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. this.

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.

QUALITY FROM WHOSE POINT OF VIEW ?

 Provider

of Health care Services of the Health care

 Recipient

services
 Organizer

of the Health care

services

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

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

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

QUALITY IMPROVEMENT APPROACHES

Credentialing  Licensure  Accreditation  Certification  Chart recognition


QUALITY ASSURANCE CYCLE

Reevalu ation Identify values

Take action

Identify standards criteria

Choose action

Secure measurement

Identify course of action

Make measurem ent

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


WHAT IS ACCREDITATION

Accreditation is an external review of quality with four principal components:

 It

is based on written and published standards are conducted by professional is

 Reviews

peers
 The  The

accreditation process administered by an independent body

aim of accreditation is to encourage organizational development. development.

Focus of standards
   

Patient Safety Staff and employee safety Environment and community safety Information Education and Communication

Accreditation Process

 Applications  Screening

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

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

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

PROBLEMS AND CHALLENGES

    

HCOs are very enthusiastic Ill prepared Initial preparation is shoddy Resources required initially Benefits have a longer gestation period

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


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

Also Nothing Is Impossible For,

Impossible Means I M Possible

Quality Norms and Accreditation??

Response of Medical Fraternity

Expected Response

THE CURRENT STATUS OF ACCREDITATION IN INDIA

  

Initializing phase is over. over. Phase of consolidation. consolidation. The initial steps have been difficult but the journey has begun. begun.

 

The journey has to continue

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

ACCREDITATION IS A JOURNEY AND NOT A DESTINATION.

BON VOYAGE !!!!!