Transcript - arab transfusion medicine course

Assessing Regional Blood Centers
Using Foreign
or International Standards
Abdulla A. Alkhashan MS, ASCP, NCA
King Abdulaziz Medical City-Riyadh
For the 10th Arab Transfusion Medicine Course
Kuwait City, Kuwait
29th November to 1st December, 2012
Presentation Outline
•Nature of Modern Health Care System
•History of Accreditation in Health Care
•The Value and Impact of Accreditation
•Accreditation in the Developing Countries
•The Pitfalls of Surveying
•Accreditation in the KSA
Nature of Modern Health Care System
 44,000–98,000
annual deaths occur as a result of errors
National Institute of Medicine report published in1999
Nature of Modern Health Care System

2,956,351 Transfusions

8 Mortalities (1:370,000 Transfusions )

117 Morbidities (1:25,000 Transfusions )
SHOT Report 2011
Nature of Modern Health Care System

Not Monitored (Don’t Have Any)
Nature of Modern Health Care System

Facts patients need to live with it !
Nature of Modern Health Care System

Investigated individually (case-by-case)
Nature of Modern Health Care System

Investigated individually (case-by-case)
What is wrong with this approach?

Reactive

Focus on individuals

Focus on corrective measures and may be
taken ineffective preventive measures

No long term gains (such event may occur in
the future)
Nature of Modern Health Care System
Quality
and
Safety
Excellence
Quality
and
Safety
Quality ball on the Hill; Koch, 1991
Nature of Modern Health Care System
Quality
and
Safety
Excellence
Quality
and
Safety
Nature of Modern Health Care System
Standards and Accreditation
Excellence
Quality
and
Safety
Nature of Modern Health Care System
Standards and Accreditation
Proactive Approach
Excellence
Quality
and
Safety
Nature of Modern Health Care System
Standards and Accreditation

Proactive Approach
Risk Reduction
Excellence
Quality
and
Safety
Nature of Modern Health Care System
Standards and Accreditation

Proactive Approach
Risk Reduction
Organization Wide
Quality
and
Safety
Excellence

Nature of Modern Health Care System
Standards and Accreditation



Proactive Approach
Risk Reduction
Organization Wide
Quality
and
Safety
Excellence
System Focus
Nature of Modern Health Care System
Standards and Accreditation



Proactive Approach
Risk Reduction
Organization Wide
System Focus
Stimulate
Continuous
Improvements
Quality
and
Safety
Excellence

History of Accreditation
Accreditation is a voluntary program,
in which authorized external peer
reviewers evaluate the compliance of
a health care organization with pre-
established performance standards.
History of Accreditation
Licensure is a process by which a
government authority grants
permission to an individual practitioner
or healthcare organization to operate
in an occupation or profession.
History of Accreditation
American College of Surgeons in 1917
History of Accreditation

1917 - ACS
International Standards Organization
(ISO) in 1947
History of Accreditation


1917 - ACS
1947 - ISO
American Association of Blood Banks
(AABB) 1947
History of Accreditation



1917 - ACS
1947 - ISO
1947 - AABB
Joint Commission on Accreditation of
Healthcare Organizations (JCAHO) 1951
History of Accreditation




1917 - ACS
1947 - ISO
1947 - AABB
1951 - JCAHO
AABB Accreditation Program -1957
History of Accreditation





1917 - ACS
1947 - ISO
1947 - AABB
1951 - JCAHO
1957 - AABB AP
CAP Accreditation Program (1961)
History of Accreditation






1917 - ACS
1947 - ISO
1947 - AABB
1951 - JCAHO
1957 - AABB AP
1961 - CAP AP
Accreditation modules exported (1960s)
History of Accreditation







1917 - ACS
1947 - ISO
1947 - AABB
1951 - JCAHO
1957 - AABB AP
1961 - CAP AP
1960s – Export of AP
ISQua’s International Accreditation
Program(1985)
The Value and Impact of
Accreditation
Helps set national standards for
health care
The Value and Impact of
Accreditation

Helps set national standards for health care
Improves patient care
The Value and Impact of
Accreditation


Helps set national standards for health care
Improves patient care
Makes information available to the
public
The Value and Impact of
Accreditation



Helps set national standards for health care
Improves patient care
Makes information available to the public
Lenient accreditation requirements
The Value and Impact of
Accreditation




Helps set national standards for health care
Improves patient care
Makes information available to the public
Lenient accreditation requirements
Makes health care more expensive
Accreditation in the Developing
Countries
Absence of strong regulatory and
local accreditation bodies
Accreditation in the Developing
Countries

Absence of strong regulatory and local accreditation bodies
Used as a term for contracting with
hospital's operating companies
Accreditation in the Developing
Countries


Absence of strong regulatory and local accreditation bodies
Term for contracting with hospital's operating companies
Business owners recognized
accreditation a powerful marketing
tool
Accreditation in the Developing
Countries



Absence of strong regulatory and local accreditation bodies.
Term for contracting with hospital's operating companies
Powerful marketing tool
Skeptical about the impact of foreign
or international accreditation on the
quality of healthcare services
provided
Accreditation in the Developing
Countries




Absence of strong regulatory and local accreditation bodies.
Term for contracting with hospital's operating companies
Powerful marketing tool
Skeptical about the impact
Prohibitively expensive and unjustified
Accreditation in the Developing
Countries





Absence of strong regulatory and local accreditation bodies.
Term for contracting with hospital's operating companies
Powerful marketing tool
Skeptical about the impact
Prohibitively expensive and unjustified
Improve efficiency and clinical
outcomes of a wide spectrum of
clinical conditions
The Pitfalls of Surveying
Interrogating and Inspecting instead
of Interviewing and Assessing
The Pitfalls of Surveying
Interrogating
and Inspecting instead of Interviewing and Assessing
Consideration to the local
circumstances and available
resources
The Pitfalls of Surveying
Interrogating
and Inspecting instead of Interviewing and Assessing
Consideration to the local circumstances and available resources
Misconception of the process owner
The Pitfalls of Surveying
Interrogating
and Inspecting instead of Interviewing and Assessing
Consideration to the local circumstances and available resources
Misconception of the process owner
Pressured to consider “in progress” as
“compliance”
The Pitfalls of Surveying
Interrogating
and Inspecting instead of Interviewing and Assessing
Consideration to the local circumstances and available resources
Misconception of the process owner
Pressured to consider “in progress” as “compliance”
The pace of developing Policies and
Procedure faster than the
implementation
Licensing and Accreditation in
K.S.A
370 Hospital (244 Governmental and
126 Private)
Licensing and Accreditation in
K.S.A
370
Hospital (244 Governmental and 126 Private)
13 Blood Banks and Transfusion
Services Accredited by the AABB and
CAP
Licensing and Accreditation in
K.S.A
370
Hospital (244 Governmental and 126 Private)
13 AABB/CAP
21 Laboratories Accredited by the
CAP only
Licensing and Accreditation in
K.S.A
370
Hospital (244 Governmental and 126 Private)
13 AABB
21 CAP
53 Hospitals Accredited by the JCI
Licensing and Accreditation in
K.S.A
370
Hospital (244 Governmental and 126 Private)
13 AABB
21 CAP
53 JCI
74 Hospitals are CBAHI Accredited
6 Regional Laboratories and Central
Blood Banks
Licensing and Accreditation in
K.S.A
370
Hospital (244 Governmental and 126 Private)
13 AABB
21 CAP
53 JCI
74 CBAHI
6 CBAHI-RRL
Health Care Providers in KSA
1.
2.
3.
4.
5.
6.
7.
8.
Ministry Of Health
Private Hospitals Sector
National Guards Health Affairs
Armed Forces Medical Services Sector
Ministry of Interior Medical Services
University Hospitals
King Faisal Specialized Hospital
Saudi Aramco Medical Services
Health Care Regulators in KSA
1. Saudi FDA
2. Council of Health Services
3. Council for Healthcare specialties
4. Ministry of Health (licensing)
Central Board of Accreditation
for Healthcare Institutions (CBAHI)
CBAHI Accreditation Programs
Hospitals
Primary Health Care Centres
Ambulatory Care Centres
Reference Laboratories and Blood Banks
Central Board of Accreditation
for Healthcare Institutions (CBAHI)
Services of CBAHI
Standards Orientation
Training/Education
Onsite Consultation
Mock Survey
Accreditation
Central Board of Accreditation
for Healthcare Institutions (CBAHI)
Central Board of Accreditation
for Healthcare Institutions (CBAHI)
‫المجلس المركزي العتماد المنشآت الصحية‬
www.cbahi.org
Summary
Potential benefits of accreditation are
far beyond the anticipated expenses
and the healthcare providers need to
be educated about these benefits and
convinced by conducting cost /
benefit analysis.
Thank You
[email protected]