ACHS News - Issue 40 - Autumn - Australian Council on Healthcare ...

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Research into Accreditation Programs Strengthening organisational performance through accreditation research: THE ACCREDIT PROJECT <strong>ACHS</strong> continues to play a key research and educational role in the field of accreditation. Notably, the <strong>ACHS</strong> is a collaborator in the Accreditation Collaborative for the Conduct of Research, Evaluation and Designated Investigations through Teamwork (ACCREDIT) project. The ACCREDIT project partners include <strong>Australian</strong> General Practice Accreditation Limited, the Aged Care and Standards Accreditation Agency, the <strong>Australian</strong> Commission on Safety and Quality in Health Care, and the New South Wales Clinical Excellence Commission and Professors Braithwaite and Westbrook and colleagues at the University of New South Wales (UNSW). Together, we are partners in an <strong>Australian</strong> Research <strong>Council</strong> Linkage Grant. The collaboration, across 2011 to 2015, is implementing a multi-method, triangulated series of studies to evaluate current accreditation processes – see Figure 1. WHY RESEARCH INTO ACCREDITATION? There is evidence that accreditation programs can promote change and the standardisation of services and organisational processes, including how decisions about care are made. However, Figure 1: Research strategy and studies the research literature is either inconsistent or does not support the contentions. Hence this project plans to produce results which will link with other similar studies underway in Europe. The ACCREDIT project builds upon research previously conducted by <strong>ACHS</strong> and Professors Braithwaite and Westbrook and colleagues, who previously carried out four studies into accreditation between 2005 and 2008. As the ACCREDIT project is implemented and results are produced, findings will be made available via the <strong>ACHS</strong> and UNSW websites, and at national seminars and conferences. Questions and inquiries about the project can be directed to <strong>ACHS</strong> executives or UNSW staff - Dr David Greenfield, who leads the research team (d.greenfield@unsw.edu.au), Dr Max Moldovan (m.moldovan@unsw.edu.au) or Dr Reece Hinchcliff (r.hinchcliff@unsw.edu.au). Advertisement 4
National Report on Accreditation Released <strong>ACHS</strong> has released the 4 th biennial <strong>ACHS</strong> National Report on Health Services Accreditation Performance, for the years 2009 – 2010. The Report contains aggregate information from 509 accreditation surveys of <strong>Australian</strong> healthcare organisations between 2009 – 2010, assessing their combined performance and emerging trends. The healthcare organisations participating in this survey are members of the <strong>ACHS</strong> Evaluation and Quality Improvement Program (EQuIP) and include hospitals, day hospitals, clinics, community and mental health services. <strong>ACHS</strong> President, Adjunct Associate Professor Karen Linegar, said “The overall data suggest an ongoing consistent level of improvement by organisations building on previous years’ efforts, across the spectrum of health care. There are some positive trends throughout the Report and these developments may have been supported by increased familiarity with the EQuIP 4 Standards.” Highlights include survey trends indicating four areas of marked improvement in performance compared to the previous survey period, namely: - the rate of Advanced Completion in 60 day surveys (AC60s) decreasing by 21%, - the rate of High Priority Recommendations (HPRs) decreasing by 23%, - a 27% increase in the awarding of Extensive Achievement (EA) ratings, and - a 25% increase in the awarding of Outstanding Achievement (OA) ratings. Key areas identified as needing further improvement included: - Emergency and disaster management systems, - Organisation-wide risk management policies and systems, - Processes for credentialling clinicians, and - Infection control systems. It is of note that six of the seven areas requiring further improvement are classified as non-clinical. The purpose of the Report is to establish broad national comparisons for accreditation performance, to assist healthcare organisations evaluate their own performance against the aggregate. “The Report includes information on the majority of healthcare organisations in Australia and has three themed commentaries (on infection control, credentialling and organisational systems) as well as a report on accreditation performance research and detailed summaries by criterion of organisations which attained Outstanding Achievement (OA) ratings,” Adjunct Associate Professor Linegar said. For copies of the Report, access the website or contact Ian McManus at imcmanus@achs.org.au for a print copy. CLINICAL INDICATOR PROGRAM Update March 2012 Second Half 2011 Data Collection Data for the first half of the 2011 collection was submitted on 20 February 2012. Comparative reports will be available for all participating organisations in early April 2012. These can be sent directly to your email inbox by logging into PIRT and selecting ‘Reports, General and Peer Comparison Reports’. Working Party Activity The Paediatric working party met at <strong>ACHS</strong>’s office on 16 February 2012. The working party consisted of 23 members who represented the majority of States and Territories in Australia, including both regional and metropolitan areas. Members reviewed the existing clinical indicators from the Paediatric, ICU and Surgical sets, and discussed a number of potential new paediatric clinical indicators. The new Paediatric clinical indicator set is expected to be released in 2013. A new set of clinical indicators for Domiciliary / Community nursing is to be added to the existing 22 indicator sets, with a newly formed working party meeting in May 2012. The Infection Control clinical indicators are due to be reviewed and the working party is scheduled to meet in June 2012. Education The Measurement in Health Care: How to Maximise the Benefits of Clinical Indicators workshops continue to be well attended. Remaining scheduled workshops for 2012 include Melbourne (Thursday 3 May) and Sydney (Thursday 10 May). Customised workshops for individual healthcare organisations / districts / clusters / networks are also available. Australasian Clinical Indicator Report 2004 - 2011 This annual publication is currently being compiled, and will be officially launched at the <strong>ACHS</strong> Conference The Quantum Leap in September 2012. This 13 th edition will provide valuable analysis on the 350 indicators available across 22 clinical streams. Closing Date 20 July 2012 5
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