Core for Health Plan 3.2

CORE 5 - Inter-Departmental Coordination

Submited by: Tom Goddard

The Basics

This standard requires that the organization have mechanisms for interdepartmental coordination that weave QM, administrative and, where applicable, clinical functions. What this means to all employees is that you need to see yourself as working in a team with people from other departments, and be familiar with how communication among departments happens in your organization. Teamwork might happen via committees with representatives of multiple departments, or less formally through emails, impromptu meetings, or in-house newsletters. Just be ready, if asked, to describe how your or people in your department interface with people in other departments, in as many ways as possible.

Management Tips

The key management responsibility is to make sure the interdepartmental activity is clearly documented. For example, if you have an interdepartmental committee, make sure the department affiliations of the various members is reflected in the committee charter and committee meeting minutes.

Accreditation Tips

Desktop Review
At this phase, submit documentation of a recent inter-departmental meeting (often the quality committee), such as agenda, meeting minutes, and attendance roster. Make sure that the meeting attendees are identified by name, credentials, and affiliation or department so that the reviewers can see that the meeting was, in fact, interdepartmental.
Validation Review
The reviewer will interview staff members throughout the review to ensure that interdepartmental coordination is going on in a way that is meaningful to staff members.
Document Review
The reviewer will examine meeting minutes demonstrating interdepartmental coordination.