Accreditation
as a Strategy / Tool
for Hospital Quality Service /
Improvement
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
...
Accreditation
as a Strategy / Tool
for Hospital Quality Service /
Improvement
Outline of Contents of Talk:
•Definition of ...
Accreditation
as a Strategy / Tool
for Hospital Quality Service /
Improvement
Outline of Contents of Talk:
•Definition of ...
Accreditation as a Strategy and Tool for Hospital
Quality Service Improvement
Definition of Terms:
•Accreditation = Hospit...
Processes by which a hospital voluntarily applies for
recognition or attestation of compliance to certain set of
standards...
Compliance, Accreditation, Certification, Award
Hospital
Set
Standards
Criteria
Indicators
Satisfactory
degree of complian...
Compliance, Certification, Accreditation, Award
Compliance
Accredited
certifying body
Certification
Accreditation
Award
(r...
Compliance, Certification, Accreditation, Award
Compliance
Accredited
certifying body
Certification
Accreditation
Award
(r...
Compliance, Certification, Accreditation, Award
Compliance
Accredited
certifying body
Certification
Accreditation
Award
(r...
Compliance, Certification, Accreditation, Award
Compliance
Accredited
certifying body
Certification
Accreditation
Award
(r...
Compliance, Certification, Accreditation, Award
Compliance
Accredited
certifying body
Certification
Accreditation
Award
(r...
What is the concept of “hospital accreditation”?
 
A hospital seeking accreditation from an accrediting
body is done on a ...
What is the concept of “hospital accreditation”?
 
The standards may be on
• quality management system
• quality health ca...
What is the concept of “hospital accreditation”?
 
Hospital accreditation almost always entails fees:
• fee for the survey...
What is the concept of “hospital accreditation”?
 
Hospital accreditation almost always entails fees:
• fee for the survey...
Accreditation
as a Strategy / Tool
for Hospital Quality Service /
Improvement
Outline of Contents of Talk:
•Definition of ...
What are the benefits of hospital accreditation?
What are the goals and objectives of having a hospital accreditation?
 
T...
What are the benefits of hospital accreditation?
What are the goals and objectives of having a hospital accreditation?
 
T...
What are the benefits of hospital accreditation?
What are the goals and objectives of having a hospital accreditation?
 
T...
What are the benefits of hospital accreditation?
What are the goals and objectives of having a hospital accreditation?
 
T...
Accreditation
as a Strategy / Tool
for Hospital Quality Service /
Improvement
Outline of Contents of Talk:
•Definition of ...
What are the currently sought accreditation by hospitals in the Philippines, fees,
advantages and recommendations?
 
In a ...
What are the currently sought accreditation by hospitals in the Philippines, fees,
advantages and recommendations?
 
• Phi...
What are the currently sought accreditation by hospitals in the Philippines?
 
Accreditation Standards URLs
PhilHealth Ben...
What are the similarities and differences between and among the currently
sought accreditation standards?
 ISO / PQA JCIA ...
What are the currently sought accreditation by hospitals in the Philippines
and their accreditation fees?
 
Accreditation ...
What are the currently sought accreditation by hospitals in the Philippines,
advantages and recommendations?
 
Accreditati...
Comparison of Standards
PhilHealth Benchbook Joint Commission International Accreditation Canada
• Patient Rights and
Orga...
Comparison of Standards
Accreditation
Canada
Joint Commission International National Accreditation Board
for Hospitals
• I...
What are the currently sought accreditation by hospitals in the Philippines,
advantages and recommendations?
 
Accreditati...
What are the currently sought accreditation by hospitals in the Philippines,
advantages and recommendations?
 
Accreditati...
PQA Business Criteria for Performance Excellence
Baldrige Health Care Criteria for Performance Excellence
ISO 9000 QMS
Comparison of Standards
PQA Criteria for Performance
Excellence
ISO 9001:2008
• Leadership
• Strategic Planning
• Customer...
What are the currently sought accreditation by hospitals in the Philippines,
advantages and recommendations?
 
Accreditati...
What are the currently sought accreditation by hospitals in the Philippines,
advantages and recommendations?
 
Accreditati...
Comparison of Standards
PQA Criteria for
Performance Excellence
ISO 9001:2008 Investors in People
• Leadership
• Strategic...
What are the currently sought accreditation by hospitals in the Philippines,
advantages and recommendations?
 
Accreditati...
Advantages of Being Compliant with Local and International
Standards of Quality and Safe Patient Services
• Stimulate cont...
Advantages of Being Compliant with Local and International
Standards of Quality and Safe Patient Services
• Increase effic...
Accreditation
as a Strategy / Tool
for Hospital Quality Service /
Improvement
Outline of Contents of Talk:
•Definition of ...
What are the recommended processes in going for hospital accreditation?
 
Starting point:
Top management decides to have a...
What are the recommended processes in going for hospital accreditation?
 Top management creates a Steering Team / Committe...
What are the recommended processes in going for hospital accreditation?
 
Cross-sectoral or multisectoral membership with ...
What are the recommended processes in going for hospital accreditation?
 Steering Team formulates a master plan for Hospit...
What are the recommended processes in going for hospital accreditation?
 
Contents of master plan for Hospital Accreditati...
What are the recommended processes in going for hospital accreditation?
 
Contents of master plan for Hospital Accreditati...
Hospital Accreditation:
Does it Matter?
It depends on your need and situation!
Need - to participate in National Health In...
Hospital Accreditation:
Does it Matter?
It depends on your need and situation!
Situation – to be with the trend of having ...
Hospital Accreditation:
Does it Matter?
It depends on your need and situation!
NO need; NO situation
Be COMPLIANT with the...
Integrating Hospital Quality and Performance
Standards
• Philippine Quality Award Criteria for
Performance Excellence
• IS...
Integrating Hospital Quality and Performance
Standards
• Philippine Quality Award Criteria for
Performance Excellence
• IS...
Integrating Hospital Quality and Performance
Standards
• Philippine Quality Award Criteria for
Performance Excellence
• IS...
What are the common problems or challenges in hospital accreditation?
 
Common problems and challenges (commitment,
cooper...
Aiming for best practices in quality and performance excellence in
hospitals
ProgrammedJourneyofExcellence
Aiming for best practices in quality and performance excellence in
hospitals
ProgrammedJourneyofExcellence
Accreditation
as a Strategy / Tool
for Hospital Quality Service /
Improvement
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
...
Welcome Queries and Feedback Anytime!
REYNALDO O. JOSON, MD, MHA, MHPEd, MSc Surg
0918-804-03-04
rjoson2001@yahoo.com
Accreditation as a Strategy / Tool for Hospital Quality Service Improvement
Accreditation as a Strategy / Tool for Hospital Quality Service Improvement
Accreditation as a Strategy / Tool for Hospital Quality Service Improvement
Accreditation as a Strategy / Tool for Hospital Quality Service Improvement
Accreditation as a Strategy / Tool for Hospital Quality Service Improvement
Accreditation as a Strategy / Tool for Hospital Quality Service Improvement
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Accreditation as a Strategy / Tool for Hospital Quality Service Improvement

  1. 1. Accreditation as a Strategy / Tool for Hospital Quality Service / Improvement Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg Short Course on Total Quality Management June 23 - 27, 2014 UP Manila College of Public Health
  2. 2. Accreditation as a Strategy / Tool for Hospital Quality Service / Improvement Outline of Contents of Talk: •Definition of Terms •Why the Strategy •How to Go About It (The Tool)
  3. 3. Accreditation as a Strategy / Tool for Hospital Quality Service / Improvement Outline of Contents of Talk: •Definition of Terms •Why the Strategy •How to Go About It (The Tool)
  4. 4. Accreditation as a Strategy and Tool for Hospital Quality Service Improvement Definition of Terms: •Accreditation = Hospital* Accreditation = A Hospital Unit Accreditation •Accreditation •Certification •Award
  5. 5. Processes by which a hospital voluntarily applies for recognition or attestation of compliance to certain set of standards by a third-party What is Hospital Accreditation? Accredited / Accreditation Certified / Certification Compliance Demonstration of competency / consistency Products Processes Systems Persons
  6. 6. Compliance, Accreditation, Certification, Award Hospital Set Standards Criteria Indicators Satisfactory degree of compliance / achievement Certification AwardAccreditation Third-party Assessor / Auditor Philippine Quality Award ISO 9001 ISO 14000 PhilHealth / Benchbook PCAHO JCI ACI NABH Levels
  7. 7. Compliance, Certification, Accreditation, Award Compliance Accredited certifying body Certification Accreditation Award (recognition) Certifying / awarding body
  8. 8. Compliance, Certification, Accreditation, Award Compliance Accredited certifying body Certification Accreditation Award (recognition) Certifying / awarding body PQA DTI
  9. 9. Compliance, Certification, Accreditation, Award Compliance Accredited certifying body Certification Accreditation Award (recognition) Certifying / awarding body PhilHealth PhilHealth
  10. 10. Compliance, Certification, Accreditation, Award Compliance Accredited certifying body Certification Accreditation Award (recognition) Certifying / awarding body JCI / ACI / NABH ISQUA JCI / ACI / NABH
  11. 11. Compliance, Certification, Accreditation, Award Compliance Accredited certifying body Certification Accreditation Award (recognition) Certifying / awarding body ISO 9001 / 14000ISO AJA / TUV
  12. 12. What is the concept of “hospital accreditation”?   A hospital seeking accreditation from an accrediting body is done on a voluntary basis. The hospital has the freedom to choose the set of standards it wants to be assessed or evaluated on by an accrediting body. It also has the liberty to choose the accrediting body to do the assessment or evaluation.
  13. 13. What is the concept of “hospital accreditation”?   The standards may be on • quality management system • quality health care and patient safety management system • human resource management system • environment management system • emergency and disaster management system • others
  14. 14. What is the concept of “hospital accreditation”?   Hospital accreditation almost always entails fees: • fee for the survey or assessment • fee for the certificate How much the fees are is dependent on the accrediting body.
  15. 15. What is the concept of “hospital accreditation”?   Hospital accreditation almost always entails fees: • fee for the survey or assessment • fee for the certificate How much the fees are is dependent on the accrediting body.
  16. 16. Accreditation as a Strategy / Tool for Hospital Quality Service / Improvement Outline of Contents of Talk: •Definition of Terms •Why the Strategy •How to Go About It (The Tool)
  17. 17. What are the benefits of hospital accreditation? What are the goals and objectives of having a hospital accreditation?   There are a lot of benefits that can be derived from hospital accreditation. Some can be considered as major benefits and some, as minor benefits. Some can be considered as primary benefits and others, as off-shoots of the primary, or secondary. These benefits are translatable to goals and objectives of having a hospital accreditation.
  18. 18. What are the benefits of hospital accreditation? What are the goals and objectives of having a hospital accreditation?   The overarching major primary benefit or goal is to promote the business development program of the hospital so as to make it viable and sustainable.
  19. 19. What are the benefits of hospital accreditation? What are the goals and objectives of having a hospital accreditation?   The secondary benefits or objectives can and should be the following: To use the accreditation project as an assessment tool on hospital performance as well as a change management tool. To identify and institute areas of improvement towards excellence with the help of the hospital accreditation project. To educate the staff on performance excellence with the help of the hospital accreditation project.
  20. 20. What are the benefits of hospital accreditation? What are the goals and objectives of having a hospital accreditation?   The secondary benefits or objectives can and should be the following: To increase the hospital’s credibility and to demonstrate its accountability to the community using an attained hospital accreditation. To enhance the hospital reputation so as to attract more clients utilizing its services. To increase its leverage with the potential partners and collaborators in the health care industry using the attained hospital accreditation.
  21. 21. Accreditation as a Strategy / Tool for Hospital Quality Service / Improvement Outline of Contents of Talk: •Definition of Terms •Why the Strategy •How to Go About It (The Tool) Use it as change agent! •Know & fulfill requirements of quality! (with assessment – internal and external) •Educate staff on quality! •Motivate staff on quality!
  22. 22. What are the currently sought accreditation by hospitals in the Philippines, fees, advantages and recommendations?   In a hospital setting in the Philippines, as of 2014, the following local and international documented sets of standards should guide all hospitals in achieving a high level of quality and performance:
  23. 23. What are the currently sought accreditation by hospitals in the Philippines, fees, advantages and recommendations?   • Philippine Quality Award Criteria for Performance Excellence • ISO Quality Management System • PhilHealth Benchbook (including PH statutory and regulatory requirements) • Joint International Commission, Accreditation Canada International, National Accreditation Board for Hospitals and Healthcare Providers (choose one) • Investors in People
  24. 24. What are the currently sought accreditation by hospitals in the Philippines?   Accreditation Standards URLs PhilHealth Benchbook http://www.philhealth.gov.ph/providers/institu Joint Commission International (JCI) Accreditation International (ACI) National Accreditation Board for Hospitals and Healthcare Providers (NABH) http://www.jointcommissioninternational.org/ http://www.internationalaccreditation.ca/en/h http://www.nabh.co/ Philippine Quality Awards (equivalence of Baldrige Awards of ) http://www.pqa.org.ph http://www.dti.gov.ph/dti/index.php?p=492 http://www.nist.gov/baldrige/publications/hc_ ISO (International Organization for Standardization) http://www.iso.org/iso/home.html Investors in People http://www.investorsinpeople.co.uk/Pages/Hom
  25. 25. What are the similarities and differences between and among the currently sought accreditation standards?  ISO / PQA JCIA / ACI / NABH / PhilHealth Benchbook Origin manufacturing industry hospital industry Language manufacturing health care Product easily defined, tangible item clinical aspects of health care, not easily defined, not readily tangible
  26. 26. What are the currently sought accreditation by hospitals in the Philippines and their accreditation fees?   Accreditation Standards Accreditation Fees (Assessment and Certification) As of 2014 (may change anytime) PhilHealth Benchbook PhP 10T JCI ACI NABH JCI – PhP 14 M ACI – PhP 8 M NABH – PhP 3 M Philippine Quality Awards (equivalence of Baldrige Awards of ) PhP 30T – small organizations PhP 50 – medium to big organizations ISO (International Organization for Standardization) PhP 300T Investors in People PhP 1M
  27. 27. What are the currently sought accreditation by hospitals in the Philippines, advantages and recommendations?   Accreditation Standards Advantages PhilHealth Benchbook Designed to encourage Philippine hospitals improve on their quality management system and to improve quality and safe patient care Joint Commission International (JCI) Accreditation International (ACI) National Accreditation Board for Hospitals and Healthcare Providers (NABH) Designed to improve quality and safe patient care Designed to assess and improve organization performance based on internationally agreed standards and stimulating continuous improvement to achieve optimum outcomes on healthcare
  28. 28. Comparison of Standards PhilHealth Benchbook Joint Commission International Accreditation Canada • Patient Rights and Organizational Ethics • Patient Care • Leadership and Management • Human Resource Management • Information Management • Safe Practice and Environment • Performance Improvement Patient-centered Standards •Access to Care and Continuity of Care •Patient and Family Rights •Assessment of Patients •Care of Patients •Anesthesia and Surgical Care •Medication Management and Use •Patient and Family Education Health Care Organization Management Standards •Quality Improvement and Patient Safety •Prevention and Control of Infections •Governance, Leadership, and Direction •Facility Management and Safety •Staff Qualifications and Education •Management of Communication and Information • Individual Client / Patient Care Groups (14) • Information Management • Human Resources Development and Management • Environmental Management • Leadership and Partnerships
  29. 29. Comparison of Standards Accreditation Canada Joint Commission International National Accreditation Board for Hospitals • Individual Client / Patient Care Groups (14) • Information Management • Human Resources Development and Management • Environmental Management • Leadership and Partnerships Patient-centered Standards •Access to Care and Continuity of Care •Patient and Family Rights •Assessment of Patients •Care of Patients •Anesthesia and Surgical Care •Medication Management and Use •Patient and Family Education Health Care Organization Management Standards •Quality Improvement and Patient Safety •Prevention and Control of Infections •Governance, Leadership, and Direction •Facility Management and Safety •Staff Qualifications and Education •Management of Communication and Information • Access and Planning of Services • Customer Rights and Education • Care of Customers • Management of Medication, Consumables and Equipments (including Instruments) • Infection Control • Continual Quality Improvement • Responsibilities of Management • Facility Management and Safety • Human Resource Management • Information Management System
  30. 30. What are the currently sought accreditation by hospitals in the Philippines, advantages and recommendations?   Accreditation Standards Advantages and *Recommendations PhilHealth Benchbook Local standards directly related to PH hospitals; will be needed for licensure with DOH. *All PH hospitals must have, for viability and sustainability; establish complete and sustainable compliance to serve as a foundation for other hospital accreditations, if needed. Joint Commission International (JCI) Accreditation International (ACI) National Accreditation Board for Hospitals and Healthcare Providers (NABH) International standards directly related to hospitals all over the world. *Go for one, if hospital has a medical tourism project and needs leverage with international collaborators and partners.
  31. 31. What are the currently sought accreditation by hospitals in the Philippines, advantages and recommendations?   Accreditation Standards Advantages Philippine Quality Awards (equivalence of Baldrige Awards of ) Designed to help provide hospitals with an integrated approach to organizational performance that results in Delivery of ever-improving value to customers and stakeholders, contributing to organizational sustainability Improvement of overall organizational effectiveness and capabilities organizational and personal learning ISO (International Organization for Standardization) ISO 9001: Quality Management System Designed to help organizations ensure that they meet the needs of customers and other stakeholders while meeting statutory and regulatory requirements related to the product.
  32. 32. PQA Business Criteria for Performance Excellence
  33. 33. Baldrige Health Care Criteria for Performance Excellence
  34. 34. ISO 9000 QMS
  35. 35. Comparison of Standards PQA Criteria for Performance Excellence ISO 9001:2008 • Leadership • Strategic Planning • Customer Focus • Measurement, Analysis, and Knowledge Management • Workforce Focus • Operations Focus • Results 4 Quality management system 4.1 General requirements 4.2 Documentation requirements 5 Management responsibility 5.1 Management commitment 5.2 Customer focus 5.3 Quality policy 5.4 Planning 5.5 Responsibility, authority and communication 5.6 Management review 6 Resource management 6.1 Provision of resources 6.2 Human resources 6.3 Infrastructure 6.4 Work environment 7 Product realization 8 Measurement, analysis and improvement 8.1 General 8.2 Monitoring and measurement 8.3 Control of nonconforming product 8.4 Analysis of data 8.5 Improvement
  36. 36. What are the currently sought accreditation by hospitals in the Philippines, advantages and recommendations?   Accreditation Standards Advantages and *Recommendations Philippine Quality Awards (equivalence of Baldrige Awards of ) Local standards that covers all kinds of industry and there is a specific set of standards in health care *Recommended after PhilHealth Benchbook accreditation; may use the latest US Baldrige Health Care Criteria for Performance Excellence as complementary guide. ISO (International Organization for Standardization) ISO 9001: Quality Management System International standards on basic quality management system that are applicable to all kinds of industry including hospitals and health care *Recommended if an international accreditation is deemed needed and cannot afford ACI / JCI / NABH
  37. 37. What are the currently sought accreditation by hospitals in the Philippines, advantages and recommendations?   Accreditation Standards Advantages Investors in People Designed to transform business performance through people
  38. 38. Comparison of Standards PQA Criteria for Performance Excellence ISO 9001:2008 Investors in People • Leadership • Strategic Planning • Customer Focus • Measurement, Analysis, and Knowledge Management • Workforce Focus • Operations Focus • Results 4 Quality management system 4.1 General requirements 4.2 Documentation requirements 5 Management responsibility 5.1 Management commitment 5.2 Customer focus 5.3 Quality policy 5.4 Planning 5.5 Responsibility, authority and communication 5.6 Management review 6 Resource management 6.1 Provision of resources 6.2 Human resources 6.3 Infrastructure 6.4 Work environment 7 Product realization 8 Measurement, analysis and improvement 8.1 General 8.2 Monitoring and measurement 8.3 Control of nonconforming product 8.4 Analysis of data 8.5 Improvement Plan Do Review 1. Business Strategy 2. Learning and development strategy 3. People management strategy 4. Leadership and management strategy 5. Management effectiveness 6. Recognition and reward 7. Involvement and Empowerment 8. Learning and development 9. Performance Measurement 10. Continuous improvement
  39. 39. What are the currently sought accreditation by hospitals in the Philippines, advantages and recommendations?   Accreditation Standards Advantages and *Recommendations Investors in People International standards on people development to promote hospital viability and sustainability *Use the IiP standards to support and complement PhilHealth Benchbook accreditation and Philippine Quality Awards as well as other accreditations; nice to have the IiP accreditation.
  40. 40. Advantages of Being Compliant with Local and International Standards of Quality and Safe Patient Services • Stimulate continuous improvement in service and patient care processes and outcomes. • Improve management of health care services particularly on patient safety. • Provide staff education on better or best practices.
  41. 41. Advantages of Being Compliant with Local and International Standards of Quality and Safe Patient Services • Increase efficiency / reduce cost. • Improve organization performance. • Promote recognition for excellence. • Strengthen public and community confidence.
  42. 42. Accreditation as a Strategy / Tool for Hospital Quality Service / Improvement Outline of Contents of Talk: •Definition of Terms •Why the Strategy •How to Go About It (The Tool)
  43. 43. What are the recommended processes in going for hospital accreditation?   Starting point: Top management decides to have a Hospital Accreditation Project •To promote the business development program of the hospital so as to make it viable and sustainable. •To use it as a change agent to fast-track quality improvement.
  44. 44. What are the recommended processes in going for hospital accreditation?  Top management creates a Steering Team / Committee for Hospital Accreditation Project with clear functions and authority. Membership of Steering Team / Committee Senior Management Representative if not the Hospital Director Chair (with competency in hospital accreditation and leadership) Cross-sectoral or multisectoral membership with representatives from key functional areas in the hospital, such as the following: (Note: the senior management team members may constitute the Steering Team / Committee.)
  45. 45. What are the recommended processes in going for hospital accreditation?   Cross-sectoral or multisectoral membership with representatives from key functional areas in the hospital, such as the following: (Note: the senior management team members may constitute the Steering Team / Committee.) Medical service sector Nursing service sector Ancillary medical service sector Administrative or support service sector Human resource development sector Business development sector Finance sector Secretariat
  46. 46. What are the recommended processes in going for hospital accreditation?  Steering Team formulates a master plan for Hospital Accreditation Project. Steering Team decides on set of standards to be assessed or evaluated on by an accrediting body. Steering Team seeks commitment for support and collaboration from top, senior, middle, and lower management on Hospital Accreditation Project.
  47. 47. What are the recommended processes in going for hospital accreditation?   Contents of master plan for Hospital Accreditation Project •Goals and objectives of accreditation project (include short- and long-term goals and objectives) •Selection, prioritization, and integration of the accreditation standards •Selection of the accrediting bodies •Expected outputs (short- and long-term) •Expected impact (short- and long-term) •………..
  48. 48. What are the recommended processes in going for hospital accreditation?   Contents of master plan for Hospital Accreditation Project •.......... •Timelines (short- and long-term) •Strategies and action plans to achieve expected outputs and impacts (short- and long-term) •Budget (short- and long-term) •Monitoring and oversight plan •Evaluation plan (short- and long-term)
  49. 49. Hospital Accreditation: Does it Matter? It depends on your need and situation! Need - to participate in National Health Insurance Program and get benefits – go for PhilHealth Accreditation! Need - to participate in medical tourism program and get benefits – PCAHO, international accreditation (JCI / ACI / NBAH) Need – to satisfy requirement of corporate accounts – go for accreditation! Need – to satisfy expectations of the community – go for accreditation!
  50. 50. Hospital Accreditation: Does it Matter? It depends on your need and situation! Situation – to be with the trend of having an international accreditation (not to be left out – strong community expectation) – go for accreditation! Situation – want to fast-track improvement of quality and safety of operations and services with accreditation – go for accreditation (assessment, training, improvement, evaluation)!
  51. 51. Hospital Accreditation: Does it Matter? It depends on your need and situation! NO need; NO situation Be COMPLIANT with the standards and criteria without going for formal accreditation! (self-directed learning and improvement!)
  52. 52. Integrating Hospital Quality and Performance Standards • Philippine Quality Award Criteria for Performance Excellence • ISO Quality Management System • PhilHealth Benchbook (including PH statutory and regulatory requirements) • Joint International Commission, Accreditation Canada International (either one) • Investors in People *Compliance but NOT necessarily going for accreditation to all standards, except PhilHealth Benchbook and Philippine Quality Awards for Performance Excellence Performance Excellence Use integrated checklists
  53. 53. Integrating Hospital Quality and Performance Standards • Philippine Quality Award Criteria for Performance Excellence • ISO Quality Management System • PhilHealth Benchbook (including PH statutory and regulatory requirements) • Joint International Commission, Accreditation Canada International (either one) • Investors in People *Compliance but NOT necessarily going for accreditation to all standards, except PhilHealth Benchbook and Philippine Quality Awards for Performance Excellence Performance Excellence •Business Development •Efficiency •Learning
  54. 54. Integrating Hospital Quality and Performance Standards • Philippine Quality Award Criteria for Performance Excellence • ISO Quality Management System • PhilHealth Benchbook (including PH statutory and regulatory requirements) • Joint International Commission, Accreditation Canada International (either one) • Investors in People *Compliance but NOT necessarily going for accreditation to all standards, except PhilHealth Benchbook and Philippine Quality Awards for Performance Excellence Performance Excellence Increase in utilization of services Increase in corporate accounts and patient-clients
  55. 55. What are the common problems or challenges in hospital accreditation?   Common problems and challenges (commitment, cooperation, collaboration, and integration of all stakeholders) Weakness in: Leadership Management Planning, implementation, and evaluation Integration of standards in all units Communication Education
  56. 56. Aiming for best practices in quality and performance excellence in hospitals ProgrammedJourneyofExcellence
  57. 57. Aiming for best practices in quality and performance excellence in hospitals ProgrammedJourneyofExcellence
  58. 58. Accreditation as a Strategy / Tool for Hospital Quality Service / Improvement Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg Short Course on Total Quality Management June 23 - 27, 2014 UP Manila College of Public Health Thank you for your kind attention. For queries and feedback: rjoson2001@yahoo.com 0918-804-0304
  59. 59. Welcome Queries and Feedback Anytime! REYNALDO O. JOSON, MD, MHA, MHPEd, MSc Surg 0918-804-03-04 rjoson2001@yahoo.com
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