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Accreditation –Recognition of your Safety

and Quality Standards

Dr Stephen ClarkChief Executive

AGPAL Group of Companies

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Outline

• About the AGPAL Group of Companies

• Safety and Quality > risks

> minimum standards

> value proposition

> motivations

• Standards

• QIP Accreditation

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The AGPAL Group of Companies

• Australian General Practice Accreditation Limited (AGPAL)

• Quality Innovation Performance Limited (QIP)

• QIP Consulting

• QIP International

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The AGPAL Group of Companiescontinuum of care model

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Continuum

QualitySafety

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Safety

High risk Cut

Bleed

Manipulate

Anaesthetise

Sedate

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Donabedian’s Framework for measuring quality – minimal standards

Structure

Process OutcomesStructure

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Structure

• The factors that affect the context in which care is delivered.

o e.g. - the physical facility, equipment, human resources, staff training & payment methods.

• These factors control how providers and patients in a healthcare system act and are measures of the average quality of care within a facility or system.

• Often easy to observe and measure and it may be the upstream cause of problems identified in process.

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Process

• The sum of all actions that make up healthcare.

– e.g.- diagnosis, treatment, preventive care, patient education but also includes actions taken by the patients or their families.

• Classified as ‘technical’ processes (i.e.- how care is delivered) or ‘interpersonal’ processes, (i.e. - the manner in which care is delivered).

• Information about process can be obtained from medical records, interviews with patients and practitioners, or direct observations of healthcare visits.

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Hallmark of Quality – The Quadruple Aim(Bodenheimer, 2014)

Quadruple Aim takes into consideration the goal of improving the work life of health care providers, including clinicians and staff.

Clinical Indicators

Patient experience

Cost

Staff Engagement

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Value Proposition of Quadruple Aim

Value Proposition =

Health Outcomes

Patient Experience

Staff Engagement

Cost+ +( ) /

Hopes / Cost

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Outcomes

• All the effects of healthcare on patients or populations, including changes to health status, behaviour, or knowledge as well as patient satisfaction and health-related quality of life.

• Sometimes seen as the most important indicators of quality because improving patient health status is the primary goal of healthcare.

• Accurately measuring outcomes that can be attributed exclusively to healthcare is very difficult.

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Outcome Measure – Patient Experience

• Measurement is becoming increasingly important in determining the value proposition of health care delivery.

• Linked to health outcomes, increased efficiencies, and improved safety and quality.

• Heath care providers need to reduce harm and increase confidence.

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Manage Risk

Clinical risk e.g. infection control, medication safety, patient ID and procedure matching, clinical handover

Corporate risk e.g. corporate governance, HR, finance, IT systems, privacy, continuity planning

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Motivation

Incentives

Measurement

Penalties (Clinical Excellence Commission)

Regulation / Mandatory

Intrinsic > independent third party verification

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Voluntary vs Mandatory

Voluntary Profession led

Control

Interpretation

Mandatory Government led

Penalties

Value add (data)

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Standards

National Safety and Quality Service Standards (NSQHS)

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QIP accreditation for Cosmetic Medical Practices:

• Based on the NSQHS Standards.

• Reflective of current best practice thinking in the health field.

• Affordable and accessible.

• Flexible and innovative:

– Cosmetic Medical Practices may look to accredit against additional Standards based on their community needs (e.g. Rainbow Tick), or other organisational wide Standards, such as QIC Standards.

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AccreditationProcess

(Three year cycle)

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Benefits of a Cosmetic Medical Practice undergoing accreditation

• Supports improved health outcomes and patient satisfaction.

• Effective risk management and accountability.

• Actively engages staff in establishing quality systems.

• Helps build a culture of quality improvement.

• Formalises much of what you do now.

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Benefits of a Cosmetic Medical Practice undergoing accreditation

• Helps with recruitment of staff.

• Helps streamline processes.

• A public demonstration of a commitment to ‘go the extra mile’ for patient safety.

• Provides a competitive advantage.

• Focal point for word of mouth.

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Thank you for your time

For more information visit our team in the exhibition area.

Contact details:

P: 1300 362 111E: info@agpal.com.au W: www.agpal.com.au