Hospital Accreditation Setting Standards
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Transcript of Hospital Accreditation Setting Standards
Hospital Accreditation Setting Standards
Dr. Bonaventure NZEYIMANAMinistry of Health
[email protected]: (+250) 788585815
Kigali, RwandaDATE
Session Objectives
1. Identify the benefits of accreditation.2. Recognize the importance of standards in
improving performance.3. Review quality concepts that provide the
framework for standards development.4. Describe the terms of reference of the
Standards Task Force5. Review the JCI “Essentials”.
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What is quality?
Definition of quality
Rwanda MOH, 2012
“The correct implementation of health interventions according to established norms and procedures, which satisfy the health system’s clients and maximize health outcomes without creating health risks or unnecessary costs.”
Technical performance
Access to services
Effectiveness of care
Continuity of services
Interpersonal communication
Efficiency of service delivery
Safety
Physical infrastructure
Choice of services
Dimensions of qualityProfessional Competence
Coverage & utilization
Rwanda Ministry of Health August 2008
“That set of activities which defines norms, measures and improves performance ofhealthcare services, such that healthcare isas effective and as safe as possible.”
Definition of quality assurance
SYSTEMIC VISION
Inputs Processes Outcomes
Personnel: Personnel: (HRH strategic (HRH strategic plan with emphasis on plan with emphasis on specialized personnel)specialized personnel)
Equipment: Equipment: Modern Modern equipment for referral equipment for referral hospitalshospitals
Supplies: Supplies: Quality control Quality control for all supplies and for all supplies and consumablesconsumables
Admission: Admission: Improved by Improved by standardsstandards
Test Procedures: Test Procedures: 238 238 policies, procedures policies, procedures and guidelinesand guidelines
Patient Education: Patient Education: for the for the prevention and CHWs prevention and CHWs play major roleplay major role
Treatment: Treatment: Treatment Treatment guidelines developed guidelines developed and disseminatedand disseminated
Improved health Improved health statusstatus
Efficient servicesEfficient services
8Adapted from: World Health Organization. (2012). WHO-UNICEF vaccination coverage estimates time series for Rwanda.
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Farmer PE, Nutt CT, Wagner CM, Sekabaraga C, Nuthulaganti T, et al. (2013). “Reduced Premature Mortality in Rwanda: Lessons from Success.” British Medical Journal 346(f65): [e-pub ahead of print].
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Cause Timeframe
Decline in Mortality
Malaria (reported deaths)
2005 – 11 85.3%
HIV/AIDS (rate) 2000 – 09 78.4%Tuberculosis (rate) 2000 – 10 77.1%Child mortality (rate) 2000 – 11 70.4%Maternal mortality (ratio)
2000 – 10 60.0%
All-cause mortality (rate)
2000 – 10 50.0%
Non Communicable diseases
????Farmer PE, Nutt CT, Wagner CM, Sekabaraga C, Nuthulaganti T, et al. (2013). “Reduced Premature Mortality in Rwanda: Lessons from Success.” British Medical Journal 346(f65): [e-pub ahead of print].
Towards reducing premature death in RwandaTowards reducing premature death in Rwanda
Quality Assurance Project
Defining Quality
QA
Measuring Quality
Improving Quality
Rwandan Model to Quality Care Improvement
1. Accreditation2. Universal Coverage3. PBF
Quality ImprovementQuality Improvement• Standards, Policies, procedures and Treatment, Guidelines in all
hospitals (2012)• Accreditation of KFH (97% in 2013) • External evaluations for CHUK and CHUB
– 37% in 2007, 40% in 2009 and 55% in 2011 for CHUK – 27% in 2007 and 40% in 2012 for CHUB
• Baseline Assessment conducted in 4 Provincial Hospitals, under process for District Hospitals
• Norms infrastructure, equipment and Human Resources• Customer care: Patients rights, 114 free call, suggestion boxes,
quarterly evaluation• Improved supply chain management (06/2012- 03/2013:
DH; 78-98%, DP; 87-95%, RH; 76-94%)
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Accreditation
Definition of Accreditation
A process in which an entity, separate and distinct from the hospital, usually nongovernmental, assesses the hospital to determine if it meets a set of standards designed to improve quality and safety of care
Accreditation - Does it make a difference?
Accredited hospitals report significant improvements in:– Leadership– Medical records management – Infection control– Reduction in medication errors– Staff training and professional credentialing– Clinical outcomes
Does it make a difference?
Current Progress
• National Referral Hospitals: COHSASA (Council For Health Service Accreditation of South Africa) accredited by ISQUA curry external evaluation (against International standards)
• District Hospitals: JCI, accredited by ISQUA is conducting the external assessment. (Rwanda Essentials of Healthcare Quality and Safety).
• Health centers and Private Health sector: will join the process in 2016.
Rwanda Essentials of Healthcare Quality and Safety
Five Risk Areas– Leadership– Competent workforce– Safe environment– Clinical care– Quality improvement