Quality of Health Care & Need for Accreditation

By Dr. Girdhar J. Gyani Secretary General Quality Council of India CEO - NABH

Quality In Healthcare
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

Healthcare Quality is sharply in focus all over the world.

Let us analyze why ..

Reason 1: EarlierSimple, Ineffective and safe

Now.complex, effective and unsafe!

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

Even if youre on the right track, youll get run over if you just sit there!

Reason 3: The Sacred Relationship is being challenged..

Caring and healing, up the slippery-slope of modern medicine

Patients are not satisfied

Not willing to paywant 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

International Scenario

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

Fact File.
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.

Some Facts.

It is estimated that the HAI rates in developed countries range from 5-25% However, data from developing countries suggest HAI rates to be greater than 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

Regulation
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

Accreditation
Public recognition of the achievement of accreditation standards by a healthcare organization, demonstrated through an independent external assessment of that organizations 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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Regulation Vs. 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

Accreditation
Management Logistics Nursing / Technician Physician Patient Safety

Surgeon
Paramedical

Benefits of ACCREDITATION to HCO Stimulates continuous improvement. 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 Patients/Customers
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 to Staff

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 others
Objective system of evaluation and empanelment by Third Parties Provides access to reliable and certified information on facilities, infrastructure and level of care.