Australian Commission on Safety and Quality in Health Care
APHA National Congress Dr Michael Smith Clinical Director 17 October 2011 Commission Update 2011 Establishment as a Statutory Authority under the NHHN and CAC Acts Programmes continue unabated Additional requirements and activities
National processes First NHHN Agreement early 2010 National Health and Hospitals Network Act 2011 developed during 2010 and received assent in April 2011 ACSQHC commenced as an authority 1 July 2011 National Health Reform Agreement signed August 2011 National Health and Hospitals Network Act 2011 Ongoing Functions of the ACSQHC: a) promote, support and encourage implementation of S&Q
arrangements, programs and initiatives b) collect, analyse, interpret and disseminate information c) advise the Minister d) publish reports and papers relating to S&Q l) formulate model national schemes for S&Q accreditation of organisations that provide health care services m) consult and cooperate widely n) undertake functions specified by Minister o) promote, support, encourage, conduct and evaluate training programs
for purposes relating to the Commission functions p) promote, support, encourage, conduct and evaluate research for purposes relating to the Commission functions q) do anything conducive to the performance of these functions National Health and Hospitals Network Act 2011 New Functions of the ACSQHC: e) Formulate standards relating to health care S&Q matters f) Formulate guidelines relating to health care S&Q matters
g) Formulate indicators relating to health care S&Q matters h) Promote, support and encourage the implementation of these standards and guidelines i) Promote, support and encourage use of these indicators j) Monitor implementation and impact of these standards and guidelines k) Advise all Health Ministers which standards should be adopted as national clinical standards NHHN Agreement NHHN Agreement 2010 Performance and Accountability Framework
18b: national clinical quality and safety standards developed by the ACSQHC National Governance 19d: continuation and expansion of the role of the ACSQHC to set national clinical standards for the delivery of health services National Health Reform Agreement 2011 Reinforced the role of States and Territories as system managers and varied the financial mechanisms of the health reforms but retained commitment to LHNs and Medicare Locals, national reporting through the NHPA and the commitment to activity based
funding through IHPA. The role of the ACSQHC in the Agreement is retained. National Health Reform Agreement 2011 B80. The role of the ACSQHC is to: a. lead and coordinate improvements in safety and quality in health care in Australia by identifying issues and policy directions, and recommending priorities for action; b. disseminate knowledge and advocate for safety and quality; c. report publicly on the state of safety and quality including performance against national standards; d. recommend national data sets for safety and quality, working within current
multilateral governmental arrangements for data development, standards, collection and reporting; e. provide strategic advice to the Standing Council on Health on best practice thinking to drive quality improvement, including implementation strategies; strategies and f. recommend nationally agreed standards for safety and quality improvement. National Health Reform Agreement 2011 B81. The ACSQHC will expand its role of developing national clinical standards and strengthened clinical governance. These arrangements will be further developed in consultation with States.
B82. The ACSQHC will: a. formulate and monitor safety and quality standards and work with clinicians to identify best practice clinical care, to ensure the appropriateness of services being delivered in a particular health care setting; and b. provide advice to the Standing Council on Health about which of the standards are suitable for implementation as national clinical standards. standards B83. The ACSQHC does not have regulatory functions. National Health Reform Agreement 2011 National Bodies
Independent Hospital Pricing Authority National Health Performance Authority ACSQHC Local and other bodies LHNs and Medicare Locals
States and Territories as health system managers COAG Reform Council Lead Clinicians Groups National Safety and Quality Goals Request from AHMAC Rapid development in 2011/12 Basis for integrated national approach and quality improvement to safety
ACSQHC operations Interim Board appointed Interim CEO appointed Substantive Board and CEO anticipated early 2012 Program managers unchanged, staff continue as public servants employed by the Commission. No staff losses as result of transition. The sky remains up there! An Australian Health Services Safety and Quality Accreditation Scheme
National Safety and Quality Health Service (NSQHS) Standards National coordination The NSQHS Standards Standard 1 Governance for Safety and Quality in Health Service Organisations Standard 2
Partnering with Consumers Standard 3 Healthcare Associated Infections Standard 10 Preventing Falls and Harm from Falls Standard 4
Medication Safety Standard 9 Recognising and esponding to Clinical eterioration in Acute Health Care Standard 5 Patient Identification and Procedure
Matching Standard 8 Preventing and Managing Pressure Injuries Standard 7 Blood and Blood Products Standard 6 Clinical
Handover National Coordination Clearer accountabilities Approved accrediting agencies Regulators informed and involved National oversight of the accreditation by the Commission Implementation and maintaining standards supported by the programs of the Commission
Transition NSQHS Standards Guides for Hospitals Day Procedure Services Dental Practices Available on: www.safetyandquality.gov.au go to Our Work and then to Draft Guides Transition
NSQHS Standards Guides for Hospitals Day Procedure Services Dental Practices Available on: www.safetyandquality.gov.au go to Our Work and then to Draft Guides Transition NSQHS Standards Guides for
Hospitals Day Procedure Services Dental Practices Available on: www.safetyandquality.gov.au go to Our Work and then to Draft Guides Issues to be resolved Who is the regulator? Certification JSANZ
Tier 2 benefits Timeframes Consultation on the Guides for Health Services underway Close 15 December 2011 Pilot guides in health services - completed December 2011 Accrediting Agencies granted interim approval Implementation sector underway
Mandatory assessment against NSQHS Standards from 1 January 2013 Ongoing maintenance of the NSQHS Standards Review of core and developmental actions completed by 2015 Review of guides ongoing, comprehensive review by 2015 Review of Standards completed by 2017 For more information
Commissions website: www.safetyandquality.gov.au. For access to: NSQHS Standards Draft Guides for hospitals, day surgery services, dental practices List of Approved Accrediting Agencies Fact sheets on the NSQHS Standards Commission resources and tools to support the implementation of the Standards
Supporting Literature Interface Metaphors Domain Familiarity Information Presentation Interface Metaphors "the essence of metaphor is understanding and experiencing one kind of thing in terms of another" (Lackoff and Johnson 1980, p. 5).
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