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Accreditation Unplugged Making it realistic and constructive Shiva Sami and Craig Watson

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Accreditation Unplugged Making it realistic and constructive Shiva Sami and Craig Watson August 2014. Accreditation. What is it? Why have it? Who does it? How is it carried out? What defines the benchmarks?. What we see….

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Accreditation Unplugged

Making it realistic and constructive

Shiva Sami and Craig Watson

August 2014

accreditation
Accreditation
  • What is it?
  • Why have it?
  • Who does it?
  • How is it carried out?
  • What defines the benchmarks?
what we see
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!

what we d like to see
What we’d like to see!

Yay – Assessment time!

what is it
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.
big changes to process 2013
Big changes to process –2013
  • Surveillance streamlined
  • Constructive input
  • Increased value
  • Embracing move to electronic environment
  • Already gained improved feedback by industry
why do it
Why do it?
  • Ensures standardisation of services- consistency
  • Improves internal service quality
  • Gives tools for all staff members to follow in all instances
who does it
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
how is it carried out
How is it carried out?
  • Annual on-site visits (surveillance and 4 yearly Peer-review assessment
  • Offsite/Document review i.e. extensions or sub-sites
  • Can take 1-5 days depending on size of service
  • Collate findings and produce formal report
what defines the benchmarks
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
common non conformances
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
benefits to the industry
Benefits to the Industry
  • Assurance of quality, standardisation, consistency for patients and clinicians
  • Competitive advantage (accredited vs. non-accredited)
  • Contiguous quality management with change in staffing
  • Efficiencies in workplace environment – alignment of servicing, standardised QA processes, established routine testing processes.
benefits to the industry cont
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)
role play
ROLE PLAY
  • GOOD , BAD and UGLY
ianz initiatives
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
ianz initiatives cont
IANZ INITIATIVES cont….
  • Website with various standards
  • Use of our library and IANZ resources
  • Develop electronic portal
  • Advisory support if required and always available
thank you
THANK YOU

QUESTIONS

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