Ensuring Quality in HPE Courses – Accreditation PDF

Ensuring Quality in HPE Courses – Accreditation Course code: 610 Quality Assurance & Accreditation Learning Objectives By the end of this session, you will be able to: 1. Discuss the history of accreditation of healthcare organisations. 2. Describe the definition of accreditation in healthcar...

Ensuring Quality in HPE Courses – Accreditation Course code: 610 Quality Assurance & Accreditation Learning Objectives By the end of this session, you will be able to: 1. Discuss the history of accreditation of healthcare organisations. 2. Describe the definition of accreditation in healthcare. 3. Recognise the different perspectives on accreditation. 4. Understand the basic principles of accreditation as a means to improve quality. 5. Evaluate the benefits of accreditation as discussed in the literature. 2 History of Patient Safety Movement 3 Hippocrates Father of medicine To do no harm Beginning of the patient safety movement 4 Florence Nightingale Corner stone of nursing education Founder of modern nursing Unsanitary conditions cause infection ‘Were there none who were discontented with what they have, the world would never reach anything better’ – Florence Nightingale 5 Ignaz Semmelweis Savior of mothers Proper hand washing Father of infection control 6 Ernest Codman Evidence-based medicine End result theory Public health pioneer ‘Every hospital should follow every patient it treats long enough to determine whether the treatment has been successful, and then to inquire, “if not, why not” with a view to preventing similar failures in the future.’ – Ernest Codman 7 American College of Surgeons Need for standardisation Guidelines Accreditation to standardise practice 8 The Minimum Standard Document Visit the link below to read the document https://www.facs.org/about- acs/archives/past- highlights/minimumhighlight/ 9 American College of Surgeons Davis, L. (1960). Fellowship of surgeons: A history of the American College of Surgeons. American College of Surgeons. 10 Introduction to Accreditation 11 Definition An evaluation against objective sets of standards A comprehensive review of practices and functions Measurement of performance against benchmarks Indicator of reliability and commitment to quality and safety 12 Around the Globe Originated in the early twentieth century First-quality standards (The Minimum Standard for Hospitals) in 1919 The Joint Commission on Accreditation of Healthcare Organizations launched healthcare accreditation in 1951 Accreditation Canada was established in 1958 European countries joined the accreditation realm in the 1970s Accreditation bodies had already spread worldwide in the mid 1990s 13 Increasing Regulations Heavy focus on patient safety Extensive efforts to minimise avoidable harm Expansion of health services Advancements in the healthcare professions 14 National Regulation Programmes Provide governments with the lens to judge healthcare organisations on performance Dependence of governments on accreditation to ensure safe and quality healthcare External control and more accountability on the health system More professional development 15 Licensure It is a process by which a governmental authority grants permission to an individual practitioner or health care organisation to operate or to engage in an occupation or profession. 16 Licensure Regulations Licensure regulations are generally established to ensure that an organisation or individual meets minimum standards to protect public health and safety. 17 Different Views on Accreditation Positive contribution toward quality improvement and development of organisations vs. Improvement initiatives are only observed when organisations are preparing for the survey. 18 Accreditation as a QI Tool QI is assessed based on the level of compliance with the accreditation standards. Positive correlation between accreditation and Quality improvement Positive organisational changes Organisational learning 19 Positive Impact on Quality Dimensions Safety Timeliness Efficiency Effectiveness Patient-centredness 20 Benefits of Accreditation Improves the quality in all the aspects and dimensions Enhances the organisations’ reputation among consumers Enhances end-users’ consciousness and perception of quality care Serves as a powerful device for protecting the public Enhances the reliability of the information the public receives Influences people’s decisions about what organisations they choose Improves internal and external communications Encourages learning by individuals and teams Increases credibility, commitment, and accountability 21 Accreditation Cycles First Cycle A learning experience Organisations acquire more knowledge about the standards and how to implement Second Cycle Organisations benefit most after receiving notes and recommendations from surveyors following the initial accreditation cycle Third Cycle Accreditation standards are built-in and integrated into the existing processes 22 References Accreditation Canada International. (2013, October). The value and impact of accreditation in health care: A review of the literature. https://aventa.org/pdfs/valueimpactaccreditation.pdf Alkhenizan, A., & Shaw, C. (2012). The attitude of health care professionals towards accreditation: A systematic review of the literature. Journal of Family and Community Medicine, 19(2), 74. https://doi.org/10.4103/2230-8229.98281 Angus, D., Champagne, F., Contandriopoulos, A., Lemieux-Charles, L., Pomey, M., & Shabah, A. (2010). Does accreditation stimulate change? A study of the impact of the accreditation process on Canadian healthcare organizations. Implementation Science, 5(31), 1–14. http://www.biomedcentral.com/content/pdf/1748-5908-5-31.pdf Araujo, C. A. S., Malik, A. M., & Siqueira, M. M. (2020). Hospital accreditation impact on healthcare quality dimensions: A systematic review. International Journal for Quality in Health Care, 32(8), 531–544. https://doi.org/10.1093/intqhc/mzaa090 Ataya, N., El-Jardali, F., El-Skaff, R., Hemadeh, R., Jaafar, M., Jamal, D., Mdeihly, R., & Sagherian, L. (2014). The impact of accreditation of primary healthcare centers: Successes, challenges and policy implications as perceived by healthcare providers and directors in Lebanon. BMC Health Services Research, 14(86), 1–10. https://doi.org/10.1186/1472-6963-14-86 23 References Avia, I., & Hariyati, R. T. S. (2019). Impact of hospital accreditation on quality of care: A literature review. Enfermería Clínica, 29, 315–320. https://doi.org/10.1016/j.enfcli.2019.06.003 Barake, R., Katoue, M. G., Scott, M., & Somerville, S. G. (2021). The perceptions of healthcare professionals about accreditation and its impact on quality of healthcare in Kuwait: A qualitative study. Journal of Evaluation in Clinical Practice, 27(6), 1310–1320. https://doi.org/10.1111/jep.13557 El Zoghbi, M., Ghareeb, A., & Said, H. (2018). Examining the impact of accreditation on a primary healthcare organization in Qatar. BMC Medical Education, 18(1), 216. https://doi.org/10.1186/s12909-018-1321-0 Lewis, S. (2007). Accreditation in Health Care and Education: The Promise, The Performance, and Lessons Learned. Raising the Bar on Performance and Sector Revitalization. Access Consulting Ltd. http://www.hscorp.ca/resources/research/accreditation-in-health-care-and- education-the-promise-the-performance-and-lessons-learned/ 24 Credit The following faculty is attributed with the slides and ideas of this session: Dr. Shireen Suliman 25