Accreditation

• Accreditation

  • form of external evaluation of health care facilities or organizations, used to improve quality of care
  • process of evaluating and certifying that a healthcare organization or program meets specific standards of quality and safety set by accrediting bodies
• Health care systems

  • encompasses the entire network of organizations, institutions, professionals, resources, and policies involved in providing healthcare services to individuals and communities
• Driving factors for accreditation

  • Consumer Protection Act
  • Clinical Establishment Act
  • Insurance company’s regulation
  • Community awareness and response
  • Medical tourism
• Benefits of accreditation

  1. Enhanced credibility and trust
  2. Quality improvement
  3. Patient safety
  4. Regulatory compliance
  5. Continuous improvement
  6. Efficiency and cost savings
  7. Professional development
  8. Patient-centered care
  9. Access to funding and resources
  10. Benchmarking and collaboration
• ISQua (International Society for Quality in Health Care)

  • umbrella organization responsible for accrediting the Joint Commission International accreditation scheme in the USA and Accreditation Canada International, as well as accreditation organizations in the United Kingdom, Australia, and New Zealand
• International accreditation organizations: Australia

  • Australian Council on Healthcare Standards International (ACHSI)
  • Australian General Practice Accreditation Limited (AGPAL)
• International accreditation organizations: Canada

  • Accreditation Canada (AC)
• International accreditation organizations: France

  • French National Authority for Health
• International accreditation organizations: Europe

  • OECI Accreditation and Designation Programme
• International accreditation organizations: India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
• International accreditation organizations: Netherlands

  • Netherlands Institute voor Accreditatie in de Zorg (NIAZ)
• International accreditation organizations: New Zealand

  • DAA group
• International accreditation organizations: Saudi Arabia

  • Saudi Central Board for Accreditation of Healthcare Institutions (CBAHI)
• International accreditation organizations: United Kingdom

  • QHA Trent Accreditation
  • UKAF (the United Kingdom Accreditation Forum)
• International accreditation organizations: United States

  • ACHC International (Accreditation Commission for Health Care)
  • Joint Commission International (JCI)
  • American Accreditation Commission International (AACI)
  • National Dialysis Accreditation Commission
• International accreditation organizations: Turkey

  • SAS Accreditation (Standards of Accreditation in Health)
• Joint Commission International

  • is a global organization that focuses on improving healthcare quality and patient safety
• Joint Commission Standards

  • are the basis of an objective evaluation process that can help healthcare organizations measure, assess, and improve performance. The standards focus on important patient, individual, or resident care and organization functions that are essential to providing safe, highquality care
• Accreditation Canada International

  • a non-profit, independent organization accredited by the International Society for Quality in Health Care, a global organization that accredits healthcare facilities for clinical care, administration and infrastructure worldwide
• JCI accredited hospitals in the Ph:

  • The Medical City
  • St. Luke's Medical Center - Quezon City
  • St. Luke's Medical Center - Global City
  • Makati Medical Center
  • Asian Hospital and Medical Center
• Healthcare Accreditation Organizations in the Philippines:

  • PhilHealth Accreditation Program
  • National Accreditation Board of Hospitals and Healthcare Providers (NABH)
  • Philippine Tripartite Accreditation for Health Facilities, Inc (PTAHF)
• Philippine Tripartite Accreditation for Health Facilities, Inc (PTAHF)

  • an independent, non-profit organization, dedicated to improve and promote quality and safety in the delivery of healthcare in the Philippines through continuing review of performance, assessment and accreditation
  • globally recognized, self-sustaining Third Party Accrediting Organization, committed to assist health facilities achieve safe and quality services
• National Accreditation Board of Hospitals and Healthcare Providers (NABH)

  • is facilitated in the Philippines through its country representative, HealthCORE (Joyce Socao-Alumno)
  • evaluate its operations, treatments, and services based on a set of 63 standards and 294 objective elements covering critical areas of Patient Care, Management of Medication, Infection Control, Facility Management and Safety, HR and IMS
• ISO (International Organization for Standardization)

  • International standards on basic quality management system that are applicable to all kinds of industry including hospitals and health care
• Philippine Quality Award (PQA)

  • global competitiveness template that aims to encourage and engage public and private organizations and other stakeholders to strive for and attain performance excellence. It is a national award program that recognizes achievements of public and private sector organizations in their journey towards performance excellence
  • Local standards that cover all kinds of industry and there is a specific set of standards in health care
• Investors in People (Human Resource Management)

  • Designed to transform business performance through people
• Accreditation : Basic Standards

  • patient-care and clinical documentation
  • staff qualifications and training
  • adherence to best practices
  • governance and leadership
  • safety protocols
  • facilities
• Accreditation and Health Care Systems : Specific Features

  • comprehensive and multidisciplinary nature
  • fit of the assessment method
  • improvement as a goal of the assessment
  • highly trained surveyors with experience in healthcare
• Patient Care and Clinical Documentation

  • standards related to patient assessments, treatment plans, medication administration, infection control, patient education, and continuity of care
  • accurate and timely clinical documentation, medical record-keeping, electronic health records (EHRs), privacy and security of health information, and compliance with coding and billing regulations
• Facilities

  • standards related to the physical environment of the healthcare facility, including cleanliness, emergency preparedness, equipment maintenance, and accessibility for patients with disabilities
• Safety Protocols

  • standards related to the safety of patients, healthcare workers, and visitors within the healthcare facility. These include medication safety, patient safety, emergency preparedness, and medical equipment safety
• Adherence to Best Practices

  • this standard focuses on ensuring that healthcare facilities follow established best practices and guidelines to provide high-quality care
• Staff Qualifications and Training

  • standards related to the qualifications, training, licensure, and ongoing education of healthcare providers, including doctors, nurses, pharmacists, and allied health professionals