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  1. 1. The Role of the Government in strengthening accreditation and Quality Heath and social care delivery Sejojo Phaaroe SADCAS- Technical Advisory Committee Member SANAS-SADCAS-EU trained Technical Assessor MLS- REGULATORY BOARD FOCAL PERSON
  2. 2. PRESENTATION OVERVIEW This presentation constitutes a snapshot , What is accreditation Why- Remove Barriers' to free trade World accreditation day - Advocacy for quality, and accreditation services support in health care in structures and processes that are built help to inform local improvement of health services Strengthening of accreditation activities nandsscape What Lesotho has been doing in the Health sector SUPPORTING ACCREDITATION
  3. 3. June 9, 2015 marks World Accreditation Day June 9, 2015 marks World Accreditation Day as a global initiative, jointly established by the International Accreditation Forum (IAF) and the International Laboratory Accreditation Cooperation (ILAC), to raise awareness of the importance of accreditation. This years theme focuses on how accreditation can support the delivery of health and social care. the day was celebrated across the world with the hosting of major national events, seminars, and press and media coverage, to communicate the value of accreditation to Government, Regulators and the leaders of the business community.
  4. 4. What is accreditation? Accreditation is defined as the procedure by which an authoritative body gives formal recognition that an institution/organization/body or person is competent to carry out specific tasks. The key words from the above definition in the process of accreditation are authoritative, formal recognition competent, there is NO national authority in Lesotho for granting accreditation to conformity assessment bodies involved in calibration, testing, inspection and certification
  5. 5. Why accreditation? At the international level, the purpose of Accreditation is to remove technical barriers to trade by ensuring that the results of conformity assessment are accepted and recognized among trading partners.
  6. 6. Why accreditation Accreditation also improves the quality and reliability of services provided to local users of conformity assessment bodies and is thus important at the national level for the protection of the health and safety of the population and for the protection of the environment. ISO STANDARD 15189
  7. 7. Client tale Insurances Drs Food Handlers Travellers Job SEEKERS Marriage couples New born ANC, FP, PATIENTS Private Doctors Community Criminal investigations Legal agencies Out patients Health programs Government departments Health planners Development partners Economic planners Health planners Donor agencies Bond contractor's
  8. 8. Proactive to Prevent Paparatzi after a Medical Lab Scandal ?
  9. 9. International and national structures and activities for improving health care What international support for quality improvement is available to Lesotho national health care initiatives? To what extent do national governments around the world specify quality improvement in legislation and published policy? What are the distinguishing structures and activities of national approaches to quality improvement within countries? What resources (in the form of organizations, funding, training and information) are available nationally? What maintenance or implementation pathways are available , to prove to the world that Lesotho health care services are of excellence???
  10. 10. International - Multilateral Recognition Arrangement Documents (ML Series) purpose of IAF is to establish Multilateral Recognition Arrangements (MLA) between its accreditation body members in order to contribute to the freedom of world trade by eliminating technical barriers to trade. cover all accreditation bodies in all countries in the world, thus eliminating the need for suppliers of products or services to be certified in each country where they sell their products or services (certified once accepted everywhere).
  11. 11. Quality and accreditation in health care services: International Society for Quality in Health Care (ISQua) under contract to the World Health Organization. structures and activities at national and international levels around the world to promote quality in health care. catalogues quality concepts Gives representation in International Quality Forum . ILAC. AMCOA , SADCAS and LFL African Centre for Integrated Laboratory Training (ACILT- accreditation HAS BEED IDENTIFIED BY DEVELOPING- SMLTA as an assistance to developing countries like Lesotho
  12. 12. Pro-active Quality Health management delivery system Patient Sales and marketing Accredit ation Infustructure and equipment Finance /budget s OUT REACH AND Education Policy makers Laws ; vision, mission, values, norms, location Environment and climate change RISK MANAGEMENT REGULATORY AGENCIES COMMUNITY INFORMATION mngt International Collaborations Human Resource Job seekers Recruitment Public relations Medic al staff
  13. 13. Health systems and programs MDGs Community involvement Competent motivated Health professionals Quality Patients programs
  14. 14. Health Departments 1. Administration- 2. Clinical Services laboratory , pharmacy, dental, nursing , mental health, and Medical, ) 2. Health Planning 3. HIV/AIDS Directorate and disease control 4. Human Resource 5. Primary Health Care 6. Procurement 7. Social Welfare
  15. 15. Call for Government strengthening Quality health care Government expenditure on health has in recent years gone toward healthcare services, improvement and refurbishment of clinics, and other activities aimed at addressing the effects of HIV/ AIDS and tuberculosis (TB) and improving access to healthcare services. Accessibility of good quality healthcare services is a cornerstone of Lesothos Vision 2020 framework. This combination of funding and policy emphasis has led to infrastructure improvement in the form of new facilities, particularly in the primary healthcare sector THROUGH MCC.
  16. 16. GOVERNMENT SUPPORT New public health bill Developing new regulations and requirements Measuring compliance with regulatory and legal requirements: Allocating resources, both technical and financial- parliamentary cluster ASSESSING THE QUALITY OF HEALTH SERVICES QUALITY ASSURANCE UNIT MOH/COHSASA SECTOR WIDE APPROACH- Partners, suppliers, CHAL, NGOs SLMTA run by ACILT
  17. 17. COHSASA - Improving health care through standards & accreditation The Council for Health Service Accreditation of Southern Africa (COHSASA)
  18. 18. Facilities and Safety - Module 2 19 Organization Personnel Licensed/certified Equipment Purchasing & Inventory Process Control Information Management Documents & Records Occurrence Management Assessment Process Improvement Customer Service Facilities & Safety The Quality Management System
  19. 19. Personnel Performing specific Medical Laboratory tasks Qualified Professional Education CBE Training Professional Experience + Demonstrated Skills + Passed Board Exam MLS Regulatory Board License
  20. 20. Measurement of Quality health care Measurement Compliance with the above expectations has been assessed by: questionnaires and medical examinations before and during employment; staff satisfaction surveys; exit interviews when staff resign; routine indicators of sickness, absence and turnover; safety audits, such as handling of glutaraldehyde and cytotoxic chemicals; quality circles; statutory inspectorates; external certification of personnel management function.
  21. 21. Legislation within the workplace LAW RIGHT Employment Equity Act (EEA) a) Right not to be unfairly discriminated against on the basis of your HIV status b) Right not to be tested for HIV unless your employer ahs applied to the Labour Court for authorisation c) Do not have to disclose HIV status Occupational Health and Safety Act Right to a safe working environment
  22. 22. Accreditation of Southern Africa (COHSASA) The Council for Health Service is the only internationally accredited quality improvement and accreditation body for healthcare facilities based in Africa. In the past 20 years over 600 facilities throughout the continent have entered the COHSASA programme to improve the quality and safety of the healthcare services they provide to patients.
  23. 23. COHSASA Think Tank Trainings and motivation- proposalscohsasa_hospital_standards_- _certificate.pdf
  24. 24. LFL To encourage one-to-one interaction of all testing, calibration and inspection laboratories in order to guide in workplace Laboratory capability, development of skills , infrastructure and assessment necessary for accreditation To represent the experience, knowledge and formulated opinions of all Lesotho laboratories on a technical, ethical and commercial level . To assist in the interpretation of accreditation requirements, to identify generic national accreditation needs and to resolve issues on such matters for all Laboratories in Lesotho To establish a singular interface of representation of its members with SADCAS and ILAC. To establish effective communication channels for technology transfer with organizations that have similar objectives to the NLA-L To provide and encourage International professional recognition for scientific work and provide appropriate training in Quality management systems and all issues of accreditation. Liaise with SADCAS and other International Organizations, for all government Laboratories and private laboratory facilities in matters related to accreditation, capacity building and on going personnel certification.
  25. 25. accreditation services for SADC Member States aimed at: Supporting regional and international trade; Enhance the prot