Quality in Healthcare and Need for Accreditation

7/31/2019 Quality in Healthcare and Need for Accreditation

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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

Documents

Quality in Healthcare and Need for Accreditation