ISQua Webinar21 November 2013

Meeting Government /Accreditation Requirements or the Pursuit of Excellence

Brian Johnston Consulting

Our Aims

• A word about accreditation in general• Standards• Regulation• Accreditation in social care (in Australia)• The Residents• Compliance with regulations and the pursuit of excellence

With due acknowledgement of the input of Mark Brandon, CEO, Aged Care Standards and Accreditation Agency, andThe ISQua Special Interest Group with its focus on ‘Quality Social Care for Older Persons

Brian Johnston Consulting

What is accreditation in social or health care settings?

“A public recognition by a healthcare accreditation body of the achievement of accreditation standards by a healthcare organisation, demonstrated through an independent external peer assessment of that organisation’s level of performance in relation to the standards.”

The International Society for Quality in Health Care, Organisation Survey Handbook (7), January 2008

There are others but the intent is similar.

Brian Johnston Consulting

Brian Johnston Consulting

Accreditation is about turning noise into music

Brian Johnston Consulting

Brian Johnston Consulting

What accreditation is and is not!

• What it is: a commitment to maximising quality and safetyActing in the best interests of service usersA commitment to minimising risksBeing a learning organisation

• What it is not a guarantee of absolute qualityA guarantee of absolute safetyThe elimination of all the risksA guarantee that evidence based best practice is always provided

Brian Johnston Consulting

Standards

• Address a recognised need• Be evidence based (as far as practicable)• Be developed through a transparent and consultative

process• Be outcome focused• Achievable•Measurable

ISQua

Regulation

• “We regulate in an empirical void, often addressing anecdotes and hysteria with far-reaching initiatives”

Brennan TA (1998) The role of regulation in quality improvement.

Milbank Q 76, 709 – 31, 512

• ‘The Regulatory pyramid and health care safety and quality mechanisms’

Braithwaite, J., Healy, J., Dwan, K., The Governance of Health Safety and Quality, Commonwealth of Australia, 2005

Brian Johnston Consulting

Types of regulatory approaches

Brian Johnston Consulting

Accreditation in social care

There are four standards:1. Managements systems , staffing and organisational development2. Health and personal care3. Resident life style4. Physical environment and safe systems

With the detail of demonstrable performance requirements set out in 44 expected outcomes.

They are prescribed under legislation.

Brian Johnston Consulting

Compliance v Excellence

• A blending of issues – social expectations, policy and funding agendas, government responses• Regulation – enforcement or clarity• Defining quality – “the extent to which a health care service

or product produces desired outcomes” Runciman• Excellence and the pursuit thereof…

Brian Johnston Consulting

In summary

A merging of concepts that if effective gives context, direction and the right outcomes for all parties

Brian Johnston Consulting

Thank you

Brian Johnston ConsultingE brianjohnston@bigpond.com

M +61 413 156 683T + 61 2 9540 4875

PO Box 28 Gymea NSW 2227 Australia

Brian Johnston Consulting