Accreditation: Supporting the Delivery of Health and Social Care

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1 Accreditation: Supporting the Deivery of Heath and Socia Care PHARMACY E F P T O L P E D P E C M F D T G L E F R

2 Accreditation: Supporting the Deivery of Heath and Socia Care June 9, 2015 marks Word Accreditation Day as a goba initiative, jointy estabished by the Internationa Accreditation Forum (IAF) and the Internationa Laboratory Accreditation Cooperation (ILAC), to raise awareness of the importance of accreditation. This year s theme focuses on how accreditation can support the deivery of heath and socia care. The successfu provision of heath and socia care is one of the greatest chaenges today. Whether caused by expanding goba popuation growth or increased ife expectancy, the need to provide reassuring, consistent and cost-effective heath and socia care wi ony grow in its magnitude and compexity. The heath and socia care sector is not unique in its goa of striving to deiver a baance of quaity, economic, socia and environmenta needs, utimatey aiming for exceence. Heath and socia care exceence is driven by the need to provide confidence in the deivery of a competent service to patients, famiies, reguators and commissioners. Accreditation within the heath and socia care sector supports this assurance. It provides an essentia too for heathcare providers to demonstrate that they have undergone a rigorous process to ensure that their patients consistenty receive high quaity services deivered by competent staff working in safe environments. What are the issues? Is the provision of heath and socia care safe, for patients and staff? Just how accurate and reiabe are the outcomes or test resuts? Are there measures in pace to prevent misdiagnosis? What proof is there that confidentia information is handed appropriatey and remains confidentia? Are any compaints taken seriousy and acted upon? Is high quaity, cost effective care achievabe? What reassurance is there that the correct patient care pathway is being foowed?

3 What is the roe of accreditation? Conducted by an authoritative body against nationay and internationay recognised standards, accreditation is the independent and impartia evauation of an organisations competence in reation to specific activities or services. The primary purpose of heath and socia care accreditation is to ensure that users of the service receive a consistent high eve of care, with quaity patient outcomes at its core. Accreditation creates an essentia framework for heath and socia care providers to improve their processes and environment, which stimuates continuous quaity improvement to the patient experience, and resuts in increased confidence in the outcomes. Accreditation bodies, which have been evauated by peers as competent, sign arrangements that enhance the acceptance of accreditation of these services. Organisations inked to the IAF MLA and ILAC MRA systems demonstrate a commitment to exceence, efficiency and assurance in the provision of heath and socia care, reinforcing the mutua internationa recognition of services. ISO Medica Device Certification ISO is the word s most recognised medica device standard and ensures exceence in the provision of medica devices. The primary objective of this standard is to faciitate harmonised medica device reguatory requirements by providing an effective soution to meet the comprehensive requirements for a quaity management system (QMS). ISO provides a practica foundation for manufacturers to address reguations and responsibiities, as we as demonstrating a commitment to the safety and quaity of medica devices. Accredited certification is used to assess conformity of medica devices against this standard.

4 What benefit does accreditation provide? For Reguators Utimatey, the reguators roe is to ensure that a heath and socia care providers deiver safe, effective, compassionate and high quaity care. Accreditation assures reguators that they can rey on providers to verify compiance with their set poicy requirements. It heps reguators to manage risk, as they are abe to target their inspections more reiaby and effectivey, whist deivering cost savings. Internationay, accreditation provides heath and socia care reguators with a robust and credibe framework to accept outcomes with an equivaent eve of confidence as if they had been carried out in the oca economy. Utimatey, accreditation provides reguators with a reiabe monitoring too to support the continuous improvement of a heath and socia care services. ISO Medica Laboratory Accreditation Suppying diagnostic resuts for care providers, medica aboratory services pay a pivota roe in; ensuring that patients receive the most pertinent treatment and care. It is imperative that medica aboratories can effectivey meet the needs of a patients and cinica personne. Medica Laboratories are accredited against the requirements of ISO 15189, which detais the requirements for quaity and competence within medica aboratories. Accreditation against the goba standard ISO 15189, aows medica aboratories to demonstrate, through a rigorous process, the technica competence of that aboratory to a stakehoders incuding heath care providers. ISO is aso used to assess mortuaries and post-mortem faciities. Point of Care Testing Point of Care Testing (POCT) is often carried out at a patient s bedside to aow resuts to be avaiabe sooner and therefore, is outside of the controed and reguated environment of a medica aboratory. As the outcome can trigger immediate decisions about a patient s care, accreditation means that patients can trust that the resuts are reiabe, and shoud any decisions be made as a direct consequence of testing, they can be assured that they are sti foowing the correct patient care pathway. POCT services are accredited against the requirements of ISO 22870, which is intended to be used in conjunction with ISO accreditation.

5 What benefit does accreditation provide? For Heath and Socia Care Providers Accreditation provides objective proof that the service operates competenty and safey, is patient focused and deivers outcomes that can be reied upon. Accreditation supports continuous improvement which can boost morae, deiver cost savings and, in some cases, can act as a everage for change. Accreditation provides market differentiation and therefore, may resut in an increase of commissioned services and advantages during any tender process. Accreditation is gaining increasing recognition from reguators, and so providers can demonstrate compiance through accreditation. In some cases, this can resut in reduced audits. Traceabiity of Resuts via Medica Reference Materias Accurate measurements are vitay important as they wi often infuence the patient pathway. A crucia eement of providing accurate measurements is reiabe reference materias. ISO Guide 34 sets out the management system requirements, in accordance with which reference materias shoud be produced. It ensures that reference materia providers are competent to manufacture their products to a given quaity, and that the measurement procedures are controed, aowing aboratories to verify their abiity to measure accuratey. Diagnostic Imaging Accreditation Diagnostic imaging services are normay assessed against nationay recognised standards which refect the differing service deivery context in each country. A accreditation schemes cover the various modaities of imaging, such as MRI, Utrasound and CT scans and invove a robust process of assessment. This resuts in the assurance of safe, high quaity care with reiabe outcomes that patients can trust. Continuous monitoring and improvement forms part of this process, instiing further reassurance that the service is striving for exceence. In addition, the accuracy and traceabiity of some measurements in medica aboratories is demonstrated via the use of ISO an internationa standard dedicated to medica reference measurement aboratories.

6 What benefit does accreditation provide? For Commissioners and Referrers: Accreditation is an essentia too for decision-making and risk management. Accreditation is a mark of quaity that can be used to easiy identify technicay competent, safe, efficient, patient-focused services that meet a reguatory requirements. Accreditation supports commissioners and referrers in the deivery of effective purchasing, cost-efficiency, good governance and pubic confidence. For Patients: When using an accredited service, patients can be assured that they wi receive the eve of high quaity care that they expect and can trust that the diagnostic outcomes are accurate. Whether seecting a residentia care home or having tests carried out, accreditation aows patients to make an informed choice about their heath and socia care ensuring competence and added vaue. Physioogica Services Physioogica Science services are assessed against nationay recognised standards that refect the differing service deivery context in each country. Accreditation covers a number of diagnostic physioogica science discipines, a of which investigate the functioning of organ/body systems to diagnose abnormaities and subsequenty, reduce the often disabing consequences to the patient. The soe aim of accreditation is the on-going improvement of the quaity of services, care and safety for patients undergoing physioogica science service tests, examinations and procedures. Accreditation provides physioogica science services with a means to demonstrate to their patients that the service operates safey and competenty and is committed to continuous improvement. Residentia Care Home inspection Accredited inspection for residentia care homes raises standards resuting in improved socia care, and provides independent affirmation that the care provider is compiant with the rigorous standards used by the accredited inspection body. Inspection bodies are assessed against the internationay recognized inspection standard ISO/IEC to carry out inspections of socia care providers. The inspections focus on competence, impartiaity and performance capabiity to assure patients and their famiies of the high quaity of care provided by residentia care homes.

7 Cosing Statement The focus on deivering exceence within the heath and socia care sector is underpinned by accreditation. Accreditation supports and deivers the aim of consistent high quaity care with reiabe outcomes that patients can trust, and provides peace of mind that the service wi meet expectations. The on-going work of the IAF and ILAC, as the estabished authorities to which accreditation bodies must compy, provides additiona reassurance and confidence and conveys an internationa sign of quaity and competence. ISO 9001 & ISO/IEC Management System Certification of Medica Faciities Accredited certification bodies, operating to goba eves of assurance, may certify heathcare providers to ISO 9001 to continuousy support quaity or to ISO/IEC 27001, which gives patients confidence in those organisations handing their persona data. A growing number of case studies, independent research and supporting information from around the word, iustrating the vaue of accreditation in the heath and socia care sector, can be viewed on pubicsectorassurance.org 1. ISO 9001 describes the requirements for quaity management systems and is the word s most estabished quaity framework. It is based on a number of quaity management principes incuding a strong customer focus, the motivation and impication of top management, the process driven approach and continua improvement ISO/IEC is the internationay recognised best practice framework for an information security management system, a vita eement in the provision of heath and socia care. It provides a systematic approach to managing sensitive company information so that it remains secure. It incudes peope, processes and IT systems by appying a risk management process. Accredited certification is used to assess conformity against these standards. 1 Pubicsectorassurance.org is a joint website set up by ISO, ILAC, IAF, IIOC and IEC to hep the pubic sector earn about the benefits of using conformity assessment.

8 Further information Major events, press campaigns, workshops and seminars wi take pace in conjunction with the ceebration of Word Accreditation Day in over 90 countries to raise awareness of the vaue that accreditation pays in supporting goba trade. For further detais, contact your oca accreditation body. Further information on the ILAC mutua recognition arrangement (MRA) and a ist of Signatories is avaiabe on the ILAC website Further information on the IAF Mutiatera Recognition Arrangements (MLA) and a ist of Signatories is avaiabe on the IAF website SIGNATORIES/4s. The ILAC Secretariat PO Box 7507 Siverwater NSW 2128 Austraia Phone: Emai: The IAF Secretariat Eva Nisen 28 Chemin Od Chesea Box 1811 Chesea, Quebec Canada J9B 1A0 Phone: +1 (613) Emai:

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