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Assessing Regional Blood Centers Using Foreign or International Standards

Assessing Regional Blood Centers Using Foreign or International Standards. Abdulla A. Alkhashan MS, ASCP, NCA King Abdulaziz Medical City-Riyadh For the 10 th Arab Transfusion Medicine Course Kuwait City, Kuwait 29 th November to 1 st December, 2012. Presentation Outline.

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Assessing Regional Blood Centers Using Foreign or International Standards

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  1. 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

  2. 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

  3. 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

  4. 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

  5. Nature of Modern Health Care System • Not Monitored (Don’t Have Any)

  6. Nature of Modern Health Care System • Facts patients need to live with it !

  7. Nature of Modern Health Care System • Investigated individually (case-by-case)

  8. 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)

  9. Nature of Modern Health Care System Quality and Safety Quality and Safety Excellence Quality ball on the Hill; Koch, 1991

  10. Nature of Modern Health Care System Quality and Safety Quality and Safety Excellence

  11. Nature of Modern Health Care System Standards and Accreditation Quality and Safety Excellence

  12. Nature of Modern Health Care System Standards and Accreditation Quality and Safety Proactive Approach Excellence

  13. Nature of Modern Health Care System Standards and Accreditation Quality and Safety • Proactive Approach Risk Reduction Excellence

  14. Nature of Modern Health Care System Standards and Accreditation Quality and Safety • Proactive Approach • Risk Reduction Organization Wide Excellence

  15. Nature of Modern Health Care System Standards and Accreditation Quality and Safety • Proactive Approach • Risk Reduction • Organization Wide System Focus Excellence

  16. Nature of Modern Health Care System Standards and Accreditation Quality and Safety • Proactive Approach • Risk Reduction • Organization Wide • System Focus Stimulate Continuous Improvements Excellence

  17. 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.

  18. 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.

  19. History of Accreditation American College of Surgeons in 1917

  20. History of Accreditation • 1917 - ACS International Standards Organization (ISO) in 1947

  21. History of Accreditation • 1917 - ACS • 1947 - ISO American Association of Blood Banks (AABB) 1947

  22. History of Accreditation • 1917 - ACS • 1947 - ISO • 1947 - AABB Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 1951

  23. History of Accreditation • 1917 - ACS • 1947 - ISO • 1947 - AABB • 1951 - JCAHO AABB Accreditation Program -1957

  24. History of Accreditation • 1917 - ACS • 1947 - ISO • 1947 - AABB • 1951 - JCAHO • 1957 - AABB AP CAP Accreditation Program (1961)

  25. History of Accreditation • 1917 - ACS • 1947 - ISO • 1947 - AABB • 1951 - JCAHO • 1957 - AABB AP • 1961 - CAP AP Accreditation modules exported (1960s)

  26. 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)

  27. The Value and Impact of Accreditation Helps set national standards for health care

  28. The Value and Impact of Accreditation • Helps set national standards for health care Improves patient care

  29. The Value and Impact of Accreditation • Helps set national standards for health care • Improves patient care Makes information available to the public

  30. 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

  31. 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

  32. Accreditation in the Developing Countries Absence of strong regulatory and local accreditation bodies

  33. Accreditation in the Developing Countries • Absence of strong regulatory and local accreditation bodies Used as a term for contracting with hospital's operating companies

  34. 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

  35. 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

  36. 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

  37. 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

  38. The Pitfalls of Surveying Interrogating and Inspecting instead of Interviewing and Assessing

  39. The Pitfalls of Surveying • Interrogating and Inspecting instead of Interviewing and Assessing Consideration to the local circumstances and available resources

  40. 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

  41. 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”

  42. 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

  43. Licensing and Accreditation in K.S.A 370 Hospital (244 Governmental and 126 Private)

  44. 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

  45. Licensing and Accreditation in K.S.A • 370 Hospital (244 Governmental and 126 Private) • 13 AABB/CAP 21 Laboratories Accredited by the CAP only

  46. Licensing and Accreditation in K.S.A • 370 Hospital (244 Governmental and 126 Private) • 13 AABB • 21 CAP 53 Hospitals Accredited by the JCI

  47. 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

  48. 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

  49. Health Care Providers in KSA 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

  50. Health Care Regulators in KSA Saudi FDA Council of Health Services Council for Healthcare specialties Ministry of Health (licensing)

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