NATIONAL ACCREDITATION REFORM
Margaret Banks
DEPARTMENT OF HEALTH, VICTORIA, 24 February 2011
National Safety and Quality Accreditation Scheme
Two components:
• National Safety and Quality Health Service
Standards
• National coordination
National Coordination
Health Ministers
A program of national coordination in ACSQHC
Regulators
Includes States, Territories and Commonwealth
• Develops and maintains standards
• Advise Australian Health Ministers Council on the
scope of health service accreditation
• Approves Accrediting Agencies
• Receives relevant accreditation data
• Liaises with regulators
• Reports to Health Ministers
• Mandate the Standards
and participation in the accreditation scheme
• Oversee accreditation program content
• Receive relevant accreditation data
• Be responsible for an escalating response where
the Standards are not met
Reports on assessment
outcome
Health Service Organisations
• Select an approved accrediting agency
• Meet the Standards.
Approved Accrediting Agencies
• Maintain JASANZ/ISQua accreditation
Assess and
Report
• Provide data on the Standards
• Cooperate on methodology / assessment development
Comparison of Accreditation Models
Key Element
Current
New
Extent of standards
Accred agencies
ACSQHC (S&Q)
+ Jurisdictions
Content of standards
Accred agencies
ACSQHC (S&Q)
+ Regulators (may be State specific)
+ Accrediting agencies
Assessment of standards
Accred Agencies
Accrediting agencies
Response to performance
issues
Accred agencies
Jurisdictions
- To hospital
Accrediting agencies
Accrediting agencies
- To jurisdiction
Agencies, or none
Accrediting agencies
- To Ministers
None
Proposed national reporting agency
ACSQHC
Variable/none
AHMC
Reporting on outcomes:
Mandating accreditation
National Safety and Quality Health Service Standards
National Safety and Quality Health Service Standards
Standard 9
Recognising and
Responding to
Clinical
Deterioration
Standard 8
Prevention &
Management
of Pressure
Ulcers
Standard 10
Preventing
Falls and
Harm from
Falls
Standard 1
Governance
for Safety and
Quality
Standard 3
Healthcare
Associated
Infection
Standard 2
Partnering
with
Consumers
Standard 7
Blood & Blood
Product Safety
Standard 6
Clinical
Handover
Standard 4
Medication
Safety
Standard 5
Patient ID
and
Procedure
Matching
Standards Piloting
Pilots
Standards 1, 3-6
Standards 2, 7-10
Number Sites
27
11
Location (State)
ACT
NSW
Qld
SA
Vic
WA
Metro
Regional
Rural
NSW
Qld
SA
Tas
Vic
16
4
6
Metro
Regional
Rural
Service type
Day surgeries
Dentists
Doctors rooms
Hospitals
3
6
3
15
Sector
Private
Public
16
11
Day surgeries
1
Doctors rooms
2
Hospitals
7
Multipurpose Service
1
Private
8
Public
3
Location
7
2
2
Guidance documentation

Hospitals

Day Procedure Services

Office / dental practices
Healthcare Accreditation Requirements

Operational Standards
• Eg: Emergency and Disaster Planning, Signage, Transport,
Communication Systems

Regulated Requirements
• Eg: Food Safety, Noise Control, Radiation Safety, Criminal
Record Checks, OH&S

Technical and Service Specific Standards
• Eg: Quality of Blood Products, Mental Health, Pathology,
Palliative Care

National Safety and Quality Health Service Standards