QUALITY IMPROVEMENT AND PATIENT SAFETY

1. QUALITY IMPROVEMENT AND PATIENT SAFETY

2. WHAT IS QUALITY ?

3. Appropriate application of medical knowledge with due regard to the balance between the hazard inherent in every medical intervention and the benefits expected from it It is, however more complex than this.

4. WHAT IS QUALITY ASSURANCE Quality assurance as making sure that the services provided by thehospital are the best possible given existing resources and current medical knowledge.

5. QUALITY FROM WHOSE POINT OF VIEW ?

6. Provider of Health care Services Recipient of the Health care services Organizer of the Health care services

7. PROVIDERS CONCERNS To provide care as per established norms Adequate resources Self satisfaction with the final outcome Should contribute to enhancement of skills, competence and add to experience

8. RECIPIENTS CONCERNS Accessibility Affordability Prompt attention Less waiting time Early diagnosis and cure Return to Productivity as early as possible Humane Treatment ie to be treated with empathy , respect and concern

9. ORGANISERS CONCERNS Responsible to the Society for the funds spent on health care To ensure safety of public and prevent inappropriate or suboptimal care To meet the requirements of the recipient and provider of the health care services at Acceptable costs

10. QUALITY IMPROVEMENT APPROACHES • Credentialing • Licensure • Accreditation • Certification • Chart recognition

11. QUALITY ASSURANCE CYCLE

12. NEW TRENDS IN QUALITY ASSURANCE • Quality council • Concurrent monitoring • High volume case assessment • High risk assessment • Standard of quality care • Inter disciplinary quality assurance • Automation of data sources • Performance of the staff

13. WHAT IS ACCREDITATION

14. Accreditation is an external review of quality with four principal components: It is based on written and published standards Reviews are conducted by professional peers The accreditation process is administered by an independent body The aim of accreditation is to encourage organizational development.

15. Focus of standards Patient Safety Staff and employee safety Environment and community safety Information Education and Communication

16. Accreditation Process Applications Screening of the Applications Pre-assessment survey Assessment Survey Review of the recommendations of the assessing body by the Accreditation Committee Recommendations to the board Accreditation decision

17. DOCUMENT REVIEW Quality Manual Various Policies and Procedures Minutes of Meetings of various committees Medical Records Medical / Nursing Audit Adverse Events HAI Action Taken Reports Personal Records of Staff

18. OBSERVATIONS Facility Safety Level of compliance with laid down policies and procedures BMW Management Standard Precautions Patient care Fire Safety Equipment Management

19. PROBLEMS AND CHALLENGES HCOs are very enthusiastic Ill prepared Initial preparation is shoddy Resources required initially Benefits have a longer gestation period

20. PROBLEMS AND CHALLENGES Quality Consciousness at all levels will take time Sustenance and consistency of efforts will be required Commitment on a consistent basis High rates of attrition will require repeated and continual training Public Sector will take a longer time to get into the process Quality and consistency of assessors and assessments

21. These May Look Difficult Initially, But the First steps are Never easy.

22. Also Nothing Is ImpossibleFor,

23. ImpossibleMeansI’ M Possible

24. Quality Norms and Accreditation?? Response of Medical Fraternity

25. Expected Response

26. THE CURRENT STATUS OF ACCREDITATION IN INDIA Initializing phase is over. Phase of consolidation. The initial steps have been difficult but the journey has begun. The journey has to continue………. Especially since ---------------------------

27. ACCREDITATION IS A JOURNEY AND NOT A DESTINATION.

28. BON VOYAGE !!!!!

29. THANK YOU FOR YOUR PATIENCE