using the accreditation report for implementing system wide improvements l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Using the Accreditation Report for Implementing System Wide Improvements PowerPoint Presentation
Download Presentation
Using the Accreditation Report for Implementing System Wide Improvements

Loading in 2 Seconds...

play fullscreen
1 / 12

Using the Accreditation Report for Implementing System Wide Improvements - PowerPoint PPT Presentation


  • 112 Views
  • Uploaded on

Using the Accreditation Report for Implementing System Wide Improvements. Improving Quality of Care and Patient Safety Through Accreditation Ms. Terry Brent, RT, OHSA Lab Manager Dr. Kirk Ready, Clinical Director OHSA Labs Monday, May 12th, 2008.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Using the Accreditation Report for Implementing System Wide Improvements' - louie


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
using the accreditation report for implementing system wide improvements

Using the Accreditation Reportfor Implementing System WideImprovements

Improving Quality of Care and Patient Safety Through Accreditation

Ms. Terry Brent, RT, OHSA Lab Manager

Dr. Kirk Ready, Clinical Director OHSA Labs

Monday, May 12th, 2008

using the accreditation report for implementing system wide improvements3
Using the Accreditation Report for Implementing System Wide Improvements
  • Introduction
  • Pre-Accreditation
  • On-Site
  • Review Report
  • Implementation
  • Conclusions
  • Recommendations
introduction accreditation system wide improvement
Introduction Accreditation  System Wide Improvement

Kirk & Terry Co-Management

OHSA Labs

VJH - 125, KGH 325 , PRH 134 - beds

OLSC

OHSA Working Groups

IH LSC

IH SET

pre accreditation accreditation system wide improvement
Pre-Accreditation Accreditation  System Wide Improvement

Self Assessment

By Site

Then together

Terry and Kirk

Preparation in relation to overall strategic plan

3 – 5 year Mission – DAP or other

Vision Mission Values

Nothing

Snap shot

On a mission course set

on site accreditation system wide improvement
On-Site Accreditation  System Wide Improvement

3 consecutive days

2 teams

If it is Tuesday,

this must be Vernon

on site accreditation system wide improvement7
On-Site Accreditation  System Wide Improvement

3 consecutive days

2 teams

If it is Tuesday, it must be Vernon

review report accreditation system wide improvement
Review Report Accreditation  System Wide Improvement

3 separate reports

Presentation to IH Board Quality Committee

Hosp MAC

Electronic

Converted to Table

Merged tables

OLSC

OHSA Discipline WG – review sections

implementation accreditation system wide improvement
ImplementationAccreditation  System Wide Improvement

OHSA Discipline WG

Involvement of IH Lab Discipline WG

Implementation of instruments

Method Validation

General Operations Manual

QS Manual

conclusions accreditation system wide improvement
ConclusionsAccreditation  System Wide Improvement

Done in one day

Snap shot of three sites

Define standards (previously none)

Long time between assessment and receipt of report

Short time to respond (lead time taken up in delay of receipt of report)

Variations in the reports but overall showed almost all issues were in similar / common

Opportunity for prioritization – helpful

Opportunity to really bring together the lab staff from all three sites for each of the various disciplines (team building)

Overall rating system - good

recommendations accreditation system wide improvement
RecommendationsAccreditation  System Wide Improvement

Electronic Reports with ability to insert and edit action plan

More regional approach – especially for general areas, including human resources, information management, suppliers and partners

For each bullet need Y / N / Na