality score; carry out quality management and improvement activities in a substantive and effective way suited to the hospital's actual conditions.
- Expand the use of information technology and digitize quality improvement planning, improvement projects, unit management regulations and procedures, and self-inspection, supervision and reporting in quality management.
- Proactively develop and diversify programs that anticipate the sector's health workforce training needs.
- Strengthen coordination with units inside and outside the hospital to organize practical training, technology transfer, professional support and outreach in line with training needs and the hospital's development direction.
- Create a working environment that is systematic, democratic, fair, friendly, and both materially and emotionally fulfilling.
TRAINING & RESEARCH
1. Training – outreach:
1.1. Training in cooperation with health sciences schools:
- Advise the Head of Department on activities related to training and outreach.
- Support staff in developing and implementing plans for: continuing medical education, training for practice certification; outreach and technology transfer (to lower-level facilities); scientific research; and periodic reviews of outreach work.
- Coordinate the monitoring and management of trainees from health sciences schools completing internships at the hospital:
- Coordinate with departments to plan the intake and practical teaching of students and postgraduate trainees.
- Brief students on: clinical internship regulations, epidemic prevention regulations, and infection control regulations.
- Update the number of students currently in internship (weekly) and the number of students that can be accepted under Decree 111 (monthly).
- Coordinate with relevant departments to arrange lecture halls for clinical teaching and learning.
- Monitor and review contracts signed with schools, and handle acceptance and contract liquidation upon completion.
- Manage students' examination papers submitted by departments (if any).
1.2. Continuing medical education:
- Develop the continuing medical education plan.
- Coordinate with departments to develop continuing medical education programs and materials and submit them to the Appraisal Council.
- Coordinate with departments to organize continuing medical education courses.
- Compile the forms of continuing medical education certificates and submit them to the Board of Directors for approval.
- Report continuing medical education results to the Provincial Department of Health.
- Update training procedures (if there are changes).
1.3. Training:
- Training for practice certification of doctors, assistant doctors, nurses, midwives, technicians and pharmacists:
- Participate in developing the annual practical training plan for medical examination and treatment and for pharmacy practice; publish it on the hospital website.
- Receive trainees, complete procedures (drafting contracts and decisions assigning practice supervisors) and monitor training for practice certification.
- Participate in developing continuing medical education programs and materials.
- Coordinate the organization and management of continuing education courses.
- Prepare practice certification documents for trainees.
- Receive, process and monitor training and technology transfer:
- Receive, process and monitor training and technology transfer.
- Coordinate with the General Planning Department to monitor technology transfer training.
- Issue practical training certificates/confirmations to trainees upon completion of the training program.
- In addition, the Quality Management – Training and Outreach Department performs other tasks assigned by the Board of Directors.
STAFF
Head of Department:
- Full name: Do Cong Thuong
- Qualification: Specialist Doctor Grade II (CKII)
- Position: Acting Head of the Quality Management - Training and Outreach Department.
Deputy Heads of Department:
1.Full name: Cu Bach Mi
+ Qualification: Master of Hospital Management
+ Position: Deputy Head of the Quality Management - Training and Outreach Department.
2.Full name: Ho Hai Nguyen
+ Qualification: Specialist Doctor Grade I (CKI)
+ Position: Deputy Head of the Quality Management - Training and Outreach Department.
3.Full name: Nguyen Thanh Hai
+ Qualification: Specialist Pharmacist Grade I (CKI)
+ Position: Deputy Head of the Quality Management - Training and Outreach Department.
Staff
Total staff: 3, including 01 specialist officer, 01 Bachelor of Public Health and 01 university-level pharmacist.