Outline. Health Indicators 22/10/2013 HOW DO STAFF PERCEIVE A NEWLY INTRODUCED ACCREDITATION PROGRAM? Kuwait Health Care System

Transcription

1 // HOW DO STAFF PERCEIVE A NEWLY INTRODUCED ACCREDITATION PROGRAM? Muna AlKhabbaz PhD candidate Dr. Vicki Doyle Dr. Amir Hassan Outline Health indicators. Kuwait health care system. Accreditation in Kuwait. Study objective. Methodology. Results. Conclusions. Next steps. Health Indicators Health Indicators Kuwait UK Total population,5, () 6,75, () Total life expectancy 8 (m= 8, f=8) 8.5 (m=79, f= 8) Population proportion under 5 Population proportion over 6 Total expenditure on health as a percentage of GDP General government expenditure on health as a percentage of total expenditure on health 7% () 8% ().8% ().9% ().7% () 9.% () 8.% () 8.7% () Kuwait Health Care System 6 Health Regions. Each consists of a general hospital, along with a number of primary health centres which refer to it. Three levels of health care delivery: primary, secondary and tertiary health care.

2 // Accreditation in Kuwait Study Objective Idea Accreditation Canada 8 Pilot Hospitals Implementation All Public Hospitals To assess the impact of Kuwait s national accreditation program on quality improvement in public hospitals as perceived by health care professionals. Methodology I Methodology II The questionnaire operationalizes the Malcolm Baldrige National Quality Award Criteria (MBNQA). The questionnaire had 9 scales: Leadership, Strategic quality planning, Customer focus, Measurement, Analysis, and Knowledge Management, Workforce focus, operations focus, quality results and accreditation benefits. Responses were measured on a five point Likert scale. Results Hospitals Gender Occupational Categories Age Groups 67.% % () 65% (7) (86) 6% (9) 96 5 Al-Jahra 6.6% Al-Razi 6.7% Al-Adan.5% Physical.% 5 5 M F Manager.% Physician 9.% Nurse 5.% Technician 8.% Pharmacists 7.7% 5 6.8% (9) - 9 old old 5 old

3 // Direct Involvement in the Program Previous Experience with Accreditation Comparison Between mature Units and immature Units Overall Average Leadership.5..5 Quality Planning % (67) 5 5 7% (9) Accreditation Benefits Customer Focus % (7) 5 5 7% (55) Quality Results Measure, Analysis,Knowledge Operations Focus Staff Recog & Satis 5 5 mature units Yes No Yes No immature units Workforce Focus Staff Educat & Develop Significant differences were found between the two units in all scales Comparison Based on Gender Comparison Based on Age Groups **Overall Average **Accreditation Benefits **Quality Results **Operations Focus.5..5 **Workforce Focus **Staff Educat & Develop **Staff Recog & Satis **Measure, Analysis, Knowledge **Customer Focus **Quality Planning **Leadership.5.5 Female Male No significant difference was found between males and females in all study scales to Comparison Based on Occupational Categories Comparison Based on Involvement in the Program directly involved not involved Pharmacists Physician Technician Nurse Manager

4 // Comparison Based on Previous Experience with Accreditation Yes No Cross tabulation between occupational category across with direct involvement in the accreditation process Direct involvement in the accreditation process Occupational Category Yes No Total Managers Count 7 7 % within Occupational Category 5.% 5.%.% Physicians Count 76 % within Occupational Category.9% 69.%.% Nurses Count 7 7 % within Occupational Category 9.% 9.%.% Technicians Count % within Occupational Category 6.7% 7.%.% Pharmacists Count % within Occupational Category 5.% 75.%.% Total Count % within Occupational Category 8.6% 8.%.% Cross tabulation between previous experience with accreditation across with direct involvement Direct involvement in the accreditation process Previous experience with accreditation Yes No Total Yes Count % Previous experience with accreditation 9.7% 7.%. % No Count % Previous experience with accreditation.6% 85.%. % The top benefits of the national accreditation program: Improvement of patient care Tool to promote and implement changes Positive changes of policies and procedures Conclusions As perceived by staff: - Hospital accreditation is a good strategy for improving quality of health care. - It needs enough time to mature and show it s full impact. - Younger staff and nurses should be more involved in the program, as well as experienced staff. - To gain staff support for accreditation, enough time, resources and incentives should be provided. Next Steps.. To compare these results with results of the nd questionnaire that was conducted months later. To compare the quantitative data with the qualitative data in order to reach final conclusions.

5 // Thank you Kuwait 5