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ACHS NEWS - Australian Council on Healthcare Standards

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<str<strong>on</strong>g>ACHS</str<strong>on</strong>g> <str<strong>on</strong>g>NEWS</str<strong>on</strong>g> Issue 14 – Autumn 2005 • PAGE 2<br />

c<strong>on</strong>tinued from page 1<br />

As previously announced the first editi<strong>on</strong> of the publicati<strong>on</strong><br />

Improving Safety and Quality of Care with EQuIP – A<br />

Clinician’s Guide has now been widely distributed. There has<br />

been an overwhelming request for additi<strong>on</strong>al copies resulting in<br />

all of the initial 10,000 print run being distributed.<br />

Whilst this is an excellent resp<strong>on</strong>se we would value your<br />

feedback <strong>on</strong> how subsequent editi<strong>on</strong>s could be improved.<br />

In this regard the views of clinicians would be highly valued.<br />

The publicati<strong>on</strong> of our corporate history <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> 30 Years has<br />

received many positive reacti<strong>on</strong>s and has been widely<br />

distributed. Author Glenda Banks has produced a fascinating<br />

and entertaining publicati<strong>on</strong> and I commend it to you. Copies<br />

are available from Shar<strong>on</strong> Tier at <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> or via our website.<br />

From time to time we receive requests to provide informati<strong>on</strong><br />

to state and territory governments as to the schedule of<br />

planned accreditati<strong>on</strong> surveys in the public sector for a<br />

defined period.<br />

The Board has determined a policy to cover such<br />

instances. Informati<strong>on</strong> will be provided <strong>on</strong> a request basis.<br />

The provisi<strong>on</strong> of this informati<strong>on</strong> is to respect our c<strong>on</strong>tractual<br />

obligati<strong>on</strong>s regarding c<strong>on</strong>fidentiality and is to be c<strong>on</strong>fined to<br />

the organisati<strong>on</strong>’s name and membership number, the date<br />

and nature of the survey, their current accreditati<strong>on</strong> status<br />

and its expiry date.<br />

It is important that member organisati<strong>on</strong>s are aware of<br />

this policy.<br />

The <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> is delighted to announce that we are now able<br />

to offer a new program to Divisi<strong>on</strong>s of General Practice<br />

across Australia. The program, Quality for Divisi<strong>on</strong>s<br />

Network, is underpinned by a focus <strong>on</strong> c<strong>on</strong>tinuous quality<br />

improvement and incorporates standards, a full range of<br />

support services and educati<strong>on</strong>. For further details, please<br />

see the Products and Services column.<br />

A very real example of the value of accreditati<strong>on</strong> surfaced,<br />

recently, when a major acute care provider was called to defend<br />

an acti<strong>on</strong> in court. The organisati<strong>on</strong> was able to dem<strong>on</strong>strate<br />

a commitment to quality by l<strong>on</strong>g standing participati<strong>on</strong> in<br />

the <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> accreditati<strong>on</strong> program. Although the judgment went<br />

against the organisati<strong>on</strong>, the penalty imposed was a fracti<strong>on</strong> of<br />

the maximum with the c<strong>on</strong>cept of accreditati<strong>on</strong> noted by the<br />

judge in his summati<strong>on</strong>.<br />

The <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> has been very c<strong>on</strong>scious of certain anxieties arising<br />

from organisati<strong>on</strong>s’ c<strong>on</strong>cerns as to the impact of mandatory<br />

criteria <strong>on</strong> survey outcomes and therefore accreditati<strong>on</strong> status.<br />

Whilst it is early days the results of surveys c<strong>on</strong>ducted since<br />

January this year generally look very promising; further details<br />

are provided elsewhere in the newsletter.<br />

I look forward to making c<strong>on</strong>tact with as many member<br />

organisati<strong>on</strong>s as possible during the course of this year.<br />

Products and services<br />

Quality for the Divisi<strong>on</strong>s Network<br />

The <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> has developed a new quality improvement and<br />

accreditati<strong>on</strong> program for the Divisi<strong>on</strong>s of General Practice,<br />

State-based organisati<strong>on</strong>s and the <str<strong>on</strong>g>Australian</str<strong>on</strong>g> Divisi<strong>on</strong>s of<br />

General Practice. The Divisi<strong>on</strong>s Network Program has been<br />

tailored to meet organisati<strong>on</strong>al resp<strong>on</strong>sibilities established to<br />

support <strong>on</strong>-going professi<strong>on</strong>al development of General<br />

Practiti<strong>on</strong>ers and their practices. It incorporates standards,<br />

a full range of support services and educati<strong>on</strong>. The 2003<br />

review, The Future Role of the Divisi<strong>on</strong>s Network, auspiced by<br />

the Comm<strong>on</strong>wealth Department of Health and Ageing, made<br />

a str<strong>on</strong>g case for the Divisi<strong>on</strong>s to focus <strong>on</strong> c<strong>on</strong>tinuous quality<br />

improvement through a recognised accreditati<strong>on</strong> program.<br />

Accreditati<strong>on</strong> is evolving as a Comm<strong>on</strong>wealth requirement<br />

for all divisi<strong>on</strong>s. There are currently 123 divisi<strong>on</strong>s of general<br />

practice nati<strong>on</strong>ally, as well as eight State-based organisati<strong>on</strong>s<br />

and a nati<strong>on</strong>al organisati<strong>on</strong>. The Department has approved<br />

three providers but the <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> is the <strong>on</strong>ly <strong>on</strong>e with a<br />

program developed in c<strong>on</strong>sultati<strong>on</strong> with representatives of<br />

the Divisi<strong>on</strong>s and AGPAL (<str<strong>on</strong>g>Australian</str<strong>on</strong>g> General Practiti<strong>on</strong>ers<br />

Accreditati<strong>on</strong> Ltd). Modelled <strong>on</strong> the <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> Evaluati<strong>on</strong> and<br />

Quality Improvement Program (EQuIP), the first functi<strong>on</strong> is<br />

Program Delivery, with a focus <strong>on</strong> the special activities of<br />

the Divisi<strong>on</strong>s. For more informati<strong>on</strong> please c<strong>on</strong>tact Heather<br />

McD<strong>on</strong>ald <strong>on</strong> (02) 9281 9955.<br />

Coordinator workshops<br />

The requirement for organisati<strong>on</strong>s to dem<strong>on</strong>strate evidence<br />

based performance especially in respect of mandatory criteria<br />

within the EQuIP survey process to achieve full accreditati<strong>on</strong><br />

from January 2005, may put some organisati<strong>on</strong>s at risk. Failure<br />

to maintain accreditati<strong>on</strong> status can have major implicati<strong>on</strong>s<br />

for health organisati<strong>on</strong>s, including the loss of funding in<br />

the private sector. Also, the impact of provisi<strong>on</strong> of an SA<br />

rating or below <strong>on</strong> mandatory criteria, and subsequent failure<br />

to achieve accreditati<strong>on</strong> places c<strong>on</strong>siderable pressure <strong>on</strong><br />

survey teams. The <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> now offers a <strong>on</strong>e-day workshop<br />

to enhance the development of skills enabling trained<br />

co-ordinators to manage, in particular, divisi<strong>on</strong> over provisi<strong>on</strong><br />

of an MA rating, and the c<strong>on</strong>sequences of failing to achieve<br />

full accreditati<strong>on</strong> status. Member organisati<strong>on</strong>s wishing<br />

to participate are invited to c<strong>on</strong>tact Heather McD<strong>on</strong>ald <strong>on</strong><br />

(02) 9281 9955.<br />

New nati<strong>on</strong>al report<br />

Producti<strong>on</strong> of The <str<strong>on</strong>g>ACHS</str<strong>on</strong>g> Nati<strong>on</strong>al Report <strong>on</strong> Accreditati<strong>on</strong> has<br />

been approved by the Board and is currently in progress.<br />

Publicati<strong>on</strong> is planned for June this year and c<strong>on</strong>siderati<strong>on</strong><br />

is being given to the frequency of future editi<strong>on</strong>s. The report<br />

is intended to be of value to c<strong>on</strong>sumers and will provide<br />

high level strategic advice to health professi<strong>on</strong>als c<strong>on</strong>cerned<br />

with policy determinati<strong>on</strong>, organisati<strong>on</strong>al performance and<br />

the delivery of care. This is the first time an organisati<strong>on</strong><br />

has collected and collated evidence <strong>on</strong> the value of<br />

accreditati<strong>on</strong> specific to health care in Australia <strong>on</strong> a nati<strong>on</strong>al<br />

basis, and we will publish the resulting report in hard copy<br />

and electr<strong>on</strong>ic format.<br />

Brian Johnst<strong>on</strong><br />

Chief Executive<br />

2<br />

safety, quality, performance

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