7-8 September 2016 Sheraton Hotel & Towers Ho Chi Minh City, Vietnam

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1 7-8 September 2016 Sheraton Hotel & Towers Ho Chi Minh City, Vietnam

2 2

3 Empower Hospital Quality Culture through Accreditation

4 About Vinmec Mission To deliver world class healthcare service. Vision To become the leading hospital chain in Vietnam with Vinmec trademark, provide customers with professional and comprehensive world class healthcare services, leading in quality and technology application, comparable to famous hospitals worldwide.

5 Goals and objectives of having accreditation 1. Promote patient safety and quality improvement 2. Improve organization performance 3. Promote recognition for excellence

6 Our accreditation journey Jun 2015 Dec 2014 Jan 2015 JCI mock survey Apr 2015 JCI actual survey Granted the status of ACCREDITED Apr 2014 Start applying JCI standards Conduct internal assessment

7 Vinmec International Hospital was the first general hospital in Vietnam achieved JCI accreditation in June 2015

8 Our journey towards excellence The accreditation process results in a positive corporate culture change, the spread and sustainability of quality improvement in Vinmec We believes that JCI accreditation is not an endpoint but an ongoing quality improvement journey

9 Leadership Checklist Build a safety culture Listen and support staff (e.g. Executive Patient Safety Walk rounds) Integrate risk management activities (e.g. pro active risk management) Promote reporting Involve patients/clients, families and the public Learn and share safety lessons Implement solutions to prevent harm Source: Charles Vincent,

10 Challenges and Obstacles Resistance to change Lack of resources Maintain quality standards and continuous improvement 10

11 Does accreditation make a difference? 11

12 Organizational and Structural Changes Commitment to quality from the top Reflect and nurture Culture of Safety Created structures and processes to monitor performance, problem identification and solving Investments in new technology and infrastructure to improve clinical delivery Develop and track hospital s and department s quality plans and measures 12

13 Practice Changes Establish uniform and evidence based clinical guidelines, protocols, pathways Education to clinical staff on safety measures, error reduction, infection prevention Promote patient engagement in their own care Created structures and processes to monitor performance, identify deficiencies, and implement solution 13

14 Staff training/education 14

15 Hospital safety newsletters 15

16 Improved Outcomes Improved process/operational efficiency Uniform process/policies Reduced errors, complications and cost Improved outcomes in quality measures Increased patient satisfaction and staff satisfaction Increased credibility and accountability Staff and hospital leaders are motivated to reinforced the quality improvement process 16

17 Percentage of surgeries with correctly conducted time out before the start of surgeries in OT (Oct 2014 Jul 2016) 100% 99% 99.6% 100.0% 98% 97% 96.5% 96% 95% 94%

18 Percentage of inpatients with completed initial assessment within 24 hours of admission (Oct 2014 Jul 2016) 100% 98.1% 98.4% 99.4% 99.7% 90% 80% 79.5% 79.3% 70% 60% 50% Doctor Nurse 18

19 Maintain continuous improvement Put quality high on the agenda Incorporate QI into Daily Routine Assure responsibilities and team expertise at departmental level Organize care pathways based on evidence of quality and safety interventions Conduct regular assessment and provide feedback (e.g. regular tracer activities) 19

20 Tracer activities A&E Patient initial assessment Verbal order Abbreviation Infection control, etc OT and Recovery Pre op assessment (inclusive of preanaesthesia assessment) Plan of care Consent Site marking, time out Recovery care, etc Inpatient Ward Initial Assessment Plan of care Medication Discharge plan, etc Discharge PFE Medication, etc 20

21 Value and impact of accreditation Delivering patient centered service based on international standards of safety and quality excellence Continuously improve the patient safety and quality of care Optimising hospital operational efficiency and effectiveness Organizational and personal learning

22 THANK YOU 22

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