11. Regulation Vs. Accreditation
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
14. Benefits to HCO
Stimulates continuous improvement
Enables the HCO in demonstrating commitment to quality of care.
Raises community confidence in the services provided.
Provides opportunity to benchmark.
International recognition of services.
Better efficiency and Increase in revenue
Transparency in the overall operations
Provides the framework for an integrated and focused
management structure.
Recognition by payers, government and vendors
15. PATIENTS / ASSOCIATES
PATIENT DAY TO DAY OPD OPD DISCHARGE FEE
REGISTRATIO
REGISTRATION MONITORING ADMISSION CONSULTATION CERTIFICATE COLLECTION
N
FRONT LINE STAFF
REGISTRATION ,PARAMEDICAL, NURSES, REDSIDENT
CONSULTANT / DOCTORS
EMPOWERMENT
CEO/HODs
16. Benefits to Clinicians
Accredited hospital provides for effective
governance including structured support
services needed by Clinicians.
It provides for continuous learning
through monitoring of clinical indicators
including opportunity to benchmark.
Improves overall professional
development and provides opportunity
for leadership role in quality
17. Percentage of medication errors
Percentage of transfusion reactions
Urinary tract infection rate
Respiratory infection rate
Intra-vascular device infection rate
Surgical site infection rate
Incidence of falls
Incidence of bed sores after admission
Bed occupancy rate and average length of stay
Incidence of needle stick injuries
18. Systems are checked
Actual practice is not
Safety is given top priority
Measure what you do
20. Cover preoperative patients
Minimize heat loss before surgery
Monitor temperature/s
Warmer / warm fluids/ early closure/ cover
plastic sheet
Cover during transfer
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21. One of the top priority areas
HAIs
Hand hygiene compliance
Antibiotic use
Antibiogram
Abuse
Prophylactic antibiotic
Resistance pattern
25. 2005 2010
1 Anesthesia Spinal/epidur Nerve blocks
al
2 High risk pts No Yes
3 Mobilization 24- 48 hrs 2-4 hrs
4 Pain relief OK excellent
5 Post op pts Slightly Alert, no vomiting
drowsy
5 Discharge 7 to 10 days 5 days
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26. 2000 2010
1 Ventilator 24 hrs 2 to 3 hrs
2 ICU stay 2- 3 days 18 hours
3 Pain relief (0 to 10) 2 to 4 0 to 2
4 Postop status Slightly drowsy Alert awake
5 Mobilization 3 days Day 0
6 Climbing steps 4 to 5 days 2 to 3 days
7 Blood transfusion 4 to 5 units 0 to 1 unit
8 Infection <5 % <1%
9 Discharge from hospital 12 to 15 days 5 to 6 days
10 Return to work 2 months 2 to 4 weeks
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