quality in healthcare and need for accreditation
TRANSCRIPT
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Quality of Health Care
&
Need for Accreditation
By
Dr. Girdhar J. GyaniSecretary General
Quality Council of IndiaCEO - NABH
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Good quality means providingpatients with appropriate servicesin a technically competent manner,
with good communication, shareddecision making, with culturalsensitivity and with greatest
efficiency.
Institute of Medicine, 2001
Quality In Healthcare
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Let us analyze why ..
Healthcare Quality is
sharply in focus all over the
world.
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Reason 1:EarlierSimple, Ineffective and safe
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Now.complex, effective and unsafe!
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Even if youre on the right track, youll get run over if
you just sit there!
Reason 2:
Difficult to keep pace! New Research (10000 newdrug trials conducted
yearly)
New Technology
Huge increase inHealthcare Spending
Genomics and other newtechnologies on thehorizon
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Caring and healing, up the slippery-slope of
modern medicine
Reason 3:
The Sacred Relationship is being challenged..
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Not willing to paywant thebest, and do not have to pay
too much for it!
Demanding Fast Food culture.cannottolerate delays
Atmosphere of mistrust andsuspicion : Unethical, Over
billing, etc.
Ready to challenge
Patients are not satisfied
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IOM Report of 1999
100,000 preventable deaths each year in
some of developed nations due to medicalerrors
More than 50% of these are medicationerrors
Most are not picked up or reported
International Scenario
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In developed countries as many as one in 10patients is harmed while receiving hospital carecaused by a range of errors or adverse events.
In developing countries, the probability is evenhigher as much as 20 times higher in somecountries.
At any given time, 1.4 million people worldwidesuffer from infections acquired in hospitals.
Fact File.
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It is estimated that the HAI rates in developedcountries range from 5-25%
However, data from developing countriessuggest HAI rates to be greater than 40% Data collection is in a nascent stage
Data on other aspects of Patient Safety iscurrently unavailable in developing countries
Numerous reasons and constraints
Some Facts.
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An instrument mandated by the
Government to impose set of conditions,
which a healthcare organization must
comply with, before and after it ispermitted to operate in the country. It is
based on the minimum standards,
inspection, enforcement and publicaccountability
Regulation
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Public recognition of the achievement of
accreditation standards by a healthcare
organization, demonstrated through an
independent external assessment of that
organizations level of performance in relation
to the standard.
(ISQua)
Accreditation
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Accreditation relies on establishing technical
competence of healthcare organization in
terms of accreditation standards in delivering
services with respect to its scope. It focuseson learning, self development, improved
performance and reducing risk. Accreditation
is based on optimum standards, professional
accountability and encourages healthcareorganization to pursue continual excellence
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Accreditation
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Regulation is mandatory
Accreditation is voluntary
Accreditation is promoted by way of incentives
and market forces
In order to achieve best of both worlds,
regulation in time to come can simply rely on
accreditation
Regulation Vs. Accreditation
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Patient Safety
Physician
Surgeon
Nursing / Technician
Paramedical
Logistics
Management
Accreditation
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Stimulates continuous improvement.
Enables the HCO in demonstratingcommitment to quality of care.
Raises community confidence in the servicesprovided.
Provides opportunity to benchmark with thebest.
Benefits of ACCREDITATION to HCO
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Accreditation benefits all stake holders,patients/customers are the biggest beneficiary.
Results in high quality of care andpatients/customer safety.
Patients/Customers get services by credentialedstaff.
Rights of patients/customers are respected and
protected. Patients/Customer satisfaction is regularly
evaluated.
Benefits Patients/Customers
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Staff are satisfied lot as it provides for continuous learning, goodworking environment, leadership and above all ownership ofservice processes.
Improves overall professional development of staff and providesleadership for quality improvement in various techniques.
Benefits to Staff
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Objective system of evaluation andempanelment by Third Parties
Provides access to reliable and certifiedinformation on facilities, infrastructure and levelof care.
Benefits to others