the annual quality report a dynamic tool for quality management and accountability
TRANSCRIPT
The Annual Quality Report
A dynamic tool for quality management and
accountability
25 November 2005 Final Conference Matra Project
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Quality System in Health Care National level
Government legislation, regulation Monitoring by HCSA, insurance
companies Certification, accreditation
Institution level Implementation of quality systems Monitoring of quality of services Provision of information to national level
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Implementation of quality systems in health institutions
Adherence to standards defined by MOH, insurance companies, HCSA
Adherence to standards and systems defined in accreditation/certification
Adherence to clinical practice guidelines (evidence based medicine/nursing)
Achieving maximum patient satisfaction possible
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Internal monitoring of quality systems Quality committee and quality manager
Multidisciplinary composition Formulate priorities and targets
Joint activity with management and owner Keep track of achievements/constraints
Data collection and analysis Motivate staff showing results
Feedback mechanisms to be developed
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Accounting to external stakeholders Legal obligation
Indicators formulated by MOH Contractual obligation insurance
companies Accounting to owners
Regional government, municipality Accounting to general public
Patient organisations, patient panels
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The Annual Quality Report Reflects the vision on the organisation,
its environment and its tasks Is more then a representation of data;
it provides an analysis Is part of a planning and reporting cycle
it reflects on achievements and constraints Is part of a quality system
Defining new goals for coming period
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The Annual Quality ReportContents Mission of the organisation regard to
quality Report over past year
Priorities and plans over past year Resources used (human resources, finances) Activities implemented, e.g. surveys Data on core indicators and analysis Clinical guidelines and protocols in place Education and training provided in organisation
Planning for next year
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International Experiences Quality reporting hospitals obligatory in
many European countries UK: NHS monitoring system Germany: federal government body monitors
Reports at www.bqs-outcome.de Netherlands and Belgium: quality reports in
legislation, health inspection checks Lessons learned:
Comparison between hospitals: triggers debate
Increased awareness under hospital staffs
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Pilot in Matra project 10 hospitals approached
Hospitals with experience in PATH project Basic format for report provided
Report over first six months 2005 Presentation of reports following this
introduction Proposal to MOH to introduce
mandatory quality reporting for hospitals Putting data on MOH indicators in a context Comprehensive information on activities