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Global Health Care Services. Dr. Ali Hojjati MD, MPH. December 18 , 2012. The Third Conference on Health Tourism in Islamic Countries. Global Healthcare – A Reality. Medical Tourism Wellness Travel Medical Travel Health Tourism Travelling patient International Patient

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Global health care services

Global Health Care Services

Dr. Ali Hojjati

MD, MPH

December 18 , 2012


Global health care services

The Third Conference on Health Tourism in Islamic Countries


Global healthcare a reality

Global Healthcare – A Reality

Medical Tourism

Wellness Travel

Medical Travel

Health Tourism

Travelling patient

International Patient

QUALITY SAFETY


Global healthcare a reality1

Global Healthcare – A Reality

Medical Tourism

Wellness Travel

Medical Travel

Health Tourism

Travelling patient

International Patient

QUALITY SAFETY


Global health care services

Health


Risks

Risks

  • Medical information

  • Travel, transfer points

  • Referrals, continuum of care, follow-up

  • Language, cultural differences

  • Assurance of expertise

  • Insurance coverage

  • Legal rights

  • Privacy and access to information


Need for standardization

Need for Standardization

Processes &

Standardsare needed to

Mitigate Risk and

ensure Quality


Global health care services

Standards , Quality and Errors

State of Health

High Quality of Care

Disease

Harm

Adopted from Donabedian 2003

Time


Standards do we still need them

Standards – Do we still need them???

National Standards

International Standards


Standards do we still need them1

Standards – Do we still need them???


What is accreditation

What is Accreditation?

Accreditation and Standards


Defining accreditation

Defining Accreditation

A measure of an organization’s services compared against international standards of excellence

A tool to identify areas for improvement

A process for organizations to regularly and consistently examine and improve their services

14

Digitalart, Master Isolated Images, Renjith Krishnan/FreeDigitalPhotos.net


Accreditation helps to

Accreditation helps to…

Increase credibility and demonstrate accountability

Show commitment to quality and patient safety

Increase capacity and lead to quality improvement


Accreditation defining healthcare excellence

Accreditation Defining Healthcare Excellence

Accreditation helps organizations achieve excellence:

  • Aproactive and continuous process toregularly and consistentlyexamineandimproveservices

  • A strategic change and risk managementtooltoidentifystrengths and areasforimprovement

  • A measure of success against standards of excellence


Accreditation is credible when

Accreditation is credible when….

  • Engages all stakeholders ex: clients, staff

  • More than a checklist

  • Based on best practice and evidence

  • About sharing experience

  • Internationally recognized

  • Appropriate methodology is used to assess compliance

  • Program overseen by independent body ex: ISQua


Surveyors

Surveyors

  • Independent, impartial peer reviewers removed from outside influence and interest

  • Experienced and trained to look for and identify organization strengths, areas for improvement, and risks

  • Recommend actions for quality improvement


Global health care services

GLOBAL HEALTHCARE SPECIFIC STANDARDS


International client standard

International Client Standard

Discharge

And

Follow-up

Planning for

Care and

Treatment

Preparation

Care and

Treatment

Monitoring

And Quality

Improvement

Monitoring and Quality Improvement


Planning for care and treatment

Planning for Care and Treatment

  • Assessment of international client needs

  • Development of services according to the needs

  • Ensuring the team’s staff are educated, trained, qualified, and competent

  • Enhancing wellbeing and worklife balance of staff


International client standard1

International Client Standard

Discharge

And

Follow-up

Planning for

Care and

Treatment

Preparation

Care and

Treatment

Monitoring

And Quality

Improvement

Monitoring and Quality Improvement


Preparation

Preparation

  • Providing clients information on services offered

  • Communicating with the client’s primary physician

  • Gathering information on client’s history and current medical condition

  • Pre-operative instructions and timelines

  • Travel, accommodation and transportation services

  • Pre-travel screening


International client standard2

International Client Standard

Discharge

And

Follow-up

Planning for

Care and

Treatment

Preparation

Care and

Treatment

Monitoring

And Quality

Improvement

Monitoring and Quality Improvement


Care and treatment

Care and Treatment

  • Team coordinates services on client arrival

  • Assessment

  • Procedure

  • Discharge planning

  • Transition to retreat area

  • Monitoring medical condition

  • Preparation for client’s return


International client standard3

International Client Standard

Discharge

And

Follow-up

Planning for

Care and

Treatment

Preparation

Care and

Treatment

Monitoring

And Quality

Improvement

Monitoring and Quality Improvement


Discharge and follow up

Discharge and Follow-up

  • Evaluating and addressing client’s medical and support needs for traveling after the procedure

  • Communicating with clients on their return home

  • Monitoring compliance with discharge plan

  • Follow-up with client’s primary physician


International client standard4

International Client Standard

Discharge

And

Follow-up

Planning for

Care and

Treatment

Preparation

Care and

Treatment

Monitoring

And Quality

Improvement

Monitoring and Quality Improvement


Monitoring and quality improvement

Monitoring and Quality Improvement

  • Quality improvement program to enhance service delivery

  • Performance management

  • Client feedback

  • Benchmarking


Accreditation canada international

Accreditation Canada International

  • Objective, independent, 3rd party, peer evaluation

  • Transparent and rigorous analysis

  • Performance measurement & management

  • Client and patient safety

  • Quality improvement

  • Risk prevention

  • Governance

  • Education


Accreditation canada international1

Accreditation Canada International

CANADIAN

TRADITION

OF QUALITY HEALTH CARE

5000+

54 years

1000+

Bermuda Hospital

First International Hospital

45 years ago

ACCREDITED

BY

ISQUA

GLOBAL

PRESENCE

LOCAL

SOLUTIONS

1958

1967

2012

Master isolated images / FreeDigitalPhotos.net

jscreationzs / FreeDigitalPhotos.net


Global presence

Global Presence

Latin America

Brazil

Chile

Colombia

Costa Rica

Mexico

Caribbean

Anguilla

Barbados

Bermuda

St. Lucia

Trinidad & Tobago

Turks and Caicos

Europe

France

Italy

Ireland

Eslovenia

Middle East and North Africa

Bahrain

Egypt

Iran

Kuwait

Lebanon

Qatar

Saudi Arabia

Tunisia

UAE

Oman

Asia

Kazakhstan

Philippines

jscreationzs / FreeDigitalPhotos.net


Global health care services

Accreditation Canada International

One third of all new accreditation programs and standards developed worldwide have taken the lead from Accreditation Canada

Charles D. Shaw , ISQua


Accreditation in canadian and international health care

Accreditation in Canadian and international Health Care

AIM – Achieving Improved Measurement

Client Centered Program

Qmentum/

Qmentum Intl

Structure

Introduced in 2010 emphasis has shifted to health system performance, risk mitigation and prevention planning, client safety, performance measure, and governance.

Introduced in 2001 requiring organizations to measure the outcomes of health care as well as other components including continuous learning and improvement cycle and are we improving the health status of the population.

Introduced in 1995 forcing organizations to understand who were their clients, their needs & how to improve services.

Strong focus on structure i.e. policies, procedures, fire safety, etc.

2010

2001

1995

36


Accreditation in canadian and international health care1

Accreditation in Canadian and international Health Care

Why is it constantly changing?

Change is necessary to remain relevant in our ever-shifting health care environment.


Global health care services

The leader in raising the bar for health quality


What does qmentum mean

What does “Qmentum” Mean?

Quality + Momentum

=

Qmentum


Accreditation canada international services

Accreditation Canada International: Services

Accreditation

Advisory Services

Education

Ambro / FreeDigitalPhotos.net

renjithkrishnan / FreeDigitalPhotos.net


Global health care services

How Accreditation Canada International can help?

Level of Quality

Readiness Assessment Report

From Current Situation to Desire level of Quality

Self Assessment Tools

Review Standards in Teams

Gap

Assign an Account Manager for Each Hospital

Consultation

Education

Advisory Services

Current Situation in organization


Qmentum international standards

SUSTAINABLE GOVERNANCE

EFFECTIVE ORGANIZATION

SERVICE EXCELLENCE

POSITIVE CLIENT EXPERIENCE

Qmentum International Standards

Public Health

Ambulatory Care

Acute Care

  • Ambulatory Care

  • Blood Bank and Transfusion

  • Biomedical Laboratory

  • Cancer Care

  • Diagnostic Imaging

  • Laboratory and Blood

  • Operating Rooms

  • Rehabilitation

  • Surgical Care

  • Public Health

  • Animal Health and Food Safety

  • Ambulatory Care

  • Blood Bank and Transfusion

  • Biomedical Laboratory

  • Cancer Care

  • Critical Care

  • Diagnostic Imaging

  • Emergency Department

  • Emergency and Disaster Preparedness

  • Global Health Care

  • Laboratory and Blood

  • Medicine

  • Mental Health

  • Obstetrics/Perinatal Care

  • Operating Rooms

  • Rehabilitation

  • Reprocessing and Sterilization

  • Surgical Care

  • Primary Care

STANDARD AREAS

Primary Care

Public Health

  • Primary Care

  • Blood Bank and Transfusion

  • Diagnostic Imaging

  • Biomedical Laboratory

  • Laboratory and Blood

Community Care

Nov 2012 Release

  • Home Care

  • Mental Health

  • Developmental Disabilities

  • Semi-Residential and Residential

  • Substance Abuse and Addiction

Independent Laboratory

  • Independent Medical/Surgical Facilities

  • Assisted Reproductive Technology

  • Populations with Chronic Conditions

  • Hospice Palliative Care

  • Blood Bank and Transfusion

  • Biomedical Laboratory

  • Laboratory and Blood

Medication Management – Infection Prevention and Control


Qmentum international

Qmentum International

Monitoring outcomes;

Using evidence and best practices to improve service

Diamond level

Client-centred care;

Consistency of

service delivery

Platinum level

Gold level

Foundational elements

of quality and safety


Standards format

Standards format

SUB-SECTION HEADING

Standard

CRITERIA

Level

Each criterion is associated with a Quality Dimension


Accredits the accreditors

Accredits the Accreditors

ISQua

The International Society for Quality in Health Care


Isqua

ISQua

  • Accredited Organisations

  • Accredited Standards

  • Accredited Surveyor Training Programme


Conclusion

Conclusion

  • Standardization is key as global healthcare has multiple interfaces

  • Robust, sustainable accreditation programs are urgently needed in current environment

  • Accreditation assures the quality and safety of care to the international client


Accreditation canada international for further information

Accreditation Canada International For further information

Dr. Ali Hojjati

Accreditation Advisor

[email protected]

1-800-814-7769

www.accreditation.ca


The leader in raising the bar for health quality

The leader in raising the bar for health quality

Le leader qui hausse la barre en matière de qualité de santé


Sample patient safety requirements

Sample Patient Safety Requirements


Global health care services

Gold

Platinum

Diamond


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