Improving Quality in Physiological Services, IQIPS. Delivering quality physiological services

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1 Improvig Quality i Physiological Services, IQIPS Deliverig quality physiological services

What is IQIPS? IQIPS is a professioally led programme with the aim of improvig services, care ad safety for patiets udergoig physiological tests, examiatios ad procedures.

2 What is IQIPS? IQIPS is a professioally led programme with the aim of improvig services, care ad safety for patiets udergoig physiological tests, examiatios ad procedures. The programme offers the beefits of sharig best practice ad the opportuity to ehace efficiecy with evidece for local leverage. Accreditatio also brigs atioal recogitio to the service with a badge of quality. 2 IQIPS puts Physiological Scietific Services at the leadig edge of cotiuous quality improvemet ad quality assurace i the NHS. It provides a mark of quality for commissioers, providers ad users of service with patiet quality outcomes at its core. Professor Sue Hill OBE Chief Scietific Officer for Eglad

3 What is UKAS accreditatio for IQIPS? The Uited Kigdom Accreditatio Service (UKAS) delivers ad maages formal third-party assessmets ad accreditatio agaist the Improvig Quality i Physiological Services (IQIPS) stadards for the IQIPS accreditatio programme. UKAS accreditatio provides idepedet ad impartial recogitio that the physiological service provider has objectively demostrated their competece, as defied by the IQIPS stadards, to a team of traied assessors. Accreditatio gives the people usig physiological services, the patiets ad their relatives, cofidece i the diagosis ad care they receive. Clearly defied, professioally led stadards form the corerstoe of both high quality healthcare ad UKAS accreditatio. Therefore NHS ad idepedet providers are seekig UKAS accreditatio as formal ackowledgemet that they meet defied quality stadards ad are deliverig high quality services for patiets. The Royal College of Physicias (RCP), a strog supporter of multi-professioal workig, hosts the IQIPS programme, develops ad maitais the IQIPS stadards supported by a expert group of healthcare scietists, patiets, doctors ad other professioals ivolved i physiological services ad maages the quality assurace of the programme. These stadards describe a good...the formalisig of our quality measures ad the accreditatio process, has give us the opportuity to chage what we already do ad improve further o it. Marti Aderso, Advaced Practitioer i Audiology Bolto NHS Foudatio Trust physiological service provider with the capability to esure that all patiets cosistetly receive high quality diagosis ad care, delivered by competet staff workig i safe eviromets. UKAS accreditatio for IQIPS is ope to service providers i physiological services that have successfully completed ad cotiue to maitai the IQIPS Self-Assessmet ad Improvemet Tool (IQIPS SAIT) requiremets. The programme is desiged for eight disciplies: Audiology Cardiac physiology Gastro-Itestial physiology Neurophysiology Ophthalmic ad Visio sciece Respiratory ad Sleep physiology Urodyamics Vascular sciece Achievig UKAS accreditatio assures our patiets, referrers ad commissioers that we are providig a quality service. The process ivolved a huge amout of work, but supported by the UKAS team, has resulted i improved service quality, patiet experiece ad patiet care. Our team is ow stroger ad more efficiet with a shared commitmet to quality care ad cotiuig service improvemet. Heather Day-Lascelles, Head of Audiology Sherwood Forest Hospitals NHS Foudatio Trust 3

4 Why should physiological services participate i the IQIPS programme? Become part of a professioally-led programme with the aim of improvig quality i physiological services Gai access to the IQIPS quality improvemet programme ad the resources available to services who register for the programme (e.g. the self assessmet ad improvemet web tool SAIT ad Kowledge Maagemet System KMS) Raise ad maitai high quality across all sites where physiological diagostics services are delivered Take part i a IQIPS cesus twice a year which will eable services to idetify areas of stregth ad weakess Share good practice Receive formal accreditatio by UKAS Patiets, professioals ad commissioers will beefit from high quality services ad will be able to make iformed decisios about services that are formally accredited by the IQIPS programme 4 Why should physiological services gai UKAS accreditatio? UKAS accreditatio cofirms professioally-led cliical goverace stadards, raises the level of competecy, ehaces the credibility of the service amogst patiets, ad assures those who fud the services. Physiological services ca expect UKAS accreditatio to: Support a focus o patiet safety ad high quality of care Raise local stadards ad support cotiuous improvemet Provide third-party cofirmatio of good practice Ehace efficiecy ad value for moey Act as a leverage for chage, improve staff motivatio ad sharig best practice Icrease cofidece i the service UKAS staff were very friedly ad helpful, before, durig ad after the assessmet process. It is a real achievemet to have our accreditatio ad all our staff feel valued by the recogitio of our high stadard of care. Keri Barker, Adult Cliical Lead Berkshire Healthcare NHS Foudatio Trust

Stadards eed to be formulated to promote the likelihood of the service beig delivered safely ad effectively, to be clear about what has to be doe to comply, to be iformed by a evidece base ad to be

5 Stadards eed to be formulated to promote the likelihood of the service beig delivered safely ad effectively, to be clear about what has to be doe to comply, to be iformed by a evidece base ad to be effectively measurable. Robert Fracis QC, Chairma, Mid Staffordshire NHS Foudatio Trust Public Iquiry Report, 2013 IQIPS Stadards ad IQIPS SAIT The IQIPS stadards are clearly laid out ad easy to uderstad. They cover key expectatios of a competet physiological service across four quality domais: Cliical to promote the service s role i rapid ad accurate diagosis ad treatmet Patiet experiece to esure that service delivery is patietfocused ad respectful of the idividual ad their specific requiremets Facilities, resources ad workforce to esure that adequate resources are provided ad used effectively to offer a safe, efficiet, comfortable ad accessible service Safety to esure that services provide the highest level of safety for patiets, staff ad others who come ito cotact with the service. Spread across these four quality domais are curretly 26 stadards each of which addresses a key aspect ecessary for the provisio of high quality physiological services. Each stadard is accompaied by detailed professioal guidace o what is required i order to achieve it. The physiological service must first successfully complete the IQIPS SAIT, a olie self-assessmet, i the relevat specialism before makig a applicatio to UKAS for formal third-party accreditatio agaist the IQIPS stadards. The IQIPS SAIT is admiistered by the RCP, as part of the IQIPS programme. The RCP ca provide support to help you through your SAIT, icludig discussio with services iterested i the programme. The SAIT plays a importat role throughout the programme pathway with its two stage cycle: the pre-accreditatio stage (i.e. registratio, access to the SAIT, quality improvemet ad readiess for UKAS accreditatio) ad the accreditatio stage (i.e. cotiuous quality improvemet o SAIT, accreditatio assessmet, surveillace ad re-assessmet work). Quality improvemet o the SAIT cotiues after accreditatio, whilst the level of the stadard is reviewed o a o-goig basis. To summarise, the purpose of the SAIT is to: improve the quality of services, iitiate collectig evidece, cosider how policies ad procedures apply to the IQIPS stadard ad assess readiess for accreditatio. The SAIT is available to services throughout the IQIPS accreditatio pathway. The Kowledge Maagemet System (KMS) is available o the SAIT web based tool ad cotais liks to guidelies, documets ad good practice. To fid out more about the RCP ad the requiremets for the IQIPS SAIT please go to the RCP IQIPS website at: The work required to achieve accreditatio caot be uderestimated but it is so worthwhile it demostrates to patiets ad commissioers our capability, competece ad commitmet to providig audiology services. The whole team felt a great sese of achievemet whe we achieved our accreditatio. Toy Kay, Head of Audiology Services Aitree Uiversity Hospital NHS Foudatio Trust 35

UKAS assessmets ad accreditatio your key to deliverig quality physiological services UKAS assessmets are coducted by teams of traied assessors, ormally exteral peers from the particular physiological

6 UKAS assessmets ad accreditatio your key to deliverig quality physiological services UKAS assessmets are coducted by teams of traied assessors, ormally exteral peers from the particular physiological specialism ad led by a UKAS Assessmet Maager. The assessmet team takes a holistic approach to determie the physiological service s overall ability to cosistetly deliver the best possible diagosis ad care to its patiets ad users. As expected i healthcare, the accreditatio process is rigorous; however, all physiological service providers who have achieved UKAS accreditatio believe it is worthwhile ad that it has stregtheed overall service performace. The structured UKAS process ivolves a iitial assessmet cosistig of a off-site examiatio of service policies ad procedural documets, followed by o-site observatio of practice, equipmet, eviromet ad iterviews with key persoel ad patiets. Physiological services that meet the requiremets of the IQIPS stadards are grated UKAS accreditatio for a period of four years. To maitai accreditatio the service must cotiue to demostrate satisfactory performace at aual surveillace assessmets. Further iformatio about the UKAS accreditatio process ca be foud throughout this brochure ad olie: The accreditatio process is oe that requires cosiderable effort, but if shared across the whole team it empowers everyoe to feel that it is worthwhile. Ideed this empowermet re-eergised the team to look at existig practices more critically ad where appropriate, implemet ew ways of workig Marti Aderso, Advaced Practitioer i Audiology Bolto NHS Foudatio Trust 6

...the accreditatio process was challegig, but provided a good opportuity to esure that all our services, policies ad procedures are compliat with the latest cliical, legal ad regulatory stadards ad

7 ...the accreditatio process was challegig, but provided a good opportuity to esure that all our services, policies ad procedures are compliat with the latest cliical, legal ad regulatory stadards ad good practice. We were impressed by the professioalism of the UKAS team they were very thorough but remaied positive ad costructive throughout ad all their fidigs were justified ad clearly explaied. Jae Shaw, Chief Executive, Actio for Deafess UKAS Workshop Preparatio for Accreditatio Workshop (fee payable for idividual attedees) If your physiological service has bee or is participatig i the IQIPS SAIT ad iteds to make a formal applicatio for UKAS accreditatio, you may fid it useful to sed a represetative to a 1 day Preparatio for Accreditatio Workshop. The workshop will provide iformatio o roles ad resposibilities i accreditatio, the accreditatio process, the assessmet team, the IQIPS stadards ad how to preset evidece. Workshop dates, veue, programme, workshop applicatio forms ad fee details ca be foud o the UKAS website: Iformatio ad Support To have a coversatio about UKAS accreditatio for IQIPS or to atted a Preparatio for Accreditatio Workshop please cotact the IQIPS team at UKAS: IQIPSCustomerService@UKAS.com To fid out more about the UKAS accreditatio process ad terms ad coditios of busiess for IQIPS customers please dowload ad read the followig documets which ca be foud o the UKAS website: IQIPS 1: The Coduct of UKAS Assessmet for the Improvig Quality i Physiological Services (IQIPS) Accreditatio Scheme UKAS Terms ad Coditios of Busiess for IQIPS Customers To make a applicatio for formal UKAS accreditatio agaist the IQIPS stadards please visit the UKAS website: Our highly skilled ad professioal team of hearig aid audiologists worked hard to achieve this quality marque ad we are cofidet that it will reassure our customers as to the quality of care we provide. We have reviewed ad improved o a umber of key areas that ca oly beefit the busiess ad our patiets i the log term ad I urge other orgaisatios to adopt a similar approach. Mark Georgevic, Legal Director Scrives Ltd t/a Scrives Opticias & The Hearig Compay 7

8 Accreditatio Route Map AVAILABLE SUPPORT & ADVICE Geeral ews, promotioal iformatio & ewsletters IQIPS Stadards IQIPS SAIT KMS Evidece guidace Ask IQIPS for more iformatio: UKAS Preparatio for Accreditatio Workshop, fee per attedee Case studies from accredited Physiological services: IQIPS brochure IQIPS 1: The Coduct of UKAS Assessmet for IQIPS UKAS Terms & Coditios of Busiess for IQIPS customers Applicatio iformatio Web based assessmet tool UKAS Assessmet Maager UKAS Customer Support Team Assessmet Maager Assessmet Team Web based assessmet tool UKAS Customer Support Team UKAS plaig meetig JOIN THE IQIPS PROGRAMME UKAS APPLICATION PRE-ASSESSMENT & CONTRACT REVIEW IQIPS SAIT Preparatio About you Assessmet Maager ACTION/TIPS Gai uderstadig of how IQIPS ca beefit your orgaisatio Read the helpful literature o IQIPS at Become familiar with the IQIPS stadards Complete IQIPS SAIT See evidece requiremet Submit cesus twice per year Review recommedatios from cesus report Meet the IQIPS accreditatio level Get advice cotact the RCP Team at: askiqips@rcplodo.ac.uk Seior Maager to udertake a iitial gap aalysis Gai local support ad commitmet Appoit IQIPS project team Gai detailed uderstadig of UKAS accreditatio by attedig IQIPS Preparatio for Accreditatio Workshop ad readig IQIPS 1 Joi a accreditatio commuity to share learig Cosider all available iformatio from gap aalysis ad determie sources of fudig ad likely project timescales Develop a project pla Devise a comprehesive moitorig pla Complete, sig ad submit UKAS Agreemets ad applicatio form to UKAS Complete About you Atted UKAS Plaig Meetig Cofirm the scope of activities you wish to have assessed Cofirm iteral audit pla i place Agree assessmet approach ad timelies Accept the quotatio of accreditatio fees 28

9 AVAILABLE SUPPORT & ADVICE ACTION/TIPS Assessmet Maager Assessmet Team Web based tool UKAS customer support Cotiuig gap aalysis Cotiuig to develop ad improve your physiological service based o idetified eed ad feedback from the Assessmet Team Set timelies ad submit for Assessmets EXAMINATION OF DOCUMENTS Review of documetary iformatio for etire IQIPS Stadard by Assessmet Team ON-SITE ASSESSMENT & RECOMMENDATION TO UKAS Observatio of practice & iterview of staff by Assessmet Team PROVISIONAL DECISION/CLEAR IMPROVEMENT ACTIONS FINAL DECISION & GRANT ACCREDITATION ANNUAL UKAS SURVEILLANCE ASSESSMENTS, IQIPS SAIT AND UKAS RE-ASSESSMENT If you are woderig whether your service already meets the IQIPS stadards, or if you should use it i cojuctio with UKAS accreditatio as a ageda for cotiuous improvemet of your physiological service, there is a wide rage of support ad advice available to help you assess your curret performace ad, if ecessary to develop ad improve. 39

Top Tips for Success Get to kow the IQIPS stadards so you uderstad the size of the task Work with the RCP, complete the IQIPS SAIT for the relevat specialism Complete ad submit the SAIT oce a moth ad

recommedatios ad observatios made by the IQIPS programme team ad the Quality Improvemet (QI) Group.

10 Top Tips for Success Get to kow the IQIPS stadards so you uderstad the size of the task Work with the RCP, complete the IQIPS SAIT for the relevat specialism Complete ad submit the SAIT oce a moth ad see how you have improved Take the SAIT results to team meetigs for review, discussio ad actio plaig Submit the IQIPS cesus twice a year (April ad October) Read the IQIPS cesus report with recommedatios ad observatios made by the IQIPS programme team ad the Quality Improvemet (QI) Group. Review the evidece requiremets KMS provides a mechaism for quality improvemets to support IQIPS users ad liks to guidelies, documets, ad good practice liked to the IQIPS stadards. Read the UKAS pre-applicatio iformatio advice ad atted the UKAS Preparatio for Accreditatio Workshop Covee a core multi-discipliary team who really wat to achieve formal third party accreditatio ad make sure your seior maagemet team ad staff uderstad the beefits ad are supportive Develop ad implemet a project pla with realistic time frames, ad esure staff are kept up to date Assig a project lead with quality maagemet experiece ad dedicated time to work o the project Network ad share best practice with previously accredited physiological services Udertake regular gap aalyses to fid your service s stregths ad weakesses Establish a quality improvemet programme that icludes a comprehesive iteral audit programme Review your local patiet/service user focus Review documetatio ad record keepig arragemets Liaise with your Assessmet Maager throughout the accreditatio process to stay o track. Remember that this process will improve your service both for your patiets ad for your staff 10

Opeig up our service to the scrutiy of exteral assessors iitially made us feel somewhat professioally vulerable, despite beig cofidet i the services we provide.

11 Opeig up our service to the scrutiy of exteral assessors iitially made us feel somewhat professioally vulerable, despite beig cofidet i the services we provide. This eed t have bee the case as our UKAS assessmet team were very reassurig throughout. Ideed the support received from applicatio to accreditatio has bee excellet ad the whole process has bee a positive oe. Marti Aderso, Advaced Practitioer i Audiology Bolto NHS Foudatio Trust 11

UKAS The Uited Kigdom Accreditatio Service (UKAS) is the UK s atioal accreditatio body appoited by Govermet to assess, agaist iteratioally agreed stadards, orgaisatios that provide coformity

It is idepedet of govermet but operates uder a memoradum of uderstadig with the govermet through the Secretary of State for Busiess, Iovatio ad Skills. For more iformatio about UKAS please visit www.

12 UKAS The Uited Kigdom Accreditatio Service (UKAS) is the UK s atioal accreditatio body appoited by Govermet to assess, agaist iteratioally agreed stadards, orgaisatios that provide coformity assessmet services such as certificatio, testig, ispectio ad calibratio. UKAS is a o-profit-distributig private compay, limited by guaratee. It is idepedet of govermet but operates uder a memoradum of uderstadig with the govermet through the Secretary of State for Busiess, Iovatio ad Skills. For more iformatio about UKAS please visit Tel: +44(0) ifo@ukas.com The Royal College of Physicias The Royal College of Physicias (RCP) plays a leadig role i the delivery of high quality patiet care by settig stadards of medical practice ad promotig cliical excellece. We provide physicias i the Uited Kigdom ad overseas with educatio, traiig ad support throughout their careers. As a idepedet body represetig over 29,000 fellows ad members worldwide, we advise ad work with govermet, the public, patiets ad other professios to improve health ad healthcare. For more iformatio about the RCP please visit Tel: +44(0) askiqips@rcplodo.ac.uk

Imaging Services Accreditation Scheme (ISAS) Delivering quality imaging services

Imaging Services Accreditation Scheme (ISAS) Delivering quality imaging services Imagig Services Accreditatio Scheme (ISAS) Deliverig quality imagig services What is ISAS? The Royal College of Radiologists ad The College of Radiographers have developed the Imagig Services Accreditatio