M4.4

• Healthcare Accreditation

  • Help organization improve the quality of care, streamline operation, reduce liability risk and more
• Accreditation

  • having a seal of approval
  • External stamp of approval on your approval
• Accreditation process

  • helps streamline operation
  • improve quality
  • build trust with patients and community
• achieve accreditation

  • holding staff with high standard
  • prove compliance with the standards
• purpose of accreditation

  • strengthen the organization
  • prove provision of high quality care
• Accreditation

  • useful tool for ensuring the quality and cost effectiveness of healthcare
• Philippines council on accreditation for healthcare organization (PCAHO)

  • body recognize by the DOH and Phil health in certifying the presence of quality management system in the organization
• Quality Standard System (QSS)

  • similar to quality management systems
• Joint commission international (JCI)

  • International recognized leader of health
• philippine tripartite accreditation for health facilities (PTAHF)

  • an independent non-profit organization dedicated to improve and prioritize quality and safety in the delivery of health care in the philippines
  • performance, assessment, and accreditation
• Hospital accreditation

  • ensuring at least a basic level of quality
• Joint commision (JC)

  • 1951
  • united state based
  • non-profit
  • accrediting body in health care
  • nations oldest and largest
• 2 attached agencies

  • DOH
  • PHILHEALTH
• Accreditation Awards

  Center of safety (1 yr)

  • 60% compliance
  • Patient rights and organizational ethics
  • Patient care
  • safe practice and environment
• Accreditation Awards

  Center of quality (2 yr)

  • 75% compliance
  • Patient rights and organizational ethics
  • Patient care
  • safe practice and environment
  • Leadership management
  • human resource management
  • information management
• Accreditation Awards

  Center of excellence (3 yr)

  • 90% compliance
  • Patient rights and organizational ethics
  • Patient care
  • safe practice and environment
  • Leadership management
  • human resource management
  • information management
  • improve performance
• Guidelines for accreditation of hospitals

  1. conduct self -assessment
  2. accreditation awards
• Types of Hospital accreditation

  Level 1 - Operating room, recovery room, maternal facilities, insolation facilities, clinical laboratory, imaging facility and pharmacy

  Level 2 - ( contains all the element of level 1)

  • provide basic health services (ICU facilities, critical ill patient, specialist doctors for gynecology and pediatric services)

  Level 3 - Trauma Center

  Level 4 - Specialty hospital
• License to operate (LTO)

  • applying tor licence to manufacture import, distribute or sell vaccines and other biological products have to comply the following
• cold chain management

  • "cold chain" used to process of maintaining safe temperature range +2°C to +8°C for vaccines during transport
  • Biological / phaumaceutical reterigerator
• RA 1288

  • new born screening act of 2004
  • DOH A.O 2014-2015
• RA 11350

  • senior citizen
• Bench book

  • Board resolution no. 4535-2002
  • shall be the new accreditation standard of the corporation
• Hospital accreditation 

  Hospital and healthcare accreditation 

  International healthcare accreditation 
• Pcaho Institutions 

  • Philippine Health Insurance Corporation (PhilHealth)
  • Philippine Institute of Traditional and Alternative Health Care (PITAHC)