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Integrated Management System

In a constant endeavour to improve quality of medical services, the hospital has developed modern ISO based management methods. Management system implementation was a complex process, involving great commitment on the part of the entire hospital staff. The headquarters of the hospital decided to implement a system that would embrace all units, wards, departments and other divisions. It was resolved that the following standards should be included in the Integrated Management System:

System implementation preparatory stage comprised:

  1. appointment of a representative for the IMS and process leaders,
  2. establishment of the Hospital’s Quality Policy, Environmental Policy and Mission,
  3. formulation of quality and environmental objectives,
  4. formulation of the Hospital’s main activities,
  5. development of system and operating documents

Hospital’s Mission and Policy

ISO 9001:2000 and ISO 14001:2004 certification audit was conducted from 27 to 29 March 2006 by an external global independent certification company DEKRA Intertek Certification Sp. z o.o. based in Wroclaw. Following the audit, the hospital was granted certificates. On 20 and 21 April 2006, an AQAP 2110:2003 certification audit was carried out by the Quality Systems and Management Company of the Ministry of National Defence based in Warsaw, resulting in the hospital being awarded the compliance certificate. To renew all the three certificates, a recertification audit of the management systems was conducted at the hospital on 22 and 23 March 2012 to verify their compliance with ISO 9001:2008, ISO 14001:2004 and AQAP 2110:2009 standards by a Warsaw based external auditor “Quality Systems and Management”, Ministry of National Defence. As a result of the audit, the hospital was awarded certificates for subsequent 3 years. At the same time an Occupational Safety and Health certification audit was carried out to verify compliance with PN-N-18001:2004 standard.

Following a request made on 23/04/2004, a NATO Commercial and Government Entity Code no. 0646H was granted and the hospital’s data were entered into the National Database of Domestic Enterprise 43 H4 and the NATO’s Master Catalogue of References for Logistics. The allocated code is the hospital’s reference in the NATO Codification System.

The implementation of the Integrated Management System and award of the certificates confirms high quality of medical services and obligates the hospital to a constant quality improvement. The main assumption of the system is a continuous advancement towards an improvement in the operating efficiency. The hospital has taken up a great challenge of implementing approval standards developed by the Approval Centre for Quality Monitoring in Healthcare. An approval review was carried out by the Approval Centre from 24 to 26 February 2010. Based on the review report, the Approval Committee appointed by the Minister of Health awarded the hospital the Approved Hospital status.

Pełnomocnik Komendanta ds. Zintegrowanego Systemu Zarządzania

10 Wojskowego Szpitala Klinicznego z Polikliniką Samodzielnego Publicznego Zakładu Opieki Zdrowotnej w Bydgoszcz
mgr Anna RASZKA
tel. 261416223