Transcript Document
Accreditation Unplugged Making it realistic and constructive Shiva Sami and Craig Watson August 2014 1 be assured Accreditation What is it? Why have it? Who does it? How is it carried out? What defines the benchmarks? 2 be assured What we see… Just walk quickly, don’t turn around and we’ll make it out before they notice…. RUUUN….and don’t say anything if they catch you! 3 be assured What we’d like to see! Yay – Assessment time! 4 be assured What is it Process by which radiology service providers assure and enhance the quality of service including standards of practice. Assure both patients and referring clinicians that it meets international standards. 5 be assured Big changes to process –2013 Surveillance streamlined Constructive input Increased value Embracing move to electronic environment Already gained improved feedback by industry 6 be assured Why do it? Ensures standardisation of services- consistency Improves internal service quality Gives tools for all staff members to follow in all instances 7 be assured Who does it? Approved accreditation body, who also is assessed Trained and qualified assessors Peers (such as some of you) utilised as technical experts Technically and clinically review service Promote good practice Foster collegial interaction to continually improve and standardise practices taking confidentiality in mind 8 be assured How is it carried out? Annual on-site visits (surveillance and 4 yearly Peer-review assessment Offsite/Document review i.e. extensions or subsites Can take 1-5 days depending on size of service Collate findings and produce formal report 9 be assured What defines the Benchmarks NZCRMP (New Zealand Code of Radiology Management Practice) based on ISO standards Supplementary Criteria Industry related criteria: RANZCR ASUM ESR/ORS 10 be assured Common non-conformances QC issues e.g. monitor testing, probe testing Service record detail Reporting issues e.g. nuchal requirements, sono identification Competency records Documentation doesn’t reflect actual practice Staff resourcing Waiting list times 11 be assured Benefits to the Industry Assurance of quality, standardisation, consistency for patients and clinicians Competitive advantage (accredited vs. nonaccredited) Contiguous quality management with change in staffing Efficiencies in workplace environment – alignment of servicing, standardised QA processes, established routine testing processes. 12 be assured Benefits to the Industry cont…. Better communication processes – establishment of regional groups/education/forums Better relationships with funding bodies/contract tenders (e.g. insurance companies, ministry of health) 13 be assured ROLE PLAY GOOD , BAD and UGLY 14 be assured IANZ INITIATIVES 75-80% of providers are accredited (not RT) Promoting better awareness of accreditation initiatives – working with other stakeholders and advisory groups Working to finalise the PET criteria Provided courses 15 be assured IANZ INITIATIVES cont…. Website with various standards Use of our library and IANZ resources Develop electronic portal Advisory support if required and always available 16 be assured THANK YOU QUESTIONS 17 be assured