THE ROLE OF ACCREDIATION IN PATIENT CHOICE STERGIOS TASSIOPOULOS, ASSOCIATE DIRECTOR OF INTERNAL MEDICINE, HYGEIA HOSPITAL
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1 THE ROLE OF ACCREDIATION IN PATIENT CHOICE STERGIOS TASSIOPOULOS, ASSOCIATE DIRECTOR OF INTERNAL MEDICINE, HYGEIA HOSPITAL
2 + The role of accreditation in patient choice Stergios Tasiopoulos, MD, PhD Associate Director of Internal Medicine Deputy CMO, HYGEIA Hospital
3 + Accreditation A self-assessment and external peer assessment process used by health care organizations to accurately assess their level of performance in relation to established standards and to implement ways of continuous improvement The number of accredited hospitals is increasing worldwide
4 + Hospital Standards Safe environment that reduces risk Quantifiable benchmarks for quality and patient safety Stimulate and demonstrate continuous, sustained improvement Improve outcomes and patient satisfaction Enhance efficiency / Reduce costs
5 + The role of accreditation Relationship between accreditation and patient safety, quality of care or patient satisfaction: inconclusive results 1 Many articles show clear evidence for a positive impact of accreditation in healthcare services 2,3 1. World Applied Sciences Journal 2014; 31: Journal of Medicine and Medical Sciences 2012; 3(10): Ann Saudi Med 2011; 31(4):
6 + Accreditation Requires commitment and dedication from all employees, in order to develop and implement the new Quality and Patient Safety policies, practices and procedures that are required to meet the standards
7 + Accreditation process Expert surveyors Physicians Nurses Health care administrators Measurable elements Reaccreditation
8 + Patients & Families
9 + Patient Identification Wrong-patient errors! Patient identification (full name & DOB) before: Diagnostic procedures Treatments
10 + Early Warning System & Rapid Response Team Early warning signs Worsening of vital signs Change in neurological status Rapid Response Team Prevention of cardiopulmonary arrest Mortality reduction
11 + Effective Communication & Clinical Handover Effective communication Limits the risk of errors Improves patient safety Critical information (handover of patient care, transfers) Standardized forms SBAR (Situation-Background-Assessment-Recommendation) Electronic Health Record
12 + Patient & Family Education Assessment of the patient s and family s learning needs Better understanding of disease Participation in care Informed care decisions
13 + Patient & Family Education Physicians and nurses throughout the entire hospitalization Extensive Education Material concerning: Various conditions and diagnoses Diagnostic examinations Procedures Rehabilitation Infections prevention Medications Medical equipment
14 + Universal Protocol for preventing Wrong Site Wrong Procedure and Wrong Person Surgery Preoperative verification process Marking the surgical site Time-out (final confirmation) Documented in specific forms
15 + High-Alert Medications Medications involved in a high percentage of errors or carry a higher risk for adverse outcomes Controlled medications Chemotherapy Anticoagulants Look-alike / Sound-alike medications
16 + Safety of High-Alert Medications List of high-alert medications ISMP (Institute for Safe Medication Practices) WHO Special labeling (orange sticker) Special rules for medical ordering
17 + Patient Fall Prevention & Response Protocol All patients are assessed for fall risk Standardized assessment tool & criteria Fall prevention measures (depending on the score) Fall incidents activate the fall response clinical protocol
18 + Infection Prevention & Control Hand hygiene (healthcare professionals & patients) Guidelines from WHO & CDC Early recognition and isolation of patients with possible transmittable infections Healthcare professionals vaccination program
19 + Clinical Laboratories Quality Management System Specimens Proper collection, identification, handling, safe transportation and disposal Equipment Inspection, maintenance, calibration Reagents & supplies Technical evaluation of laboratory methods Timely reporting of results / Critical results Staff Education / Training
20 + Workforce
21 + Physicians Credentialing Licensure / Registration, Education, other Credentials Primary Source Verification Privileging Medical staff members provide clinical services consistent with their qualifications Ongoing Professional Practice Evaluation (OPPE)
22 + Occupational Health & Safety Program Initial employment health screening Control of harmful occupational exposures Periodic preventive immunizations and examinations Education / Training and Interventions Safe patient handling Treatment for common work-related conditions
23 + Leadership & Operations
24 + Ethics Framework & Culture of Safety Patient Safety Officer Safety Culture Survey Toolkit - Institute of Healthcare Improvement (IHI) Errors & Near misses report Patient Safety Leadership Walkrounds (IHI)
25 + Risk Management Framework Risk Management Program Risk identification Risk prioritization Risk reporting Risk management Management of related claims
26 + Facility Management & Safety Program Safety & Security Hazardous materials Emergency management Fire safety Medical equipment Utility Systems
27 + Environmental Management Pollution Prevention Natural Resources and Waste management
28 + Our Experience!
29 + HYGEIA Hospital Multiple international accreditations and certifications International Organization for Standardization (ISO) OHSAS Project Group British Standards Institution (BSI) National accreditation schemes. Joint Commission International (JCI)
30 + Origin of International Patients (online requests) LUXEMBOURG 3% THE NETHERLANDS 4% BELGIUM 5% SWEDEN 3% AUSTRALIA 3% ITΑLY 3% ALBANIA 26% FRANCE 5% SWITZERLAND 7% GERMANY 9% UK 11% USA 21%
31 +
32 +
33 + Overall Positive Impression; 100% 100% 100% 100% 100% 100% 100% 97% 97% 97% 97% 98% 97% 97% 98% 98% 99% 98% 98% 98% 95% 96% 97% 94% 92% 92% 99% 100% 99% 100% 98% 100% 97% 97% 98% 94% 90% 88% 80% Target >85% 70% 60% 50%
34 + Recommendation of HYGEIA Hospital to relatives and friends 100% 90% 100% 100% 100% 100% 99% 99% 98% 98% 98% 97% 97% 98% 98% 98% 96% 96% 96% 95% 96% 97% 98% 96% 97% 97% 94% 94% 93% 94% 94% 93% 93% 91% 89% 97% 95% 80% Target >85% 70% 60% 50%
35 + Patient Falls Πτώσεις/1000 ΑσθΗ MO 2013 MO 2014 ΜΟ 2015 MO 2016 Ιαν-17 Φεβ-17 Μαρ-17 Απρ-17 Μαϊ-17 Ιουν-17 Ιουλ-17 Αυγ-17 Σεπ-17 Οκτ-17 Νοε-17 Δεκ-17
36 + Best International Hospital Award 2016 IHC Hospital Performance Ratings in 270 countries Quality of Services / Patient Safety 20 key performance indicator criteria HYGEIA Hospital achieved the highest rating among all licensed private hospitals in Greece
37 + Workforce Best Workplace (2011 & 2013) European Employer of the Year (2013)
38 + Preparation Initial accreditation / Reaccreditation Hospital Transformation Move towards the highest ranks of the International Healthcare Providers
39 + thank you!
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