MESSAGE FROM CHAIRMAN, EDITORIAL COMMITTEE

Welcome to 7th issue (2019) of the ASQua Newsletter. We have been

trying to bring out this issue for long but could not; however, I am happy

to note that Editorial Committee could make it with the contribution of

some members and the secretariat. ASQua since its inception in 2007 has

witnessed a significant change including a formal registration in

Malaysia. We would like to thank our President Prof. Yuichi Imanaka for

his leadership and guidance.

The Society is experiencing a positive change as membership is growing and members are being exposed

to global expertise through participation in various conferences and activities.

I seek involvement of all members to contribute for our Newsletter. On behalf of the Executive Board, I

would like to express my heartfelt appreciation to all members for their continuous support. My sincere

thanks to MSQH for managing the Secretariat. My special thanks to Prof. Yuichi Imanaka (President), Dr.

Ravi (Secretary) and Mr. Saiful from MSQH for their continued support.

We look forward to working with all members.

Dr. Bhupendra Kumar Rana

Chairman, ASQua Editorial Committee

MALAYSIA (ASQua & MSQH)

5th International Conference of Consortium of Accredited Healthcare Organisations

(CAHOCON) 2019 – 12th to 14th April 2019

It was for the first time that the Consortium of Accredited Healthcare Organizations (CAHO) held its 5th conference (CAHOCON) in Sahara Star Hotel Vile Parle (East), Mumbai, India from 12th to 14th April 2019. The key agenda of the conference was to create positive outcomes for quality healthcare and upgrading patient safety standards in India. The theme was “Healthcare Quality Should Impact Outcome”.

More than 700 delegates and renowned doctors shared their insights at the prestigious conference. The initiative was supported by the International Society for Quality in Healthcare (ISQua), Asian Society for Quality in Healthcare (ASQua) and Quality Council of India (QCI). The initiative was launched at a press conference in Nanavati Super Speciality Hospital by esteemed doctors, Dr. PM Bhujang, President, Association of Hospitals, Dr. Rajendra Patankar, COO, Nanavati Super Speciality Hospital, Mr. Joy Chakraborty, COO, PD Hinduja Hospital & Medical Research Centre, Dr. Hiren Ambegaokar, CEO, S L Raheja Hospital, Dr. Sujit Chatterjee, CEO, L H Hiranandani Hospital, Dr. Anupam Karmakar, CEO, D Y Patil Hospital and Dr. Deepak Patkar, Medical Director, Nanavati Super Speciality Hospital. The aim of this conference was to bring all stakeholders across the healthcare spectrum on a common platform and finding the ways and means to build a robust healthcare infrastructure in India that adheres to global healthcare quality standards. Among the invited chairman and speakers from ASQua were Professor Dato’ Dr Ravindran Jegasothy (ASQua Secretary) and Dr Narottam Puri (ASQua Institutional Member-Fortis Healthcare). Various awards were handed over to motivate further the inculcation of quality efforts by the grassroots practitioners among the various healthcare providers in India. There was a challenging presentation on steps to change medical education to improve healthcare outcomes as well as technology to measure, monitor and improve outcomes. There was an excellent debate on whether accreditation is a boon or bane? A mythological Indian character was even brought to life in this debate to add spice to the proceedings. Patient perspectives and other media to promote accreditation was explored with the participation of an actress who had a life changing medical diagnosis and directors as well as broadcast journalists who added their views to the lively healthcare debate that is a focus of the current Indian elections. The launch of some lab standards was also held at this conference. CAHO intend to move forward with the ISQua Fellowship programme with Indian content ala the Taiwan model, seek ISQua endorsement of CAHO Training modules on Quality and Safety in Hospitals as well as collaborate with ISQua on a medical undergraduate programme to be used in India.

International Society for Quality in Health Care (ISQua)

ISQua 35th International Conference – 23rd to 26th September 2018

There was a total of 1,355 delegates registered and 1,232 number of abstracts submitted from over 70 countries for the ISQua conference held from 23rd to 26th September 2018 at Kuala Lumpur Convention Centre. A total of 292 delegates or 22% were from Malaysia with 78% from the rest of the world. The delegates from the conference have recognized Malaysia as the best ISQua conference held.

ISQua 35th International Conference 2018 | 23-26 September 2018 | KLCC, Kuala Lumpur Opening Ceremony with His Royal Highness Sultan Nazrin Muizzuddin Shah Ibni Almarhum Sultan Azlan Muhibbuddin Shah Al-Maghfurlah

It was for the first time that MSQH hosted the prestigious ISQua conference held in Malaysia from 23rd to 26th September 2018 at Kuala Lumpur Convention Centre. The welcoming and opening plenary was chaired and co-chaired by Y.Bhg Tan Sri (Dr) Siti Sa’diah Sheikh Bakir, MSQH President and Y.Bhg Puan Sri Datuk Dr Suraiya Tun Hussein, MSQH Deputy President. His Royal Highness Sultan Nazrin Muizzuddin Shah Ibni Almarhum Sultan Azlan Muhibbuddin Shah Al-Maghfur-Lah, The Sultan of Perak Darul Ridzuan, presented the royal address and declared the conference opened.

Total Registrations Worldwide – 1,355 Delegates

Total Abstracts Submitted Worldwide – 1,232 Papers

MSQH Key Performance Summary 2018

JAPAN COUNCIL FOR QUALITY HEALTH CARE

The Japan Council for Quality Health Care (JQ) was established in 1995 as an

independent, non-profit organization which aims to improve health care and welfare in

the nation.

Our function includes Hospital Accreditation, Patient Safety Promotion, Japan Obstetrics Compensation

System for Cerebral Palsy, EBM and Guidelines (MINDS), National Databases of Medical Adverse Events and

of Near-miss events, and Education. Education activities have been strengthened recently and have been

contributing to human resource development in the areas of quality and safety of health care.

<Mission>

The mission of JQ is as follows: We perform activities from a neutral, scientific standpoint, holding ethics and

autonomy in high regard, to improve quality and safety in health care, and to ensure reliable health care

system, thus contributing to the improvement of the nation's health and welfare.

<Value>

Our organizational values describe below are the core principles which we abide by and inspire our best

efforts:

- To build a relationship of mutual trust and cooperation with patients, families, healthcare providers, and

all other related parties.

- To deal with all matters in an unbiased, fair manner.

- To ensure transparency and accountability to society. - To bring together our collective strength from a scientific and professional perspective, to support the

improvement of quality and safety in health care. - To continually strive for higher standards.

<What we do>

We have the following functions which lead to the improvement of health care quality and safety.

(1) Hospital Accreditation Our third-party evaluation (accreditation) of hospitals for health care quality and safety

supports them to identify their key challenges and strengthen their system for quality

assurance and continuous improvement. We also help hospital staff learn more about

management and improvement of health care quality and safety. New hospital

accreditation standards “3rdG (3rd generation): Ver.2.0” was launched in April 2018.

https://www.jq-hyouka.jcqhc.or.jp/

(2) Patient Safety Promotion Our accredited hospitals voluntarily join our network Patient Safety

Promotion. We exchange opinions and challenges faced by healthcare

professionals, having meetings and training sessions, discuss and investigate

these matters, and feed back to health care institutions nationwide.

(3) Japan Obstetrics Compensation System for Cerebral Palsy Through the insurance mechanism, we financially assist families caring for children who

suffered from cerebral palsy at childbirth. We also analyze the root causes of cerebral palsy

for recurrence prevention. Thus, medical disputes can be avoided or swiftly settled,

and can contribute to the improvement of obstetric care as a whole.

http://www.sanka-hp.jcqhc.or.jp/documents/english/index.html

(4) EBM and Guidelines (MINDS) We support the developers of evidence-based clinical practice guidelines (CPGs),

assess the quality of CPGs, and diffuse them to the real practice fields also via the

Internet. These efforts can lead to enabling patients and health care practitioners to

make shared decisions on the best course of treatment based on scientific evidence and patient values.

https://minds.jcqhc.or.jp/english/english.php

(5) National Database of Medical Adverse Events We take the initiatives to reduce medical adverse events through this national

database project. By collecting and analyzing information from various medical

institutions nationwide, we release our findings via our website and other media to

prevent accidents and improve patient safety throughout the nation and the world.

http://www.med-safe.jp/contents/english/index.html

(6) National Database of Near-miss Events in Pharmacies We take the initiatives to reduce medical adverse events through this national

database of near-miss events in pharmacies, as the above medical adverse events

database.

http://www.yakkyoku-hiyari.jcqhc.or.jp/contents/english/index.html

(7) Education We provide various opportunities for healthcare professionals for improvement of quality and safety of

health care in such forms as lectures, seminars, forums, workshop, e-learning and so on. In addition, we

have been providing established and effective programs for Quality Managers and for Healthcare Mediators.

(8) International Affairs We positively and open-mindedly cooperate with international experts and organizations, strengthen the

worldwide professional networks, and make efforts and contribute for the further improvement of the

quality and safety in health care globally and locally.

JQ has been contributing and will contribute to the improvement of quality and safety in health care through

various functions which benefit patients, health care professionals, organizations and societies. We will

continuously take on new challenges for quality and safety in health care.

<Contact>

Japan Council for Quality Health Care

Address: 1-4-17 Kandamisaki-cho, Chiyoda-ku, Tokyo, 101-0061, JAPAN

Tel: +81-(0)3-5217-2335 Fax: +81-(0)3-5217-2329

Email: info@jcqhc.or.jp

Website: https://jcqhc.or.jp/en/

N THE JOINT COMMISSION OF TAIWAN (JCT)

Joint Commission of Taiwan to Celebrate Its 20th Anniversary

Joint Commission of Taiwan (JCT) is honored to have International Society for Quality in Health Care (ISQua) President Wendy Nicklin, Chief Executive Officer Peter Lachman, President Elected Jeffrey Braithwaite and The Asian Society for Quality in Health Care (ASQua) President Yuichi Imanaka to participate in JCT's “20th Anniversary International Forum”. The event will be held at Convention Hall of the Howard Civil Service International House in Taipei on April 26, 2019.

Shortly after the announcement to be made by JCT's Chairman Prof. Chii-

Jen Lin, Dr. Shih-Chung Chen, the Minister of Health and Welfare will give

the opening remarks to elaborate important national quality policy initiatives. Other experts in

related fields will give speeches on accreditation, quality, safety, medical education, integrated

medical care, resident working hours restriction and doctor-patient communication. All the experts

are legendary figures that have actively involved with JCT's missions. Through poster and video

presentations at the Forum site, the community will share their interaction stories with JCT in the

past 20 years under main themes: “Thanks from JCT, because of you” and "Touch my heart". Guests

will have chances to witness the progress of Taiwan's efforts on healthcare quality and medical

education.

Taiwan has established its national-wide hospital accreditation system for nearly 40 years, one of the earliest in the world. JCT Chairman Prof Lin will share this successful story with audiences. This summer Taiwan will officially launch its renovated 2-year post-graduate year (PGY2) medical

Forum App

education program, marking a landmark moment of Taiwan's modern medical education history. Prof. Shan-Chwen Chang, Dean of Medical College from the National Taiwan University, will share Taiwan's medical education evolution story in the Forum. In the event, JCT will also renew its membership agreement with ISQua. Part of the agreement is to promote ISQua's Joint Fellowship in this region as a strategic partner. Taipei Medical University will also sign cooperation agreement with ISQua to recognize ISQua's Joint Fellowship credits in its global healthcare management program.

As part of the anniversary activities, JCT has launched its new patient safety project to introduce human factor analysis classification system (HFACS) into root-cause-analysis (RCA) operation. Some 60 trainees from all over the country have completed a 2-day basic HFACS training course instructed by Prof. Albert J. Boquet from the Embry-Riddle Aeronautical University, USA.

To celebrate its 20th anniversary, JCT re-design its JCT-International Internship program that welcome students and professionals from all over the world to experience quality management, smart healthcare, and medical education systems in Taiwan. The information can be found in JCT's web site at: https://www.jct.org.tw/cp-1236-1118-07efe-2.html JCT would like to sincerely share this glorious moment with all of our AsQua friends. We will continue to strive on the road to improve care quality for the health and well-being of Taiwanese people.

MONGOLIAN SOCIETY FOR QUALITY IN HEALTHCARE

2018-2019

We have been putting much of attention on building capacity of healthcare staff for improving service quality. Main activities can be grouped as below:

1. Capacity building on quality improvement strategies and tools for quality managers of healthcare facilities.

We have developed two phases training curriculum for the healthcare staff who are working on the position of QUALITY MANAGER at the hospitals all around the country. The first phase training provide knowledge on quality improvement strategies and tools and coach them on application of the tools. Second phase training guide the participants on quality management standartization process,

practical application tools and methods. We have trained 86 healthcare staff at the first phase training in 2018. Almost half (42) of them attended the second phase training in 2019.

2. Expanding coverage of training

on healthcare quality and patient safety among the healthcare staff .

We have been conducting two credit hours of continuous medical education training on “Patient safety and healthcare quality” and “Ethical issues of healthcare staff” for all the healthcare staff.

In 2018, we introduced an electronic version of the

training at website www.cme.mn. Total number of healthcare staff who enrolled into online training is more than 200.

The other modes of the training including classroom and in-job training are still available. In total, more than 3000 staff attended the classroom training from all over the country.

3. Experience sharing and learning activities We have conducted events, where healthcare facilities present their initiatives of quality improvement and patient safety among the healthcare facilities from Ulaanbaatar city.

4. Conducting counseling activities on service quality improvement

We have been continuously conducting counselling service for healthcare facilities of all levels of care on quality improvement and national hospital accreditation.

www.cme.mn online training website

KOREA INSTITUTE FOR HEALTHCARE ACCREDITATION

(KOIHA)

Korea Institute for Healthcare Accreditation (KOIHA)

Ⅰ. Introduction

○ (Purpose of Establishment) To contribute to the maintenance and improvement of public health by enhancing the quality of medical care and levels of patient safety through the integration and operation of various evaluation tasks of medical institutions and of the medical institution accreditation system.

○ (Basis of Establishment)

Based on Article 58 of the 「Medical Services Act」, the Korea Institute for Healthcare Accreditation was established as an authority dedicated to accreditation for the performance of tasks that the Minister of Health and Welfare deems necessary for accreditation.

○ (Mission) To promote public health through the improvement of patient safety and medical services.

○ (Vision) To become a professional institution that leads a safe medical culture and is trusted by the public.

○ (History)

- (2010) Opening of the Korea Institute for Healthcare Accreditation & Commencement of Acute Care

Hospital Accreditation Survey.

- (2012) Accreditation of ISQua “Accreditation Standard”.

- (2013) Commencement of geriatric, mental hospital accreditation survey.

- (2014) Commencement of dental, oriental medicine hospital accreditation survey.

- (2015) Accreditation of ISQua “Surveyor Education Program”.

- (2016) Establishment of patient safety reporting & learning system, and designation as its operating

institution.

- (2018) Designation as a public institution.

○ (Major Services)

- (Accreditation of Medical Institutions) Based on the 「Medical Services Act」, we operate medical institution accreditation procedures, such as reception of accreditation applications from hospital-sized medical institutions (acute care, dental, oriental medicine, geriatric, mental), field surveys, analyses of the survey results, and determination of accreditation grades.

- (Policy Research & Development)

Development of accreditation standard, medical institution accreditation system-related research and surveys, and support for the development of policy.

- (Education & Consulting)

We provide education and consulting for the medical institutions’ participation in and preparation for accreditation, and for the strengthening of the survey committee members’ (surveyors’) competence.

- (Patient Safety)

Based on the 「Patient Safety Act」, we perform duties related to patient safety, such as establishing and operating a national patient safety reporting and learning system.

- (Evaluation Integration) Integration of evaluation work for medical institutions conducted under other laws

Ⅱ. Status of Services

1. Evaluation & Accreditation of Medical Institutions

○ (Accreditation of Medical Institutions)

Accreditation is implemented through voluntary participation for hospital-sized medical institutions, while geriatric hospitals and mental hospitals are required to be accredited for the protection of patients' rights.

- However, hospitals that want to be designated as superior general hospitals, specialized hospitals, training hospitals, research-oriented hospitals, or medical institutions for foreign patients must obtain accreditation.

- As of the end of February 2019, 41.4% of all the hospital-sized medical institutions were accredited.

2. Education & Consulting

○ (Surveyor Education)

We are making efforts to increase the objectivity and credibility of accreditation surveys by strengthening the competency of surveyors through various educational programs such as “new surveyor education,” “field-oriented education,” “observation education,” and “continuous improvement education.”

- As of the end of February 2019, there were 603 surveyors.

○ (Medical Institution Consulting)

We support participation in accreditation by medical institutions that have no experience with or have difficulty preparing for accreditation. We also operate various consulting programs, such as “accreditation preparation consulting,” “simulated survey consulting,” and “customized consulting,” in order to achieve substantial improvement in quality.

- As of the end of February 2019, there were 27 consultants.

3. Policy Research & Development, Development of Standard

○ (Improvement of Accreditation System)

We formed a system advisory committee with various stakeholders in order to work on and improve the problems within the accreditation system.

- In 2018, the Ministry of Health and Welfare supported the operation of the “Task Force for Innovation in the Medical Institution Accreditation System” and prepared “innovation measures.”

- A plan has been established for implementation to realize innovative measures starting in 2019.

○ (Management of Accreditation Standard)

We are constantly improving our standard by reflecting recent changes in the medical environment, social issues, and ISQua principles, and recommendations.

- In 2018, we completely revised and announced the standard for acute care hospital accreditation and for the designation evaluation of hospitals serving foreign patients.

- Currently, we are developing new accreditation criteria that consider the characteristics of rehabilitation medical treatment during recovery period that will be announced by 2019.

4. Establishment and Operation of Patient Safety Reporting & Learning System

○ (Establishment & Operation of System) We have established and are operating a system to prevent medical accidents by collecting and analyzing

patient safety accident information according to the implementation of the 「Patient Safety Act」. This information is then given to medical institutions.

○ (Issuance of Warnings) We continue to carry out projects to promote the self-reporting of patient safety accidents and reinforce feedback. In 2018, we issued a total of seven patient safety warnings.

- The warnings issued in 2018 include suicide and self-harm of the patient, falls, discovery of contamination and malfunction during use of medical supplies, operation errors during use of the medicine infusion pump, transfusion error of the wrong blood type, overdose of methotrexate (MTX), and insufficient patient monitoring after sedative administration.

○ (Creating Patient Safety Culture)

In order to promote patient safety activities in medical institutions and to raise public awareness surrounding patient safety, we designated a national Patient Safety Week and Patient Safety Day and host related events, such as an annual case conference.

Ⅲ. News ○ Designation of KOIHA as a Public Institution (02/06/2018) The Ministry of Strategy and Finance of the Republic of Korea designated the accreditation institute as a public institution to promote accreditation work more transparently, fairly, and efficiently.

○ Declaration of Patient Safety Day (05/29/2018) In order to establish a patient safety culture, a Patient Safety Day was declared and a patient safety week event was held in partnership with the government, medical institution officials, and patients. This event is scheduled to be held annually, as a government-designated commemoration day.

○ Reorganization of KOIHA (04/01/2019)

- The organization was completely reorganized to promote effective work. We integrated the policy development division and the research and development division, and established an education center to provide systematic and professional education and consulting services. - (Organization) 3 Teams, 1 Headquarter, 1 Center

President

Board of Directors

Division of

Management Planning

Division of Policy Development

Division of Accreditation

Operation

Patient Safety Headquarters

Education Center

Management Planning Team

Policy Development

Team

Accreditation Operation Team

PS Project Team

Education Planning Team

Human Resource Management

Team

Standard Development

Team

Geriatric Accreditation

Operation Team

PS Development Team

Education & Consulting Team

Accounting Management

Team

Information Strategy Team

< Character of KOIHA > ○ Name: Ansimi (It means “guardian” in Korean.) ○ Birth Day: 04/19/2016 Ansimi is the guardian giving accreditation mark to trustworthy hospitals so as to secure patient safety.

THE HEALTHCARE ACCREDITATION INSTITUTE (PUBLIC

ORGANISATION): HAI, THAILAND

Upraising Patient Safety and Personal Safety to be a ministerial policy

HAI has continually promoted patient safety in Thailand for more than 10 years. Three years ago HAI

combined the issue of personal safety with patient safety and called the program “2P Safety”. This program

was endorsed by the Minister of Public Health and many activities were launched to promote safety in

hospitals. Patients were also invited to join activities focused on building safer healthcare services. In 2019

the Minister of Public Health declares that 2P Safety Policy must be implemented in all hospitals under the

Ministry of Public Health.

Network Accreditation

In order to promote seamless healthcare for patients, HAI has initiated network accreditation programs since

2015. There are 2 types of network accreditation: Provincial healthcare Network Certification (PNC) which is

focused on coordination among hospitals in a province for healthcare of a specific disease, and District

Health System Accreditation (DHSA) which promotes roles of district hospitals in strengthening primary care

system in a district. Up until 2018, 8 provinces has been certified by PNC and 16 districts has been accredited

by DHSA.

Spiritualty in healthcare

Due to very high workload in most hospitals in Thailand, accreditation by HAI every three years seems to

create extra unbearable tension for some hospital staff. This results in incapability of many hospitals to

maintain their quality level at the next accreditation time. Spirituality in Healthcare Appreciation (SHA) was

introduced many years ago as a quality tool for boosting up moral of hospital staff and making them realize

the value of their good-quality work for themselves and for their patients. Empathic care can be seen in

hospitals applying SHA and empathic care enhances trust in healthcare institution. In HA National Forum

2019, 6 hospitals were awarded as SHA hospitals.

QUALITY & ACCREDITATION INSTITUTE (QAI)

Quality and Accreditation Institute (QAI) was set up to create an ecosystem of education, training, quality

improvement and accreditation. It is believed that this organisation would provide a platform to

stakeholders including professionals and organisations, associated with quality in any way, to share their

wisdom and knowledge in order to make its Vision realised. This will further provide tremendous

opportunities to all concerned to learn and contribute in improving organisations engaged with QAI.

Different activities would be initiated under different verticals in a manner that they remain independent of

each other. QAI aims to operate globally.

VISION:

Nurturing the largest global pool of organisations and people through quality and accreditation framework.

MISSION:

To conceive and deliver education, training, accreditation and related programs in partnership with

stakeholders using an approach of co-design and co-creation.

MEMBERSHIP:

QAI becomes the institutional member of the International Society for Quality in

Health Care (ISQua) (www.isqua.org).We aim to achieve ISQua accreditation to

our standards and organisation as we move forward.

VALUES: -

Listener: Seek continuous feedback from stakeholders to address their concerns

Competitive: Look for viable options to benefit users of our services Transparency: Clearly defined policies made available in public domain

Innovation: Continuously evolve using co-design and co-creation

BENEFITS OF ACCREDITATION - It stimulates continual improvement. - Enables the organisation in demonstrating commitment to quality and safe care.

- Assure community about the quality of services provided.

- Provides opportunity for benchmarking.

- Rights of patients/customers are respected and protected. - Patients/Customer satisfaction is regularly evaluated.

- Improves overall professional development of staff and leadership opportunity at all levels. - Provides an objective system of evaluation and empanelment by third parties.

SPECIAL FEATURES OF ACCREDITATION PROGRAMS: - Comprehensive Assessment Management System to allow quick turnaround time for the accreditation

process as each step is linked to a defined period. - Endorsement of a documented quality and improvement program as per the intent of the standard.

- No pre-assessment to reduce turn-around time, making it more cost effective and efficient. - Based on comprehensive self-assessment and document review process providing opportunity to

organisations for a thorough review of their documentation and implementation of requirements of standards.

- Rigorous Assessor Management System including a transparent monitoring and evaluation mechanism

- Hear the voice of all keeping ‘Client First’

- Harmonising local, national, regional and global framework - Blend of global strategy, experience and leadership

- Economic yet global model

CENTRES OF EXCELLENCE: - Centre for Education & Training (CET) - Centre for Accreditation of Health & Social Care (CAHSC)

- Centre for Laboratory Accreditation (CLA)

- Centre for Accreditation of Veterinary Facilities (CAVF)

- Centre for Proficiency Testing (CPT)

QAI OFFERS

Centre for Accreditation of Health & Social Care (CAHSC) The following accreditation/certification programs have been developed:

- Assisted Reproductive Technology (ART)

- Home Healthcare - Dialysis Centres

- Certification of Healthcare Facilities - Certification Program for WHO Patient Safety Friendly Hospital Standards (PSFHS)

- Certification program for Green Hospitals

Centre for Laboratory Accreditation (CLA)

- Accreditation of Testing & Calibration Laboratories as per ISO/IEC 17025:2017 in different disciplines including food testing, veterinary testing, environmental testing and forensic testing.

- Accreditation of Medical Laboratories as per ISO - 15189:2012

- Certification program for Basic Composite Medical Laboratories

Benefits of Laboratory Accreditation - Increased confidence in Testing/Calibration reports issued by the laboratory. - Better control of laboratory operations and feedback to laboratories as to whether they have Sound

Quality Assurance System and are technically competent. - Potential increase in business due to enhanced customer confidence and satisfaction. - Accredited laboratories are publicized by the Accreditation Body by putting their name on its website.

Application Form + Self-

Assessment Tool +

Quality Manual + Fee

(By Laboratory)

Review, Registration

& Acknowledgement

of Application

(By CLA Secretariat)

Document Review

including Quality

Manual

(By Lead Assessor)

Final Assessment

(By Assessment Team)

Review of Assessment

Report

(By CLA Secretariat)

Laboratory takes

Necessary Corrective

Actions within 30 Days

Recommendation

for Accreditation

(By Head of

Division)

Approval for

Accreditation

(By CEO)

Issue of

Accreditation

Certificate

(By CLA Secretariat)

Validity for 2

Years

Onsite

Surveillance

within 12 Months

of Accreditation

Renewal of Application

(6 Months Before Expiry)

Nonconformity (ies)

No Nonconformity (ies)

ACCREDITATION PROCESS OF CLA

- Users of accredited laboratories enjoy greater access for their products, in both domestic and international markets.

- Time and money are saved due to reduction or elimination of the need for retesting of products.

Centre for Accreditation of Health & Social Care (CAHSC) CAHSC operates its accreditation process through a structured framework of competent staff and pool of empaneled Lead Assessors and Assessors covering specified expertise. They are trained by CAHSC as per the relevant international accreditation criteria and subsequently empaneled as assessors/lead assessors through defined contractual agreements.

QAI Journal of Healthcare Quality and Patient Safety We encourage you all to submit your research articles in QAI Journal (www.qaij.org) You may find instructions to Authors at http://www.journalonweb.com/qaij/

Quality and Accreditation Institute

416, Krishna Apra Plaza, Sector 18, Noida-201301, U.P., India

Email: bkrana@qai.org.in, Tel.: +91-120 4113234

Website: www.qai.org.in

Self-Assessment Application Form

+ Documents +

Fee

Review,

Registration &

Acknowledgement

of Application

Document

Review

Onsite

Assessment

Report Review

including Scoring &

Non-Conformity, if

any

Meet Scoring

Requirements Submit

Action Plan for Non-

Conformities

Review by Accreditation

Committee including:

- Validating Score

- Acceptance of

Action Plan

Issue of

Accreditation

Certificate

Validity of 3

Years

Onsite

Surveillance

within 15-18

Months of

Accreditation

Renewal of

Application

(6 Months Before

Expiry)

ACCREDITATION PROCESS OF CAHSC

EDITORIAL COMMITTEE OF ASQUA Dr. B.K. Rana : Chairman CEO Quality & Accreditation Institute, India Shivi Taneja : Editorial Assistant Accreditation Officer Quality & Accreditation Institute, India Rehma : Editorial Assistant Accreditation Officer Quality & Accreditation Institute, India

Asian Society for Quality in Healthcare c/o B.6-01, Level 6, Menara Wisma Sejarah

230 Jan Tun Razak, 50400, Kuala Lumpur Malaysia

Email: secretariat@asqua.org