FAHAD HASSAN NOOR || UCP Business School Data Analytics Head Recommended | MB...
Way to quality (sight first conclave)
1. National SightFirst Conclave 2018
October 7, 2018, Siliguri
Dr. B.K. Rana
Founding CEO
Way to Quality: Accreditation Process
2. Introduction of QAI
QAI- Quality & Accreditation Institute
Change Adapt Improve
2QAI
3. Introduction of QAI
Vision: Nurturing the largest global pool of organisations
and people through quality improvement and
accreditation framework.
Mission: To conceive and deliver education, training,
accreditation and related programs in partnership with
stakeholders using an approach of co-design and co-
creation.
3QAI
4. Introduction of QAI
Values:
Listener: Seek continuous feedback from stakeholders
to address their concerns
Competitive: Look for viable options to benefit users of
our services
Transparency: Clearly defined policies made available
in public domain
Innovation: Continuously evolve using co-design and
co-creation
4QAI
5. Organisation Structure of QAI
Board of Directors
Centre for
Education and
Training (CET)
Centre for
Laboratory
Accreditation
(CLA)
Centre for
Accreditation
of
Accreditation
(CAHSC)
Centre for
Accreditation of
Veterinary
Facilities (CAVF)
Advisory Board
Centre for
Proficiency
Testing (CPT)
CEO
5QAI
6. Structure of CAHSC
6QAI
Governing Board
Chairman
CEO
Heads of Programs Administration & Accounts
Appeals Committee
Technical Committees Accreditation Committee
Executive
Panel of Assessors/ Experts
7. Centre for Accreditation of
Health & Social Care (CAHSC)
Board constituted- Prof M.C.Misra, Chair
Accreditation of ART including IVF Centres
Accreditation of Home Healthcare
Accreditation of Dialysis centres
QAI 7
8. QAI
8
QAI is an institutional member of the
International Society for Quality in Health Care
(ISQua)
Dr. B.K. Rana, Founding CEO is a member of the
Board of Directors (2017-2019)
Quality & Accreditation Institute
10. Global Operations
Global Associates:
Ghana
Nigeria
Nepal
Maldives
Bangladesh
Philippines
UAE
Bahrain
Mexico
UK QAI 10
11. QAI Journal of Healthcare Quality &
Patient Safety
www.qaij.org
12. Accreditation
Public recognition of the achievement of accreditation
standards by a healthcare organisation, demonstrated
through an independent external assessment of that
organisation’s level of performance in relation to the
standard.
(ISQua)
Quality & Accreditation Institute
13. Accreditation
Accreditation relies on establishing technical competence
of a HCO in terms of standards in delivering services
with respect to its scope.
It focuses on learning, self development, improved
performance and reducing risk.
Accreditation is based on optimum standards,
professional accountability and encourages healthcare
organisation to pursue continual excellence.
Quality & Accreditation Institute
14. Why accreditation?
One study found that only 20% of eligible patients
received β-blockers following a heart attack, despite the
fact that they have been proven to be an effective
intervention, reducing mortality by 43%.
Another study found that antibiotics are frequently over-
prescribed; contributing to microbial resistance to these
drugs. Such resistance could cost as much as $7.5 billion
a year for more expensive healthcare interventions.
QAI-CAHSC/Home Care/Standards 14
15. Cataract-operated left eye
got infected, man lost eye
due to medical negligence gets
Rs 5 lakh relief (TOI)
Hospital
fined
for
botched
eye
surgery
after 12
years
(TOI)
Five lose sight after
surgery at X hospital
(The Telegraph)
16. Why accreditation??
Improves care and enhances public confidence.
Ensures transparency in the functioning.
Provides the framework for an integrated and
focused management structure.
Recognition by payers, government and
vendors.
17. Why accreditation?
Financial Transparency
Role model to other hospitals.
Recognition of services.
Helps in promoting Medical Tourism.
Awakening of patients about their rights
Reduced ALOS
Increase in revenue?
18. Consumer’s Perspective
Patient safety of prime importance.
Increased patient involvement in care
Open disclosure.
Patient rights and responsibilities clearly
defined.
Protocol based treatment.
19. Characteristics of a Quality Healthcare
System
It is safe
It is effective
It is efficient
It is patient centered
It is equitable
It is timely
19
Institute of
Medicine
2001
21. What does it mean?
Not just a certificate
Not just preparation for an assessment/survey
Not just someone else is responsible
Intention to improve under every circumstances
22. What is needed?
• Engaging leaders
• Link quality with outcomes
• Adopt quality management tools
• Building capacity through training &
consulting organizations
• Promoting recognition system for healthcare
quality professionals
31. Chapters Std. OE
Access, Assessment and Continuity of
Care (AAC)
7 32
Care of Patients (COP) 11 52
Management of Medications (MOM) 6 32
Patients Rights and Education (PRE) 7 33
Hospital Infection Control (HIC) 6 28
QUALITY & ACCREDITATION INSTITUTE
32. Chapters Std. OE
Continuous Quality Improvement (CQI) 6 31
Responsibilities of Management (ROM) 3 17
Facility Management & Safety (FMS) 4 17
Human Resource Management (HRM) 10 26
Information Management Systems
(IMS)
6 34
Total 66 302
QUALITY & ACCREDITATION INSTITUTE