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The Philippine Council on Accreditation of Health Care Organizations (PCAHO)

The Philippine Council on Accreditation of Health Care Organizations (PCAHO). a. b,c. Tomas P. Maramba and Agnette P. Peralta President, PCAHO Chair, Pathology Department, VRP Medical Center – Mandaluyong City, Philippines Director, Department of Health, Manila, Philippines Presenter.

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The Philippine Council on Accreditation of Health Care Organizations (PCAHO)

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  1. The Philippine Council on Accreditation of Health Care Organizations (PCAHO) a b,c Tomas P. Maramba and Agnette P. Peralta President, PCAHO Chair, Pathology Department, VRP Medical Center – Mandaluyong City, Philippines Director, Department of Health, Manila, Philippines Presenter a b c

  2. Context – Overview of the project PCAHO : established in April 1998 (registered in 1999) as a result of an Asian Development Bank funded project “Strengthening of Licensing and Regulation of Hospitals by the Department of Health” which recommended that “Regulation of hospitals” should include: Policy Formulation and Planning Licensing (Safety) Accreditation (Quality)

  3. Type of PPP NON-PROFIT PARTNERSHIP IN THE FIELD OF HEALTH CARE TO ENSURE QUALITY SERVICES INVOLVES THE ESTABLISHMENT OF A THIRD PARTY NON-GOVERNMENTAL ACCREDITING BODY CERTIFICATION OF QSS OF MEDICAL CLINICS FOR OFW CERTIFICATION OF QSS OF CONFIRMATORY DRUG TESTING LABS ACCREDITATION OF HEALTH FACILITIES FOR MEDICAL TOURISM.

  4. Partnership/Actors Involved PCAHO Members : Government Sector: Department of Health (DOH), Philippine Health Insurance Corporation (PHIC), Employees’ Compensation Commission, University of the Philippines College of Public Health Private Sector: Philippine Society for Quality in Health Care, Philippine Hospital Association, Association of Health Maintenance Organizations of the Philippines, Association of Hospital Administrators, Philippine College of Hospital Administrators, Philippine Medical Association, Philippine Nurses Association, Association of Nursing Service Administrators of the Philippines, Association of Deans of Philippine Colleges of Nursing, Philippine Organization of Medical Physicists

  5. Project Objective For PCAHO to develop accreditation schemes for various types of health care facilities in the Philippines to ensure the quality of health care services.

  6. Project Set-Up and Arrangements PCAHO was registered in the Securities and Exchange Commission as a non-stock and non-profit private organization in 1999. It is governed by a Board whose members are representatives of the member-organizations of PCAHO. It is managed by the Executive Committee consisting of the President, Vice-President, Secretary, Treasurer, and Auditor and 2 members of the Board. The Chairpersons of the six committees are also members of Executive Committee. Secretariat services are directed by an Executive Director who is assisted by one full time and two part-time employees. All committee members, auditors , surveyors, evaluators, trainers, and facilitators are volunteers who are given honoraria only.

  7. Key Milestones Support by the DOH of the PCAHO secretariat for the first two years of PCAHO existence Designation by the DOH of PCAHO as a Certifying Body for the Quality Standards System of Medical Clinics for Overseas Filipino Workers Designation by the DOH of PCAHO as the Certifying Body for the Quality Standards System of Confirmatory Drug Testing Laboratories Designation by the DOH of PCAHO as the Accrediting Body for Medical Tourism Institutional member of ISQua and Associate member of IAF National member and member of Executive Board of ASQua Member of Philippine Alliance for Patient Safety

  8. Challenges and Mitigation Plans Acceptance by all stakeholders of PCAHO as an accrediting body - plan to work for recognition of PCAHO as an accrediting body by the International Society for Quality in Health Care Funding for PCAHO expansion – submission of a project proposal seeking funding from the DOH, the PHIC, or from donor agencies Designation by the DOH of PCAHO as the national accrediting body for hospitals using the PHIC Benchbook Standards for Hospitals (August 2011)– plan for strengthening of PCAHO Technical Staff and Secretariat.

  9. Progress to Date Organizational Development activities have been on going. Training courses are regularly conducted for stakeholders. Quality standards and survey tools for hospitals were developed. Standards for Quality Standards Systems of medical clinics and audit tools were developed; Audit and Training services for certification are provided. Medical Travel Standards and survey tools were developed; survey and Training services for accreditation are provided.

  10. Lessons Learnt/Best Practices Accreditation/Certification can succeed when there is collaboration between government and private stakeholders. International recognition is essential for acceptance by potential clients. A good track record is necessary for credibility of image. The surveyors, evaluators and trainers should be uniform in the interpretation and application of the standards. This is strived for in bimonthlly meetings to get feedback and continual training of the technical staff. An Accrediting Body should be able to meet the changing needs of the stakeholders – periodic review of Strategic Plan.

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