quality improvement and patient safety

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QUALITY IMPROVEMENT AND PATIENT SAFETY

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QUALITY IMPROVEMENT AND PATIENT SAFETY. WHAT IS QUALITY ?. 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. WHAT IS QUALITY ASSURANCE. - PowerPoint PPT Presentation

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Page 1: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

QUALITY IMPROVEMENT AND

PATIENT SAFETY

Page 2: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

WHAT IS QUALITY ?WHAT IS QUALITY ?

Page 3: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

Appropriate application of Appropriate application of

medical knowledge with due medical knowledge with due

regard to the balance between regard to the balance between

the hazard inherent in every the hazard inherent in every

medical intervention and the medical intervention and the

benefits expected from itbenefits expected from it

It is, however more complex than It is, however more complex than

this.this.

Page 4: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

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.

Page 5: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

QUALITY FROM WHOSE QUALITY FROM WHOSE POINT OF VIEW ?POINT OF VIEW ?

Page 6: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

Provider of Health care ServicesProvider of Health care Services

Recipient of the Health care servicesRecipient of the Health care services

Organizer of the Health care servicesOrganizer of the Health care services

Page 7: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

PROVIDERS CONCERNSPROVIDERS CONCERNSTo provide care as per established To provide care as per established

normsnorms

Adequate resourcesAdequate resources

Self satisfaction with the final Self satisfaction with the final

outcomeoutcome

Should contribute to enhancement Should contribute to enhancement

of skills, competence and add to of skills, competence and add to

experienceexperience

Page 8: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

RECIPIENTS CONCERNSRECIPIENTS CONCERNSAccessibility

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

Page 9: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

ORGANISERS CONCERNSORGANISERS CONCERNS

Responsible to the Society for the Responsible to the Society for the

funds spent on health carefunds spent on health care

To ensure safety of public and prevent To ensure safety of public and prevent

inappropriate or suboptimal careinappropriate or suboptimal care

To meet the requirements of the To meet the requirements of the

recipient and provider of the health recipient and provider of the health

care services at care services at Acceptable costsAcceptable costs

Page 10: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

QUALITY IMPROVEMENT APPROACHES

CredentialingLicensureAccreditationCertificationChart recognition

Page 11: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

QUALITY ASSURANCE CYCLE

Page 12: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

NEW TRENDS IN QUALITY ASSURANCE

Quality councilConcurrent monitoringHigh volume case assessmentHigh risk assessmentStandard of quality careInter disciplinary quality assuranceAutomation of data sourcesPerformance of the staff

Page 13: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

WHAT IS ACCREDITATION

Page 14: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

Accreditation is an external Accreditation is an external review of quality with four review of quality with four

principal components:principal components: It is based on written and published It is based on written and published

standardsstandards Reviews are conducted by Reviews are conducted by

professional peersprofessional peers The accreditation process is The accreditation process is

administered by an independent bodyadministered by an independent body The aim of accreditation is to The aim of accreditation is to

encourage organizational encourage organizational development.development.

Page 15: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

Focus of standardsFocus of standards

Patient SafetyPatient Safety

Staff and employee safetyStaff and employee safety

Environment and community safetyEnvironment and community safety

Information Education and Information Education and

CommunicationCommunication

Page 16: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

Accreditation ProcessAccreditation Process

ApplicationsApplications Screening of the ApplicationsScreening of the Applications Pre-assessment surveyPre-assessment survey Assessment SurveyAssessment Survey Review of the recommendations of the Review of the recommendations of the

assessing body by the Accreditation assessing body by the Accreditation CommitteeCommittee

Recommendations to the boardRecommendations to the board Accreditation decisionAccreditation decision

Page 17: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

DOCUMENT REVIEWDOCUMENT REVIEW

• Quality ManualQuality Manual

• Various Policies and ProceduresVarious Policies and Procedures

• Minutes of Meetings of various committeesMinutes of Meetings of various committees

• Medical RecordsMedical Records

• Medical / Nursing AuditMedical / Nursing Audit

• Adverse EventsAdverse Events

• HAIHAI

• Action Taken ReportsAction Taken Reports

• Personal Records of StaffPersonal Records of Staff

Page 18: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

OBSERVATIONSOBSERVATIONS

• Facility SafetyFacility Safety

• Level of compliance with laid down Level of compliance with laid down

policies and procedurespolicies and procedures

• BMW ManagementBMW Management

• Standard PrecautionsStandard Precautions

• Patient carePatient care

• Fire SafetyFire Safety

• Equipment ManagementEquipment Management

Page 19: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

PROBLEMS AND PROBLEMS AND CHALLENGESCHALLENGES

HCOs are very enthusiastic HCOs are very enthusiastic

Ill preparedIll prepared

Initial preparation is shoddyInitial preparation is shoddy

Resources required initiallyResources required initially

Benefits have a longer gestation Benefits have a longer gestation

period period

Page 20: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

PROBLEMS AND PROBLEMS AND CHALLENGESCHALLENGES

Quality Consciousness at all levels Quality Consciousness at all levels will take timewill take time

Sustenance and consistency of Sustenance and consistency of efforts will be requiredefforts will be required

Commitment on a consistent basisCommitment on a consistent basisHigh rates of attrition will require High rates of attrition will require

repeated and continual trainingrepeated and continual trainingPublic Sector will take a longer Public Sector will take a longer

time to get into the processtime to get into the processQuality and consistency of Quality and consistency of

assessors and assessments assessors and assessments

Page 21: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

These May Look These May Look

Difficult Initially, But Difficult Initially, But

the First steps are the First steps are

Never easy.Never easy.

Page 22: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

Also Nothing Is Also Nothing Is

ImpossibleImpossible

For,For,

Page 23: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

ImpossibleImpossible

MeansMeans

I’ M PossibleI’ M Possible

Page 24: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

Quality Norms and Accreditation??

Response of Medical Fraternity

Page 25: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

Expected ResponseExpected Response

Page 26: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

THE CURRENT STATUS OF THE CURRENT STATUS OF ACCREDITATION IN INDIAACCREDITATION IN INDIA

Initializing phase is over. Initializing phase is over.

Phase of consolidation.Phase of consolidation.

The initial steps have been difficult The initial steps have been difficult

but the journey has begun.but the journey has begun.

The journey has to continue……….The journey has to continue……….

Especially since ---------------------------Especially since ---------------------------

Page 27: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

ACCREDITATION IS A JOURNEYACCREDITATION IS A JOURNEY

AND AND

NOT A DESTINATION.NOT A DESTINATION.

Page 28: QUALITY IMPROVEMENT  AND  PATIENT SAFETY

BON VOYAGE !!!!!BON VOYAGE !!!!!

Page 29: QUALITY IMPROVEMENT  AND  PATIENT SAFETY