A presentation given by Deb Picone, CEO ACSQHC at the CHA Conference The Journey, in October 2012.
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Implications of the new National Safety & Quality Standards for Children’s Healthcare Services Debora Picone CEO 23 October 2012
Transcript
1. Implications of the new National Safety &
QualityStandards for Childrens Healthcare ServicesDebora
PiconeCEO23 October 2012
2. Do the sick no harmIt may seem a strangeprinciple to
enunciate as thevery first requirement in aHospital that it should
do thesick no harm. Florence NightingaleFirst sentence of Preface
to Notes on Hospitals (1859, 3rd.Ed.,1863),
3. Lapses in safetyHave enormous costs, both in terms of the
impact on peoples lives and financially.For example, it has been
reported that: Healthcare associated injury and ill health add 13
16% to hospital costs alone at least one dollar in every seven
dollars spent on hospital care.
4. Australian Health Ministers 2006 agree to the public release
of the Commission Discussion Paper 2008 endorse model of
accreditation (national coordination of safety and quality
accreditation and the NSQHS Standards) 2010 endorse Australian
Health Service Safety and Quality Accreditation (AHSSQA) Scheme
June 2011 final NSQHS Standards endorsed
5. Objectives Improve safety and quality for patients using the
National Safety and Quality Health Services Standards as the focus
for action Implement coordinated and consistent accreditation via
an Australian Health Services Safety and Quality Accreditation
Scheme
6. The NSQHS Standards Standard 1 Standard 2 Governance for
Safety and Partnering with Quality in Health Consumers Service
Organisations Standard 3 Standard 10 Healthcare Preventing Falls
and Associated Harm from Falls Infections Standard 9 Standard 4
Recognising and MedicationResponding to Clinical
SafetyDeterioration in Acute Health Care Standard 5 Standard 8
Patient Identification Preventing and and Procedure Managing
Pressure Matching Injuries Standard 7 Blood and Blood Standard 6
Products Clinical Handover
7. National Coordination of Accreditation Health
MinistersRegulators A program of national coordination in
ACSQHCIncludes States, Territories and Commonwealth Develops and
maintains standards Mandate the Standards Advise Australian Health
Ministers Council on the and participation in the accreditation
scheme scope of health service accreditation Approves Accrediting
Agencies Oversee accreditation program content Receives relevant
accreditation data Receive relevant accreditation data Liaises with
regulators Be responsible for an escalating response where Reports
to Health Ministers the Standards are not met Reports on assessment
outcomeHealth Service Organisations Approved Accrediting Agencies
Select an approved accrediting agency Meet the Standards. Maintain
JASANZ/ISQua accreditation Assess and Provide data on the Standards
Report Cooperate on methodology /assessment development
8. Flexible Transition There will be a flexible transition
during 2013 The Commission and Jurisdictions will support Health
Service Organisations and Accrediting Agencies in the transition to
the AHSSQA
9. Performance Requirements proportions of core actions to be
met Health services must meet 100% core actions Health Services
have 90 days after receipt of report to rectify not met actions
before determination made In the first 12 months of the scheme the
period will be extended to 120 days Responsibility of jurisdictions
for an escalating response where standard not met
10. Challenges Smaller hospitals Standards 2, 3 and 6
Understanding the process
11. Challenges2. Partnering with Consumers3. Preventing and
Controlling Healthcare Associated Infections Hand washing AMS
Cleaning, disinfection6. Clinical Handover
12. Assessment Process AHSSQA commences 1 Jan 2013 Health
service organisations required to meet NSQHSS at first full
accreditation after 1 Jan 2013 Health service organisations are
likely to undergo mid-cycle assessment before being due for
organisation wide assessment Standards to be used for mid-cycle
assessment will include as a minimum: 1. Recommendations from past
assessment processes 2. Organisations quality improvement plan 3.
Standards 1, 2 and 3
13. Support ArrangementsTo support health services in the
transition to the AHSSQAScheme, a number of additional services and
resources are beingdeveloped by the Commission: Flexible
accreditation arrangements for 2013 Establishment of an Advice
Centre for the NSQHS Standards Establishment of health service
support networks Safety and Quality Guides and Accreditation
Workbooks