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Moyra Amess, Associate Director, CHKS
 

Moyra Amess, Associate Director, CHKS

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The Quality agenda for safer and better Healthcare in General Practice/Primary Care

The Quality agenda for safer and better Healthcare in General Practice/Primary Care

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  • Good afternoon and thank you to the organisers for inviting me to speak to day. It’s a privilege to be here. <br /> I have been asked to talk about our accreditation programmes and specifcally accreditation in primary health care. <br />
  • So after an introduction as to who we are and what we do,……I will explain a bit about accreditation and specfically the primary care programme of standards. <br />
  • CHKS is part of a much larger corporation since April 2009. <br /> As you can see, CAPITA is involved in many areas, and particularly around public health functions as well as ..... <br /> CHKS are part of the health division and there are many different businesses within..... <br /> Havign said that, we continue to operate very much as we did before with some additiional demands for reporting etc but very much to continue business as usual. <br />
  • The accreditation arm of the organisation, was acquired in 2006, seven years ago and originally stemmed from the Kings Fund Organisational Audit of the 90s which then became an accreditation programme. The goals and pillars of this programme remain today – that is: <br /> emphasis on patient /user involvement <br /> Evidence based practice <br /> Drive towards improving clinical outcomes# <br /> Over the years, the organisation and its standards have gained and currently maintain their accreditation with ISQua the international Society of Quality In Health Care, which requires that we organise ourselves with the same quality management systems as we expect from organisations we accredit. <br />
  • ISQua accreditation for organisation, Surveyor Selection and Training Course and Standards. <br />
  • So where do do we work? <br /> Varied clients across a number of countries. <br /> Wide variety of programmes from Full hospital, Ambulance services, Hospices, Care Homes, and primary care of course. <br />
  • So what is Accreditation?? <br /> The importance of quality in health care seems obvious..... <br /> But in recent years, horror stories have been published, and reports published suggesting we can not assume it just because we want it. <br /> So there are many systems and support to assure us that patient safety and high quality of care are being considered - and we have heard about some already this morning. <br /> Accreditation is one system and one that then provides a banner and statement to the public that an organisation has been through a process, which may vary, but should demonstrate minimum standards of quality, competency and consistency. Accredit means to furnish with credentials.... <br /> Our programme <br /> In the UK, Accreditation has developed under the leadership of professional associations. There is some distinction (although not always clear) between clinical services accreditation and organisational accreditation. CHKS standards cover the common elements of quality management systems for any organisation to operate appropriately as well as additional standards which look at patient safety. Such standards ensures all elements of the organisation are linked together with the same quality principles and ensures, as has been discovered in the Mid Staff enquiry and the Francis Report on this, that communication, following up complaints etc are as key to patient safety, impact on the culture and morale of organisations and on the delivery of clinical services. <br /> Accreditation can be described as:...................emphasis on the ways to continually improve.....very much a developmental process – not an inspection for regulatory requirements only. <br /> CHKS accreditation includes key principles of : <br /> evidence based standards, <br /> external peer group and <br /> three yearly cycle <br /> - community hospitals accreditation programme and a programme which accreditation healthcare records. <br /> In principle the accreditation approach used by CHKS is a framework of standards researched and developed from documented best practice which are assessed by an external, independent survey team and an award then judged and awarded by an independent Accreditation Panel. <br />
  • So what is the process of accreditation...................... <br />
  • We do have a web-based accreditation online tool to facilitate tracking of progress against each criterion and standard as well as a portal to upload evidence to demonstrate performance against the standards. <br />
  • This is the 2009 version, but we are in the final stages of its revision and production of the 2013/14 edition which is intended for publication January 2014. <br />
  • Each standard has subsections within criteria listed. Each criterion has a criterion statement, guidance on interpretation and references as to origin of statement. <br /> Along side there are relevant mappings and tags to indicate their relevance to accreditation or ISO programmes and other <br /> Mention CQI tags and why <br /> Currently these are the 2009 version, but is in final stages of revision for the 2013 version which is for publication January 2014. <br />
  • Lots of feedback as to why people do accreditation: <br /> There is for many a requirement from their insurers <br /> An expectation from patient or client base <br /> Among hospices in UK, we have been told by a CEO that ‘it helps her sleep at night’ <br /> Standards are clear and instructive <br /> Nothing speaks louder than our client base..... <br /> Nothing to fear – very positive process... <br /> We are currently talking to Centric Health about the programmes and an approach which would work for their practices. <br />

Moyra Amess, Associate Director, CHKS Moyra Amess, Associate Director, CHKS Presentation Transcript

  • CHKS Accreditation in Primary Health Care Working together to improve quality in healthcare 13th November 2013 Moyra Amess, Associate Director CHKS www.chks.co.uk
  • Contents Introduction to CHKS Quality and Accreditation The CHKS Accreditation Cycle Primary Health Care Programme Benefits of Accreditation www.chks.co.uk
  • Capita Group www.chks.co.uk
  • CHKS  Data benchmarking primarily in NHS  Work with more than 100 large acute hospitals in the UK.  We help them to understand their performance around key indicators including rates of mortality, length of stay, patient outcomes, complication rates and clinician performance. www.chks.co.uk Assurance and Accreditation Data and Consultancy  Specialist healthcare accreditation and ISO certification provider  Provide high quality programmes.  Work with more than 100 clients throughout Europe.  We are dedicated to Continuous Quality Improvement  ISQUA accredited
  • Quality within the Unit www.chks.co.uk
  • 3. Our coverage in Europe Current Accounts: UK excl NI – 50 accounts Northern Ireland – 1 account Ireland – 35 accounts Portugal – 18 accounts Cyprus – 3 accounts Italy – 4 accounts Cruise Ships – 2 accounts Other experience in: Gibraltar Bosnia Turkey Denmark Serbia Albania South Africa www.chks.co.uk
  • Accreditation in health care ‘Self assessment and external peer assessment process used by health care organisations / clinical services to accurately assess their level of performance in relation to established standards and to implement ways to continually improve’ www.chks.co.uk
  • The CHKS Accreditation Cycle Against standards at outset 12 months prior to accred expiry Surveillance visits at 12 and 24 mths post survey Monitoring visit at 18mths if not ISO certification 12-18mths after start Three years accreditation from date of survey
  • Accreditation on-line -web-based portal 11/14/13 Contact Name & Job Title
  • Philosophy that informs our approach • Focused on Patient Safety, the patients’ and families’ experience of care , professional competence, clinical governance, leadership and teamwork • Strong commitment to continuous quality improvement • Incorporates current national and professional guidance • Bringing together standards of best practice • Evidence based standards • Referenced to CQC and GMS requirements • Originates from global policy developments, research evidence, professional guidance and extensive consultation with people working in the field • Demanding but realistic www.chks.co.uk
  • Standards for Primary Health Care Teams 11/14/13 Contact Name & Job Title
  • Standards - sections www.chks.co.uk
  • Layout of criteria 8.36 There is a designated person appointed to handle complaints for A the practice and to manage the complaints procedure Guidance The designated person may also be the 'Responsible Person' who ensures that complaints are handled in compliance with the Regulations. Reference: The Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 NHS Complaints in England: Regulations and Principles. Medical Protection Society. 2009 8.42 There are notices displayed in the practice advising patients how to make a complaint. Guidance Such notices may invite suggestions, comments and complaints from patents and carers, and do not need to focus exclusively on complaints. EASY TO USE AND UNDERSTAND Reference The Health and Social Care Act 2008 (Registration Requirements) Regulations 2009, Complaints, 17(2) (a) A CQC
  • Benefits www.chks.co.uk
  • Thank you Moyra Amess Associate Director CHKS 07798846209