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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 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

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

slide10
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

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
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

slide35
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.

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

slide42
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

slide56
Gold

Platinum

Diamond

ad