Hospital accreditation


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Hospital accreditation

  1. 1. HOSPITAL ACCREDITATION<br />… A tool for quality improvement<br />
  2. 2. What is Hospital Accreditation?<br />14-Jun-09<br />Accreditation of Hospitals <br /><ul><li>Accreditation is a voluntary process. Its standards are usually regarded as optimal and achievable.
  3. 3. 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.
  4. 4. Accreditation has gained worldwide attention as an effective quality evaluation and management tool.
  5. 5. 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.
  6. 6. Accreditation focuses on learning, self development, improved performance and reducing risk.</li></ul>Definition - “A self-assessment and external peer assessment process used by health care <br /> organizations to accurately assess their level of performance in relation to established standard and then to implement ways to continuously improve it”.<br />2<br />
  7. 7. Why Accreditation?<br /><ul><li>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. 
  8. 8. 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.
  9. 9.  Attract foreign patients.
  10. 10. 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.
  11. 11. Quality Assurance helps improve effectiveness, efficiency and in cost containment, and accountability and the need to reduce errors and increase safety in the system.</li></ul>14-Jun-09<br />3<br />
  12. 12. Driving Factors for Accreditation<br /><ul><li>Consumer Protection Act
  13. 13. Clinical Establishment Act
  14. 14. Insurance Companies regulation
  15. 15. Empanelment by CGHS, ECHS, Corporate etc.
  16. 16. Community Awareness & Response
  17. 17. Medical Tourism</li></ul>14-Jun-09<br />4<br />
  18. 18. Benefits of Accreditation<br />The accreditation process is designed to create a culture of safety and quality <br />within an organization that strives to continually improve patient care processes <br />and results. In doing so, organizations:<br /><ul><li>improve public trust that the organization is concerned for patient safety and quality of care
  19. 19. provide a safe and efficient work environment that contributes to worker satisfaction
  20. 20. listen to patients and their families, respect their rights, and involve them in the care process as partners
  21. 21. create a culture that is open to learning from the timely reporting of adverse events and safety concerns
  22. 22. establish collaborative leadership that sets priorities for and continuous leadership for quality and patient safety levels </li></ul> …contd.<br />14-Jun-09<br />5<br />
  23. 23. Benefits of Accreditation<br /><ul><li>Identify systemic break-downs and close gaps or loopholes
  24. 24. Define key interfaces between processes, departments and staff
  25. 25. Streamline work flow and maximize resource utilization
  26. 26. Proactively prevent problems from occurring
  27. 27. Provide ways to detect and correct errors and problems
  28. 28. Ensure conformance to and effectiveness of documented processes
  29. 29. Focus on patient and provider needs and expectations
  30. 30. Maximize customer satisfaction</li></ul>6<br />14-Jun-09<br />
  31. 31. Accreditation Authority in India<br /><ul><li>Started in India in the year 2005 by National Accreditation Board for Hospitals & Healthcare Providers (NABH).
  32. 32. NABH is a constituent board of Quality Council of India (QCI) set up to establish and operate accreditation programme for healthcare organizations.
  33. 33. QCI is an Autonomous body jointly set up by the Government of India and Indian industries to establish and operate National Accreditation Structure.
  34. 34. The board while being supported by all stakeholders including industry, consumers, government, has full functional autonomy in its operations.
  35. 35. 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.</li></ul>Ref:-<br />14-Jun-09<br />7<br />
  36. 36. NABH Accreditation Hospitals<br />B.M. Birla Heart Research Centre, Kolkata <br />MIMS Hospital (MIMS Ltd.), Calicut <br />Kerala Institute of Medical Science, Thiruvananthapuram<br />Max Super Speciality Hospital, New Delhi <br />Max Devki Devi Heart & Vascular Institute, New Delhi <br />Moolchand Hospital, New Delhi <br />NarayanaHrudayalaya, Bangalore <br />Dr. L. H. Hiranandani Hospital, Mumbai <br />Fortis Hospital, Noida<br />Sagar Apollo Hospital, Bangalore <br />Columbia Asia Medical Centre – Hebbal, Bangalore<br />Ref:-<br />14-Jun-09<br />8<br />
  37. 37. NABH Standards for Hospitals<br />14-Jun-09<br />9<br />
  38. 38. NABH Standards for Hospitals<br />14-Jun-09<br />10<br />
  39. 39. Service profile of Trinity <br />14-Jun-09<br />11<br />
  40. 40. Trinity Methodology<br />14-Jun-09<br />12<br />
  41. 41. Why Trinity Consulting Services?<br /><ul><li>Modest size company working in Management Systems domain for the past 3 years.
  42. 42. 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.);
  43. 43. Established work execution & delivery process.
  44. 44. Speed and agility (response time).
  45. 45. Local language, local culture, local responsibility, but global quality.
  46. 46. Proven capability of working with large corporate organizations.
  47. 47. Competent staff for backup to speed up projects.</li></ul>14-Jun-09<br />13<br />
  48. 48. 14-Jun-09<br />THANK YOU<br />14<br />