Quality. Healthcare. Solutions. Swords, Co. Dublin. Tel: Mobile: Web:

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1 Quality Within QMS Healthcare Solutions Swords, Co. Dublin Tel: Mobile: Web:

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3 As a healthcare provider you must ensure that everyone using your healthcare services should be confident that their experience will be a safe one and that you provide the best possible professional care to your clients. QMS Solutions promote safety and quality in the provision of healthcare services for the benefit of service users. The need for an integrated, standards-driven, approach to quality and safety in healthcare has been widely accepted at both a national and international level. Our key objective is to develop client-centered, process orientated, holistic and fully integrated management systems for healthcare providers. The following healthcare standard offers a complete end to end management system to ensure your organisation can consistently deliver on your clients healthcare requirements both effectively and efficiently every time. Healthcare Accreditation and Quality Unit, Standards for International hospitals / Healthcare providers. The above standard will: Create a common language to describe what safe, reliable, high quality healthcare service provision should look like. Set out what patients can expect from healthcare services. Enable all providers take responsibility for the quality and safety of the healthcare services they provide. Promote good and continual improvement in the safety and quality of care nationwide, and across all healthcare services. Build on established national initiatives for quality and safety. Provide the assurance to all interested stakeholders, (Insurance providers, Clients & family members, National regulatory bodies, HIQA, External Auditors). We ensure that the client-centered, process orientated systems we design are fully integrated to remove duplication of effort and documentation. All resultant automated systems are routinely capable of providing meaningful management metrics as to the performance of all aspects of your healthcare organization critical to client safety and the quality of care provided.

4 Healthcare Accreditation and Quality Unit, Standards for International Hospitals What are HAQU Standards? These standards are designed to provide a framework for quality assurance and quality improvement for all healthcare service providers consistent with international standards and national & EU legislation. The standards are a model for promoting the factors that will assist in achieving clinical governance and improving the quality of care. The standards focus on patient safety, patient experience, clinical governance, leadership and staff experience. The standard allows organisations to work in an inclusive way, to develop the capacity for continuous quality improvement and it ensures that staff, service users and other stakeholders are fully involved. Each standard addresses an area of work or activity carried out by the service provider and is made up of criteria statements. These are designed to be measurable through the selfassessment and survey processes, flexible and applicable across the range, sizes and compositions of service providers organisation and adaptable in that they can be implemented according to local circumstances. The criteria aim to set out what needs to be achieved. Who do the standards apply to? The standards apply to all healthcare organisations. Within these organisations the standard applies to services and departments at all levels within the organisation, for example: the individual (e.g. general practitioner), the group or team (e.g. primary healthcare team), the overall organisation (e.g. primary care organisations) and the larger system (e.g. Health Service Executive). Benefits of the Standards Ensures regulatory and clinical compliance, Fully integrated, process orientated, client centered, holistic approach to patient care Improvement in efficiency, effectiveness, and safety of patient care. Improved communication and team working across the organisation. All policies and procedures reviewed and up to date. Good practice is recognised and shared. Improved knowledge and systems for risk management. Better understanding and practical application of patient safety requirements. Improved systems for mandatory performance review, training and appraisal. Readiness for inspection by external / authorities / bodies. Increased competitiveness. Provides vehicle for benchmarking and quality improvement within healthcare.

5 Outline of the Standard: o Organizational and service leadership o Management and governance o Clinical governance o Risk management general o Risk management health and safety o Risk management fire safety o Risk management infection control o Risk management waste management o Risk management security o Risk management resuscitation / reanimation o Risk management management of medicines o Risk management management of clinical records o Human resources nursing service o Human resources medical service o Human resources volunteer service o Human resources occupational health o Information management and technology o Financial management o Marketing o Buying and selling goods and services Operational management o Service objectives and planning o Teamwork, management and staffing o Staff development and education o Service environment Residential and site services o Buildings management o Catering service o Housekeeping o Portering services o Reception service o Telecommunications The patients experience o The patients rights o Information for patients o The patients individual needs o Partnership with patients o Spiritual care service

6 The patients journey o Referral and admission o Treatment and care o Leaving a service / discharge Service Specifics o Sterilization / decontamination services QMS Solutions Service QMS Solutions will design, develop and implement your healthcare organisations complete quality management system in consultation with your resources. We also provide in-house training on all aspects of quality management and systems implementation. All management systems and trainings are tailored to organizational or individual s specific needs respectively, given the healthcare services provided and individuals responsibilities, duties & obligations. All resultant management systems ensure full compliance with regulatory and statutory requirements and industry standards. Detailed requirements concerning minimum standards for nursing homes are set out in legislation. The Code of Practice for Nursing Homes, which has been agreed by a focus group including owners of nursing homes, Health Services Executive (HSE), the National Council on Ageing and Older People, Carers and other people with experience in the care of older people. Some of the core issues addressed in the legislation and the Code include the following: Suitable and sufficient care - Nursing Homes must ensure that suitable and sufficient care is provided to maintain the welfare and well-being of the residents, having regard to the nature and extent of their dependency. Nursing and medical care and treatment a high standard of nursing care and appropriate medical care by a doctor must be provided. There are detailed provisions in relation to medical treatment and physiotherapy, drugs and medicines, chiropody, occupational therapy and other health services. Occupational and recreational facilities - the nursing home must provide facilities for the occupational and recreational needs of residents. Accommodation and facilities - there are detailed rules about accommodation, facilities and minimum heating standards. Safety and design - there are provisions in relation to the design of the nursing home so as to ensure maximum safety for residents. Nursing homes must also, of course, comply with the building regulations and with general fire and safety rules. Nursing homes are required to ensure that residents are adequately insured against injury while being maintained in the home.

7 Kitchen facilities - each home must have a separate kitchen with suitable and sufficient facilities and equipment and must have provision for food storage in hygienic conditions. Hygiene and sanitary facilities - there are detailed rules about hygiene and sanitary facilities. Nutrition - nursing homes must ensure that suitable, sufficient, nutritious and varied food is provided. Dietary restrictions on medical or religious grounds must be respected. Meal time should be at the normal time of family meals and residents should be involved in menu planning and choice of food. Privacy and Respect - residents must be able to undertake personal activities in private Freedom of Choice - residents should be able to exercise freedom of choice (to the extent that this does not infringe on the rights of other people) Religious facilities - the Nursing Home must provide adequate arrangements to facilitate clients in the practice of your religion. Safety of personal possessions - there are detailed provisions for the protection of the personal possessions of residents Information on current affairs, - clients must be provided with information about current affairs and similar issues. Visits - the nursing home should encourage residents to maintain contact with family and friends of their choice and allow visits at reasonable times. Discharge - if you are being discharged, the Nursing Home must tell you or your representatives of the date of the proposed discharge, the reasons for the discharge and give at least 14 days notice to people to make alternative arrangements. Terminally ill patients and death - the Nursing Home must provide adequate arrangements for the care of terminally ill residents and provide for their special needs. The Nursing Home must also ensure respect for the remains of the deceased person, make arrangements for the removal of remains and notify the Medical Officer for Health of the death within 48 hours. Records - each Nursing Home must keep a register of all residents, setting out basic personal, medical and other details. All personal records must be treated with confidentiality and should be retained for not less than 5 years after the person ceases to live in the home. Residents should have access to personal records, subject to certain conditions.

8 Quality of service provision in healthcare is the single most important consideration in client decision making. The implementation of your organizations quality management system and certification to internationally and nationally recognized quality standards as outlined above provides prospective and existing clients with the confidence they require. Certification indicates the maturity of your organization and provides public recognition that your organization has the necessary resources, facilities, capability and management systems in place to consistently deliver on their healthcare requirements. It is of paramount importance to the management and team at QMS Solutions to satisfy our client s unique needs and expectations on a continual basis. This is achieved by fulfilment of individual requirements and delivery of the highest quality standards, while developing your employees knowledge in a professional and open working environment. QMS Solutions in consultation with our clients ensure all management systems developed reflect the ethos, values and principles of the organization in terms of the healthcare services provided, existing systems and the work environment. This ensures the resultant management system is practical and adds real value to the healthcare organisation. Differentiating QMS Solutions is our special ability to develop customised long term, strategic relationships with our clients who have unique service needs and who place a premium on value-added services. In choosing QMS Solutions clients gain a stable, long term, cost effective partner. Exceeding clients expectations is QMS Solutions central goal, one that the organisation accomplishes by recognising the importance of customising management systems that conform to both the client s unique needs and QMS Solutions proven processes. QMS Solutions is able to maintain excellent relationships with our clients because we constantly evaluate and improve upon our internal processes and the services provided, without losing a foundation of quality and a history of excellence. QMS Solutions distinguishes itself by the professionalism, devotion and pride we take in each and every contract commissioned. If you request any further information, or would like to speak with our principal consultant directly, please see contact details. Alternatively we can provide a presentation as to the benefits of healthcare quality management systems for your clients, your business / organisation and staff. This presentation is at no cost or obligation and is also a useful opportunity to discuss any queries you may have. Info@qmssolutions.ie Website: Phone: Mobile: