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Quality in Health Care & Need for Accreditation By Dr. Girdhar J. Gyani Member Board- NABH
Quality in Health Care
&
Need for Accreditation
By
Dr. Girdhar J. Gyani
Member Board- NABH
“Good quality means providing patients with appropriate services in a technically competent manner, with good communication, shared decision making, with cultural sensitivity and with greatest efficiency.”
Institute of Medicine, 2001
Quality In Healthcare
Let us analyze why …..
Healthcare Quality is sharply in focus all over the world.
Reason 1: Earlier…simple, ineffective and safe
Now….complex, effective and unsafe!
Even if you’re on the right track, you’ll get run over if you just sit there!
Reason 2:
Difficult to keep pace!
New Research (10000 new drug trials conducted
yearly)
New Technology
Huge increase in Healthcare Spending
Genomics and other new technologies on the
horizon
Caring and healing, up the slippery-
slope of modern medicine
Reason 3: The Sacred Relationship is being challenged…..
Not willing to pay…want the
best, and do not have to pay
too much for it! Demanding Fast Food culture….cannot
tolerate delays Atmosphere of mistrust and
suspicion : Unethical, Over
billing, etc. Ready to challenge
Patients are not satisfied
IOM Report of 1999
100,000 preventable deaths each year in some of developed nations due to medical errors
More than 50% of these are medication errors
Most are not picked up or reported
International Scenario
In developed countries as many as one in 10 patients is harmed while receiving hospital care caused by a range of errors or adverse events.
In developing countries, the probability is even higher as much as 20 times higher in some countries.
At any given time, 1.4 million people worldwide suffer from infections acquired in hospitals.
Fact File….
It is estimated that the HAI rates in developed countries range from 5-10%
Data from developing countries suggest HAI rates to be in the range of 10- 40% Data collection is in a nascent stage…
Data on other aspects of Patient Safety is currently unavailable in developing countries
Numerous reasons and constraints…
Some Facts….
An instrument mandated by the Government to impose set of conditions, which a healthcare organization must comply with, before and after it is permitted to operate in the country. It is based on the minimum standards, inspection, enforcement and public accountability
Regulation
Public recognition of the achievement of accreditation standards by a healthcare organization, demonstrated through an independent external assessment of that organization’s level of performance in relation to the standard.
(ISQua)
Accreditation
Accreditation relies on establishing technical competence of healthcare organization in terms of accreditation 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 organization to pursue continual excellence
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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
Regulation Vs. Accreditation
Patient Safety
Physician
Surgeon
Nursing / Technician
Paramedical
Logistics
Management
Accreditation
Stimulates continuous improvement in terms of effectiveness and efficiency.
Enables the HCO in demonstrating commitment to quality of care.
Raises community confidence in the services provided.
Provides opportunity to benchmark with the best.
Benefits of Accreditation to HCO
Accreditation benefits all stake holders, patients/customers are the biggest beneficiary.
Results in high quality of care and patients/customer safety.
Patients/Customers get services by credentialed staff.
Rights of patients/customers are respected and protected.
Patients/Customer satisfaction is regularly evaluated.
Benefits Patients/Customers
Staff are satisfied lot as it provides for continuous learning, good working environment, leadership and above all ownership of service processes.
Improves overall professional development
of staff and provides leadership for quality improvement in various techniques.
Benefits to Staff
Objective system of evaluation and empanelment by Third Parties
Provides access to reliable and certified information on facilities, infrastructure and level of care.
Benefits to others
