Dear Readers,
In this issue of Sitenews we are looking at the theme Hospital Accreditation which has been defined in the British Medical Journal as "A self-assessment and external peer assessment process used by health care organisations to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve". For accreditation to take place there has to be standards and process which are to be followed for effective implementation. However, accreditation is not just about standard-setting: there are analytical, counselling and self-improvement dimensions to the process. There are parallel issues around evidence-based medicine, quality assurance and medical ethics and the reduction of medical error is a key role of the accreditation process. Hospital accreditation is therefore one component in the maintenance of patient safety. Broadly speaking, there exist two types of hospital accreditation.
1) Hospital and healthcare accreditation which takes place within national borders
2) International healthcare accreditation.
In addition this issue reviews eye hospital accreditation and the future direction of accreditation.
The featured organisation is THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS (JCAHO), USA.
We wish our readers an informative reading!
Happy Reading!
Regards,
Vision 2020 e-resource team
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The number of persons estimated to be blind as a result of primary glaucoma is 4.5 million, accounting for slightly more than twelve per cent of all global blindness. Risk factors are those limited to the onset of disease and those associated with progressive worsening in already established disease. The primary risk factors that are linked to the individual and the onset of the disease are age and genetic predisposition. The incidence of Primary open-angle glaucoma rises with age and its progression is more frequent in people of African origin. Angle Closure Glaucoma is the common form of glaucoma in people of Asian origin.
Hospital Accreditation (HA) is gaining prominence as the global expansion of trade in health services progresses. As such, it can be used as a tool for international categorization and recognition of hospitals. Introducing HA calls for immediate reform of the role that the hospital should play as a component of the national health system.
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ACCREDITATION OF HOSPITALS: AN OVERVIEW
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This article briefly explains the onset of accreditation in different countries like Canada, Australia, United Kingdom, China, India, Latin America and Caribbean countries. It also discussed three different models of accreditation.
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ACCREDITATION OF HOSPITALS
Abstract:
This article discusses the need for accreditation, advantages of accreditation, assessment process, health care accreditation organizations, JCI and NABH accredited hospitals in India.
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OVERVIEW ON HOSPITAL ACCREDITATION
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This is a power point presentation was done by Girdhar J. Gyani (Secretary General of QCI) and it deals about QCI initiatives in health care
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APPROACHES TO HEALTHCARE QUALITY REGULATION IN LATIN AMERICA AND THE CARIBBEAN: REGIONAL EXPERIENCES AND CHALLENGES
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HOSPITAL ACCREDITATION
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This page examines the failure of accreditation. It has been no less susceptible to market pressures and the influence of corporate interests than the rest of society. It has consequently failed and failed repeatedly. This is not an attack on the concept of accreditation but an illustration of the vulnerability of the structures of society when it is controlled by powerful self interested groups.
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A STAKEHOLDER APPROACH TOWARDS HOSPITAL ACCREDITATION IN INDIA
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Accreditation has been recommended as a mechanism for assuring the quality of private sector health services in low-income countries, especially where regulatory systems are weak. A survey was conducted in Mumbai, India, in 1997-98 to elicit the views of the principal stakeholders on the introduction of accreditation, and what form it should take. This document discusses about the study method and the support it got from various agencies.
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CONCEPT FOR A HOSPITAL ACCREDITATION SYSTEM IN GEORGIA
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This paper evaluates the current status of readiness for beginning a hospital accreditation program in Georgia. The evaluation, conclusions, and recommendations are predicated upon three assumptions which are discussed in this paper.
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FRAMEWORK FOR HOSPITAL ACCREDITATION - A BEGINNING
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This article discusses about the definition, objectives, status, structure, functioning and Accreditation process which helps hospital to go in for Accreditation.
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FREQUENTLY ASKED QUESTIONS ABOUT HOSPITAL AND CRITICAL ACCESS HOSPITAL ACCREDITATION
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Accreditation has attracted great interest in recent years as a comprehensive approach for improving and maintaining healthcare quality. The key difference between accreditation and other forms of quality regulation is that by focusing on optimal or desirable, rather than minimum standards of care, accreditation has a strong performance improvement orientation, stimulating healthcare organizations to pursue increasingly higher levels of quality beyond the minimum needed for licensing. Another difference is that accreditation has traditionally been a voluntary process in which organizations choose to participate, rather than one required by government regulations; more recently, however, some countries have made participation of healthcare organizations in accreditation programs compulsory (Shaw 2004).
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THE EXTERNAL ASSESSMENT OF HEALTH SERVICES
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External assessment is increasingly used worldwide to regulate, improve and market health care providers, especially hospitals. The commonest models are peer review, accreditation, statutory inspection, ISO certification and evaluation (usually internal) against the 'business excellence' framework. Each of these is progressively adapting to meet the changing demands of public accountability, clinical effectiveness and improvement of quality and safety, but the most rapid development is in accreditation.
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EGYPTIAN HOSPITAL ACCREDITATION PROGRAM: STANDARDS
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The standards are divided into three categories: critical standards (written in bold italics), core standards (written in bold type), and non-core standards (written in plain type). To become accredited, a hospital must meet all the critical standards and reach a cumulative score of 85 percent on the core standards. The non-core standards are a future and even higher target. To become accredited, a hospital must reach a cumulative score of 40 percent on the non-core standards.
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HOSPITAL ACCREDITATION IN INDIA - STANDARDISING HEALTHCARE
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This article highlights that the market forces like medical tourism, insurance and corporate sector have accelerated the demand for quality in healthcare services. This also gives a brief idea about Indian national accreditation structure and about standards which contains Cardinal principles of accreditation evaluation.
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HOSPITAL ACCREDITATION AND PATIENT SAFETY
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This presentation gives valuable information on Accreditation strengths, Benefits and standards.
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2006 HOSPITAL ACCREDITATION STANDARDS FOR EMERGENCY MANAGEMENT PLANNING EMERGENCY MANAGEMENT DRILLS INFECTION CONTROL AND DISASTER PRIVILEGES
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This article contains information on standards addressing emergency management drills and disaster framed by Joint Commission on Accreditation of Healthcare Organizations
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EGYPTIAN HOSPITAL ACCREDITATION PROGRAM: STANDARDS
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This document contains the standards which are specific for Egypt, in that they comply with Egyptian laws, regulations, and culture, but they also meet the basic intent of international standards.
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PROVIDER ACCREDITATION NORMS
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This article highlights the accreditation standards which are norms against which hospital performance are measured and monitored over time.
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Quality and accreditation in health care services -A global review
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This report has three parts the first of this describes structures and activities at national and international levels around the world to promote quality in health care. The second part catalogues quality concepts and tools in local use in various countries. The third part outlines initiatives in health service accreditation and analyses the operation of functioning national programmes around the world. The appendices include recommendations of major international bodies and meetings on quality assurance.
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TABLE OF EQUIP 4 FUNCTIONS, STANDARDS AND CRITERIA
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Accreditation is a formal process by which a recognized body either governmental or nongovernmental assesses and recognizes that a healthcare organization meets pre-established performance standards. Accreditation standards are usually regarded as optimal yet achievable and are designed to encourage continuous improvement efforts within accredited organizations. The standards used to assess performance for accreditation are commonly developed by expert committees working with the accrediting body and revised periodically to reflect advances in technology, treatment regimes or policy changes (Rooney and vanOstenberg 1999).
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In an accreditation system, institutional resources are evaluated periodically to ensure quality of services on the basis of previously accepted standards. Standards may be minimal, defining the bottom level or base, or more detailed and demanding. Accreditation is not an end in itself, but rather a means to improve quality. When implemented appropriately, accreditation can strengthen the fundamental leadership and steering role of national health authorities.
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TOOLKIT FOR ACCREDITATION PROCESS
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This would be an aid for accreditation providers and would also meet the requirements of funding agencies such as the World Bank, intergovernmental organizations such as the WHO, and individual countries considering the development of a national program.
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LICENSURE, ACCREDITATION, AND CERTIFICATION: APPROACHES TO HEALTH SERVICES QUALITY
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DEVELOPING NATIONAL ACCREDITATION SYSTEMS: NEEDS, CHALLENGES & FUTURE DIRECTIONS
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IMPLEMENTING A NATIONAL HOSPITAL ACCREDITATION PROGRAM: THE ZAMBIAN EXPERIENCE
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This article describes the development of the Zambia Hospital Accreditation Program from 1997 to 2000. Ten major milestones are presented and discussed, as are challenges to the program.
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IMPLEMENTING ACCREDITATION IN A DEVELOPING COUNTRY ISSUES, CHALLENGES AND LESSONS
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A RANDOMIZED CONTROLLED TRIAL OF A HOSPITAL ACCREDITATION PROGRAM WITH COMMENTARIES AND FOREWORD: SOUTH AFRICA
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This article highlights about the practical difficulties of evaluating the health impact of accreditation. Some of these difficulties were related to the variable and sometimes inconsistent ways hospitals work, but the greatest issue proved to be the barriers to measuring the health outcomes that were central to the study.
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THE IMPACT OF ACCREDITATION ON THE QUALITY OF HOSPITAL CARE: KWAZULU-NATAL PROVINCE, REPUBLIC OF SOUTH AFRICA
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The number of countries implementing accreditation programs in their healthcare systems has grown in the past decade, but accreditations impact has not been tested rigorously using a randomized control trial. The purpose of this study was to conduct such a trial in a developing country setting and to air its implications.
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In Accreditation systems, standards are clearly defined, compliance is assessed by intermittent external review by health professionals, accreditation is awarded for a time-limited period, and health professionals usually have a dominant position in the accrediting bodies. The evolution of accreditation systems in different countries has been determined by the characteristics and level of development of their health service
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Health systems currently operate within an environment of rapid social, economic and technological change. Such changes are expected to continue for the foreseeable future as a result of restructured economic and social policies, globalization of markets and enhanced worldwide communication.
Many of the health systems currently in place have neglected evaluation of the quality of individual and systematic institutional care in the past, giving rise to an unnecessary increase in costs. Accreditation can be the single most important approach for improving the quality of health care structures.
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BENEFITS OF JOINT COMMISSION CERTIFICATION
Abstract:
This link contains the benefits of joint commission certificate to hospitals.
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COSTS OF ACCREDITATION
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Since there can be misconceptions of the actual costs of accreditation, Here is a developed list of frequently asked questions to help in your decision to apply for accreditation.
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IMPROVING THE ACCREDITATION PROCESS : COUNTDOWN TO 2009
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The Joint Commission is implementing several improvements to its accreditation services resulting from its Standards Improvement Initiative (SII) begun in 2006. SII is the culmination of an intensive review and redesign of The Joint Commissions standards and the scoring and decision-making process.
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STANDARDS IMPROVEMENT INITIATIVE
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In October 2006, The Joint Commission launched a Standards Improvement Initiative (SII) as part of our continuous effort to improve the standards. The goal of this initiative is to clarify standards language, ensure that standards are program-specific, delete redundant or non-essential standards and consolidate similar standards
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 | Archives |
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Accreditation Of Hospitals
Accreditation Standards 
Accreditation Process 
Operational Issues In Implementation 
Health Care Accreditation Organizations
Accreditation For Eye Hospitals
Future Directions