Standards Development

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Standards Development

• Kolkata, April 2008

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Relevance of Standards

• They make expectations regarding quality and
  performance of hospitals explicit and universal
• They provide a basis for self-assessment and
  external evaluation
• They facilitate the identification of areas for
  improvement and planning of improvement
  activities
• They help to identify levels of responsibility
• They help to assess training needs
• They can be used as a management and planning
  instrument

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Why to create our own standards

• the basic contents and principles of all
  standards are very much the same e.g. focus on
  patient/customer satisfaction, on processes
  (instead of input-output only), and on leadership
  and communication
• Standards are usually protected by copy rights
  and for Govt. Hospitals it is not feasible to pay
  large amounts of money for the use of standards
  and accreditation services

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• Standards available
• QA in RCH II services
• HAP(UK) Standards
• Joint Commission International
• IPHS Standards
• Himachal Pradesh Standards
• NWFP Standards
• NABH
• ISO

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Other Sources of standards

• Legal regulation
• Government advice
• Professional bodies
• National reviews, reports
• Overseas, international standards
• Health service, biomedical research

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Guidance material

• Checklist for new accreditation programmes
• ISQua Accreditation Toolkit
• WHO Global Review

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Guidance for standards formulation

• Structure of standards
• Departmental
• Pathways
• Structure Process Outcome
• Scope and Management
• Facilities and Equipment
• Human Resources
• Evaluation and Quality Improvement
• RUMBA
• Adopted / Adapted / Rejected / Added
• Essential / Desirable
• Politically correct , Technically correct

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Process of customization

• RUMBA Test
• Relevance to West Bengal
• Divided in 5 documents
• Standards
• Technical Document
• Checklist for Administrators
• Checklist for Nursing Personnel
• Checklist for Doctors

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Common values in quality

• Transparency
• Public accountability
• Patient rights, empowerment and partnership
• Protect safety of patients and staff
• Protect against litigation
• Reduce wasted resources
• Appropriate service provision
• Develop evidence-based medicine
• Develop organisations and personnel

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Thank you