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Why Accreditation, why IQIPS?

Why Accreditation, why IQIPS?. Jane Deans MSc HAD Assessment Manager. Definition:. Accreditation is the independent verification o f an organisation's competence to provide services such that the users have confidence in the outcomes. Accreditation is:.

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Why Accreditation, why IQIPS?

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  1. Why Accreditation, why IQIPS? Jane Deans MSc HAD Assessment Manager

  2. Definition: Accreditation is the independent verification of an organisation's competence to provide services such that the users have confidence in the outcomes

  3. Accreditation is: • A continual process, not an event • A proven tool for building and maintaining a culture of quality • A formal third-party assessment against an Accreditation Standard

  4. An accreditation scheme: Accreditation Body Accreditation Standard CUSTOMER Assessment Team Assessment & Accreditation Process

  5. Accreditation process: Pre – Application > Traffic Light Ready (TLR) > Prep workshops Traffic Light Ready Formal Application to UKAS Pre-assessment & contract review Web Based Assessment Initial assessment (web-based assessment) Initial assessment (on-site assessment visit) Provisional & Final Decision (Grant of Accreditation) Annual maintenance & Re-assessment

  6. How long does it take? • From formal application to accreditation: • Shortest = 4 months • Longest = 40 months • Average = 14.7 months

  7. Success in accreditation: Stage 1: The standard is understood

  8. Success in accreditation: Stage 2: The service is well prepared for accreditation

  9. Success in accreditation: Stage 3: The service is well delivered

  10. The 8 physiological disciplines: Audiology Cardio Physiology Gastro-intestinal Physiology Neurophysiology Respiratory Physiology Urodynamics Vascular Sciences Ophthalmic & Vision Sciences

  11. The 4 Domains:

  12. Evidence: • Say what you do - document it • Do what you say, consistently • Show that what you are doing is effective, accurate, safe, patient-focused, efficient, timely, accessible, sustainable

  13. Ways of providing evidence: • Electronically via the web-based assessment tool • Face-to-face discussions during the on-site assessment visit • Observation/witnessing of activities, behaviours, signage and written material during the on-site assessment visit

  14. Tips for success: Preparation, preparation, preparation! • Ensure senior clinical and managerial leadership with sustainable funding source • Identify a skilled Co-ordinator/Project Lead/Quality Manager • Set up and empower a project team (skill mix) involving as many as possible • Gain wide local support for quality - avoid accreditation as being seen as a ‘top down’ initiative!

  15. Tips for success: • Undertake regular gap analysis / self-assessments (TLR) • Review all current policies, procedures and record keeping arrangements – develop your Quality Management System • Provide training to all staff • Review local patient/service user involvement • Establish a comprehensive quality improvement programme - including a comprehensive internal audit/monitoring plan

  16. Where are we now?

  17. TLR – registered services:

  18. Accredited services:

  19. Neurophysiology services:

  20. THANK YOU Contact details Jane.deans@ukas.com IQIPSCustomerService@ukas.com AskIQIPS@ukas.com

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