This document summarizes a project to develop and implement a hospital accreditation system in Bangladesh between 2012-2013. The objectives were to establish an accreditation committee, develop standards, implement the system, train surveyors, and pilot the standards in 2-3 hospitals. Achievements included launching the project, forming task forces and subcommittees to develop draft standards. The standards were divided into patient-focused and hospital-focused sections. A Gantt chart outlines the project timeline and activities. Key challenges included the time commitment of members and lack of awareness among healthcare policymakers of the benefits of accreditation.
The Road To Hospital Quality Accreditation: What’s In It For Us? Is It Even Worth The Expense?” Lecture to Master in Hospital Administration students of the University of the Philippines College of Public Health on August 16, 2013.
Dissertation presentation: Study of the Process of Hospital Accreditation and Its Impact on Healthcare Facilities.
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Due to the near-universal desire for safe and good quality healthcare, there is a growing interest in international healthcare accreditation. Providing healthcare, especially of an adequate standard, is a complex and challenging process. Healthcare is a vital and emotive issue—its importance pervades all aspects of societies, and it has medical, social,political, ethical, business, and financial ramifications.
The Road To Hospital Quality Accreditation: What’s In It For Us? Is It Even Worth The Expense?” Lecture to Master in Hospital Administration students of the University of the Philippines College of Public Health on August 16, 2013.
Dissertation presentation: Study of the Process of Hospital Accreditation and Its Impact on Healthcare Facilities.
Presented By: Yasser Alsharif, Muwafag Kamash, Nasrat Esmat, Amer Tayeb
Supervised By: Dr. Mohammad Kamal Hussain
Due to the near-universal desire for safe and good quality healthcare, there is a growing interest in international healthcare accreditation. Providing healthcare, especially of an adequate standard, is a complex and challenging process. Healthcare is a vital and emotive issue—its importance pervades all aspects of societies, and it has medical, social,political, ethical, business, and financial ramifications.
NABH is an institutional member of the International Society for Quality in Health Care (ISQUA). ISQUA is an international body which grants approval to Accreditation Bodies in the area of healthcare as mark of equivalence of accreditation program of member countries.
ISQua Accreditation of NABH Standard , India
International Society for Quality in Healthcare (ISQua) has accredited “Standards for Hospitals” developed by National Accreditation Board for Hospitals & Healthcare Providers (NABH, India ). The approval of ISQua authenticates that NABH standards are in consonance with the global benchmarks set by ISQua. The hospitals accredited by NABH will have international recognition This will provide boost to medical tourism.
International Society for Quality in Health Care (ISQua ) is an international body which grants approval to Accreditation Bodies in the area of healthcare as mark of equivalence of accreditation program of member countries.
So far hospital standards of only 11 countries viz. Australia , Canada , Egypt , Hong Kong , Ireland , Japan , Jordan , Kyrgyz Republic , South Africa , Taiwan , United Kingdom were accredited by ISQua. India becomes the 12 th country to join in this group.
Medical Diagnostics Labs in India have the option of choosing ISO 9001, NABH Medical Lab Certification, ISO 15189 - NABL Lab Accreditation, CAP Accreditation programs for implementing Lab Quality Management Systems Programs.
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The new MDR will affect all Medical Device manufacturers.
The availability of the text for the new European Medical Device Regulation allows manufacturers to start the process of assessing the impact it will have on their activities, and what they will need to do to be compliant with the revised requirements.
The MDR will overhaul some of the basic principles under which manufacturers have been working under the current MDD.
Implementing the MDR requires a structured approach, since the transition to new MDR CE certificates can last several years.
Watch the presentation here: https://www.greenlight.guru/webinar/eu-mdr-compliance-program-implementation
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NABH is an institutional member of the International Society for Quality in Health Care (ISQUA). ISQUA is an international body which grants approval to Accreditation Bodies in the area of healthcare as mark of equivalence of accreditation program of member countries.
ISQua Accreditation of NABH Standard , India
International Society for Quality in Healthcare (ISQua) has accredited “Standards for Hospitals” developed by National Accreditation Board for Hospitals & Healthcare Providers (NABH, India ). The approval of ISQua authenticates that NABH standards are in consonance with the global benchmarks set by ISQua. The hospitals accredited by NABH will have international recognition This will provide boost to medical tourism.
International Society for Quality in Health Care (ISQua ) is an international body which grants approval to Accreditation Bodies in the area of healthcare as mark of equivalence of accreditation program of member countries.
So far hospital standards of only 11 countries viz. Australia , Canada , Egypt , Hong Kong , Ireland , Japan , Jordan , Kyrgyz Republic , South Africa , Taiwan , United Kingdom were accredited by ISQua. India becomes the 12 th country to join in this group.
Medical Diagnostics Labs in India have the option of choosing ISO 9001, NABH Medical Lab Certification, ISO 15189 - NABL Lab Accreditation, CAP Accreditation programs for implementing Lab Quality Management Systems Programs.
8 Steps You Should Be Taking to Implement an EU-MDR Compliance ProgramGreenlight Guru
The new MDR will affect all Medical Device manufacturers.
The availability of the text for the new European Medical Device Regulation allows manufacturers to start the process of assessing the impact it will have on their activities, and what they will need to do to be compliant with the revised requirements.
The MDR will overhaul some of the basic principles under which manufacturers have been working under the current MDD.
Implementing the MDR requires a structured approach, since the transition to new MDR CE certificates can last several years.
Watch the presentation here: https://www.greenlight.guru/webinar/eu-mdr-compliance-program-implementation
An introduction on Evidence-Based Clinical Practice Guidelines in Health Care Organizations
Brief on Alexandria Center for EBCPGs in Alexandria University Hospitals, Egypt
By Dr. Yasser Sami Abdel Dayem Amer, MBBCh, MS 2013
Special Thanks to
Prof Dr Mahmoud Elzalabany
Prof Dr Tarek Omar
Prof Dr Nabil Dowidar
Prof Dr Afaf Gaber
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Hospital Accreditation Project | Bangladesh
1. Grant Number: 2011 THS 349
Hospital Accreditation Project
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
2. Overview
• Develop and implement a hospital accreditation system in
Bangladesh
• “Transforming Health Systems” Initiative in Asia
• Life of Project – January 2012 to December 2013
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
3. Objectives
• Establish a National Accreditation Committee (NAC)
• Develop Hospital Accreditation (HA) standards
• Implementation of HA system in Bangladesh,
• Identifying and training HA surveyors and
• Pilot of HA standards in 2-3 hospitals.
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
4. Achievements
• Project launched with Sr. Secretary of MOH
– March 24, 2012
• Project Task Force formed
• Subcommittees established
– Hospital Standard Subcommittee
– Hospital Accreditation Subcommittee
• Draft standards developed and distributed for review
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
5. Launching program|
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
6. Task force meeting |
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
7. Subcommittee meeting
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
8. Draft standards | 2 sections | 10 chapters
The national hospital standards are first divided into two major sections:
1. Patient-Focused Standards [5 chapters]
2. Hospital-Focused Standards [5 chapters]
The patient-focused standards:
1. Patient Safety Goals [PSG]
2. Total Patient Management [TPM]
3. Critical Care Management [CCM]
4. Total Medication Management [TMM]
5. Patient and Family, Rights and Education [PFRE]
Then Hospital-focused standards:
1. Quality and Risk Management [QRM]
2. Infections Control and Prevention [ICP]
3. Facility Safety and Equipment Management [FSEM]
4. Governance and HR Management [GHM]
5. Information and Communication [IAC]
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
9. Gantt Chart of the project
2012 2013
Tasks/Activities J F M A M J J A S O N D J F M A M J J A S O N D
1) Formation Project Management Task force [PMT]
1a) PMT meeting to oversee the project activities X X X X X X X X
2) Establish a National Accreditation Committee (NAC) X X X X X X X X X X X X X X X X X X X X X X
3) Develop the Accreditation System
Standard development
X X X X X X X X X
Methodology
Process & framework
4) HA Surveyor development
Develop surveyor guide
X X X X X X X X
Selection of surveyors
Surveyors’ training
5) Piloting of the Accreditation System
Selection of hospitals
Baseline assessment
X X X X X X X X X X X X X X X X X
Implement of standards
Accreditation survey
Certification
6) Exit Final reporting
∆ Proposed Timeline | X Adjusted Timeline
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
10. Key Challenges
• Time commitment from subcommittee members
• Lack of awareness among the healthcare policy makers
on deliverables of HA system
• Current fund is not sufficient to implement HA system
RF | 2011 THS 349 ???
Government of the People’s Republic of Bangladesh
Directorate General of Health Services (DGHS)
11. THANK YOU
For any queries or for more information :
Road 35 House 5, Gulshan 2| Dhaka 1212, Bangladesh | Tel: 880 9887561/9887925/8811888| Fax: 880 9887563
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