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Charles BRUNEAU Haute Autorit é de santé September 2009

External evaluation Definition of terms and concepts. Charles BRUNEAU Haute Autorit é de santé September 2009. The international regulatory landscape. A diversity of initiatives under different labels. A few examples : Supervision Certification Accreditation

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Charles BRUNEAU Haute Autorit é de santé September 2009

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  1. External evaluationDefinition of terms and concepts Charles BRUNEAU Haute Autorité de santé September 2009

  2. The international regulatory landscape

  3. A diversity of initiatives under different labels A few examples : Supervision Certification Accreditation Different forms of monitoring

  4. New accreditation programmes for HCOs : Europe 1989-2006 Krakow 905 CD Shaw : Healthcare accreditation in Europe 4

  5. The changing picture of accreditation • A greater role for external evaluation in protecting the community and promoting quality improvement • Programs are more diverse and raise new issues: • Mandatory versus voluntary • National versus partial coverage • Ownership by government or by professionals • Obligations of accountability and publication of results • Links to regulatory and to incitative mechanisms

  6. A sharing of values and principles (Adopted in June 2006 by the health ministers of member states) • The universality of access to care for each resident of the European Union • The access to quality care • An equitable access independent of ethnicity, sex, age, social status and the capacity to pay • Solidarity in terms of financing system • A system aimed at reducing inequalities in health and at promoting prevention actions

  7. A diversity of definitions Accreditation of HCOs (France and internationally) A procedure of external evaluation performed by peers independent of HCOs and of payers and public authorities that is organisation wide Certification of HCOs (France) The procedure described above

  8. A diversity of definitions Accreditation (ISO) A recognition by a national organisation of accreditation that an organisation evaluating conformity satisfies a set of criteria required to undertake this evaluation Certification (ISO) A process by which a third party gives a written assurance that a product, a process or a service satisfies specific requirements

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