Clinical Outpatient Services Quality Management System

A comprehensive QMS template designed for ambulatory care clinics, outpatient services, and specialty practices.

🏢 Designed For

• Primary Care Clinics - Family medicine, internal medicine, pediatrics
• Specialty Clinics - Cardiology, neurology, oncology, etc.
• Ambulatory Surgery Centers - Outpatient surgical procedures
• Urgent Care Centers - Walk-in acute care services
• Diagnostic Centers - Imaging, laboratory, testing facilities
• Infusion Centers - Outpatient chemotherapy and infusion therapy
• Rehabilitation Clinics - Physical therapy, occupational therapy

📋 Regulatory Framework

This template supports compliance with:

• The Joint Commission - Ambulatory Care accreditation
• AAAHC - Accreditation Association for Ambulatory Health Care
• CMS - Medicare/Medicaid ambulatory requirements
• State Medical Board - Physician practice regulations
• OSHA - Workplace safety requirements
• HIPAA - Patient privacy and security
• CLIA - Laboratory testing requirements (if applicable)
• State Facility Licensing - Ambulatory care facility regulations
• AMA Guidelines - Medical practice standards
• PCMH - Patient-Centered Medical Home standards

Repository Structure

├── SOPs/
│   ├── Patient-Flow/          # Scheduling, check-in, rooming, discharge
│   ├── Clinical-Care/         # Assessment, treatment, documentation
│   ├── Medication-Management/ # Prescribing, dispensing, samples
│   ├── Procedures/            # Office procedures, minor surgery
│   ├── Infection-Control/     # Sterilization, injection safety
│   └── General/               # Document control, training, CAPA
├── Forms/
│   ├── Patient-Intake/        # Registration, history, consent forms
│   ├── Visit-Documentation/   # Progress notes, assessments, orders
│   ├── Referral-Forms/        # Specialist referrals, authorizations
│   ├── Procedure-Records/     # Procedure consent, logs, aftercare
│   ├── QI-Records/            # Quality metrics, patient satisfaction
│   └── Training/              # Competency assessments
├── Policies/                  # Practice policies
├── Work-Instructions/         # Step-by-step procedures
└── Templates/                 # Document templates

Document Numbering Convention

• POL-XXX: Policies
• SOP-PF-XXX: Patient Flow SOPs
• SOP-CC-XXX: Clinical Care SOPs
• SOP-MED-XXX: Medication Management SOPs
• SOP-PRC-XXX: Procedure SOPs
• SOP-IC-XXX: Infection Control SOPs
• WI-XXX: Work Instructions
• FRM-XXX: Forms and Records

🤖 AI-Powered Assistance

This repository includes AtomicAI, your outpatient QMS assistant. Mention @atomicai in any issue or pull request to:

• Draft patient flow and scheduling procedures
• Create clinical care protocols
• Generate medication management procedures
• Develop office procedure SOPs
• Create infection control protocols
• Review documents for AAAHC/Joint Commission compliance

Example Prompts

• "@atomicai create an SOP for patient check-in and rooming workflow"
• "@atomicai draft a chronic disease management protocol for diabetes"
• "@atomicai write a medication prior authorization procedure"
• "@atomicai create an in-office procedure consent process"
• "@atomicai develop a referral management workflow"
• "@atomicai create a sterilization procedure for reusable instruments"

Getting Started

1. Define Practice Workflows - Map patient flow from arrival to discharge
2. Customize Clinical Protocols - Adapt for your specialty and patient population
3. Set Up Quality Metrics - Establish HEDIS or specialty-specific measures
4. Implement Medication Safety - Configure prescribing and sample procedures
5. Train Staff - Use competency assessment forms

Key Documents to Create First

1. Patient Check-In SOP - Standardized intake process
2. Clinical Documentation Policy - Charting standards and requirements
3. Medication Reconciliation SOP - Accurate medication lists
4. Referral Management SOP - Tracking referrals and follow-up
5. Infection Control Policy - Hand hygiene, injection safety, sterilization
6. No-Show/Cancellation Policy - Patient appointment compliance
7. After-Hours Coverage SOP - Triage and on-call procedures

Special Considerations for Outpatient Care

Patient Access

• Scheduling optimization and wait time management
• Same-day/urgent appointment availability
• Patient portal and communication
• Reminder systems and no-show reduction
• Insurance verification and authorization

Care Coordination

• Referral tracking and follow-up
• Care transitions between providers
• Medication reconciliation at each visit
• Chronic disease management programs
• Population health initiatives

Quality Improvement

• HEDIS measures and reporting
• Patient satisfaction surveys
• Clinical outcome tracking
• Peer review and chart audits
• Continuous quality improvement

Compliance

• HIPAA privacy and security
• Medical record retention
• Prescription monitoring programs
• Credentialing and privileging
• Incident reporting

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This template is maintained by AtomicQMS. For questions, open an issue in this repository.