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Hospital accreditation
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Hospital accreditation

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    Hospital accreditation Hospital accreditation Presentation Transcript

    • HOSPITAL ACCREDITATION
      … A tool for quality improvement
    • What is Hospital Accreditation?
      14-Jun-09
      Accreditation of Hospitals
      • Accreditation is a voluntary process. Its standards are usually regarded as optimal and achievable.
      • It provides a visible commitment by an organization to improve the quality of patient care, to ensure a safe environment and to continually work to reduce risks to patients and staff.
      • Accreditation has gained worldwide attention as an effective quality evaluation and management tool.
      • The focus of accreditation is on continuous improvement in the organizational and clinical performance of health services, not just the achievement of a certificate or award or merely assuring compliance with minimum acceptable standards.
      • Accreditation focuses on learning, self development, improved performance and reducing risk.
      Definition - “A self-assessment and external peer assessment process used by health care
      organizations to accurately assess their level of performance in relation to established standard and then to implement ways to continuously improve it”.
      2
    • Why Accreditation?
      • Ensures a Quality Index for Health Consumers. A growing number of hospitals in India are turning to accreditation agencies worldwide to both standardize their protocols and project their international quality of health care delivery. 
      • It is a Public Recognition of the achievement of accreditation standards by a healthcare organization, demonstrated through an independent external peer assessment of that organization's level of performance in relation to the standards.
      •  Attract foreign patients.
      • The process of accreditation is envisaged to result in a process of fundamental change in the technical procedures of service delivery, in the appropriate use of available technologies, in the integration of relevant knowledge, in the way the resources are used, and in the efforts to ensure social participation.
      • Quality Assurance helps improve effectiveness, efficiency and in cost containment, and accountability and the need to reduce errors and increase safety in the system.
      14-Jun-09
      3
    • Driving Factors for Accreditation
      • Consumer Protection Act
      • Clinical Establishment Act
      • Insurance Companies regulation
      • Empanelment by CGHS, ECHS, Corporate etc.
      • Community Awareness & Response
      • Medical Tourism
      14-Jun-09
      4
    • Benefits of Accreditation
      The accreditation process is designed to create a culture of safety and quality
      within an organization that strives to continually improve patient care processes
      and results. In doing so, organizations:
      • improve public trust that the organization is concerned for patient safety and quality of care
      • provide a safe and efficient work environment that contributes to worker satisfaction
      • listen to patients and their families, respect their rights, and involve them in the care process as partners
      • create a culture that is open to learning from the timely reporting of adverse events and safety concerns
      • establish collaborative leadership that sets priorities for and continuous leadership for quality and patient safety levels
      …contd.
      14-Jun-09
      5
    • Benefits of Accreditation
      • Identify systemic break-downs and close gaps or loopholes
      • Define key interfaces between processes, departments and staff
      • Streamline work flow and maximize resource utilization
      • Proactively prevent problems from occurring
      • Provide ways to detect and correct errors and problems
      • Ensure conformance to and effectiveness of documented processes
      • Focus on patient and provider needs and expectations
      • Maximize customer satisfaction
      6
      14-Jun-09
    • Accreditation Authority in India
      • Started in India in the year 2005 by National Accreditation Board for Hospitals & Healthcare Providers (NABH).
      • NABH is a constituent board of Quality Council of India (QCI) set up to establish and operate accreditation programme for healthcare organizations.
      • QCI is an Autonomous body jointly set up by the Government of India and Indian industries to establish and operate National Accreditation Structure.
      • The board while being supported by all stakeholders including industry, consumers, government, has full functional autonomy in its operations.
      • Since its inception, NABH has received nearly 87 applications from various hospitals for accreditation, out of which 20 hospitals have been granted accreditation and others are in different stages of processing.
      Ref:- www.nabh.org
      14-Jun-09
      7
    • NABH Accreditation Hospitals
      B.M. Birla Heart Research Centre, Kolkata
      MIMS Hospital (MIMS Ltd.), Calicut
      Kerala Institute of Medical Science, Thiruvananthapuram
      Max Super Speciality Hospital, New Delhi
      Max Devki Devi Heart & Vascular Institute, New Delhi
      Moolchand Hospital, New Delhi
      NarayanaHrudayalaya, Bangalore
      Dr. L. H. Hiranandani Hospital, Mumbai
      Fortis Hospital, Noida
      Sagar Apollo Hospital, Bangalore
      Columbia Asia Medical Centre – Hebbal, Bangalore
      Ref:- www.nabh.org
      14-Jun-09
      8
    • NABH Standards for Hospitals
      14-Jun-09
      9
    • NABH Standards for Hospitals
      14-Jun-09
      10
    • Service profile of Trinity
      14-Jun-09
      11
    • Trinity Methodology
      14-Jun-09
      12
    • Why Trinity Consulting Services?
      • Modest size company working in Management Systems domain for the past 3 years.
      • Our consultants have decades of cumulative experience in the design and implementations of Management Systems (MS) in various industries (Dairy, Meat, Fish, Agro- Processing, Healthcare, Engineering, etc.);
      • Established work execution & delivery process.
      • Speed and agility (response time).
      • Local language, local culture, local responsibility, but global quality.
      • Proven capability of working with large corporate organizations.
      • Competent staff for backup to speed up projects.
      14-Jun-09
      13
    • 14-Jun-09
      THANK YOU
      14