Presentation on theme: "1 by: Dr.Saeed Al Qahtani Head, Planning Department and Quality Management Consultant, KFSH,,Saudi Arabia."— Presentation transcript:
1 by: Dr.Saeed Al Qahtani Head, Planning Department and Quality Management Consultant, KFSH,,Saudi Arabia
2 Agenda History of accreditation. Purpose of study. Objectives. Methodology. Results. Recommendations. Conclusion.
3 Aramco Medical Services 1990 27 hospitals are accredited. 33% (Governmental) JCIA (22). CCHSA (4). JCIA+ CCHSA+ACHS (1) CBAHI 2006 ( processing ) Accreditation History in Saudi Arabia
4 To study the Impact of Accreditation on Patient Care in Hospitals in Saudi Arabia Purpose
5 1.To measure the impact of accreditation on patient /staff 2.To determine the impact of accreditation on utilization resources 3.To study the relationship between obtaining the accreditation and increased financial revenue 4.To identify the top 5 elements that affect positively in the organization Objectives
6 25 hospitals ( sample size ) Data collection ( questionnaire ) 5 Dimensions: a. Patient Safety b. Leadership c. Workforce development d. Patient focus e. U.M & F.M Methodology
7 1.Patient safety culture is increased by 10%. 2.Staff are more satisfied by 5%( governmental hospitals only). 3.Patients are more satisfied by 7%. 4.Leadership is more committed by 20%. 5.Utilization resources are more utilized by 18%. 6.Patients bill of rights are more implemented by 10%. Results
8 TABLE (1-2) GROUP "A" Governmental hospitals (MOH, National Guard, KFSH and Security Forces) No.INDICATORS ACCREDITATION BEFOREAFTER 1.PATIENT SATISFACTION RATE 60%70% 2.STAFF SATISFACTION RATE 68%71% 3.WAITING TIME (ER) 4.5 HRS2.19 HRS 4.MEDICAL RECORDS DOCUMENTATION COMPLETENESS PERCENTAGE 40%63% 5.NO. OF EDUCATIONAL SESSIONS PER YEAR 94231 6.COMPLIANCE WITH POLICY & PROCEDURE RATE 35%55% 7.FINANCIAL REVENUE --
9 GROUP “B" Private Hospitals No.INDICATORS ACCREDITATION BEFOREAFTER 1.PATIENT SATISFACTION RATE 70%80% 2.STAFF SATISFACTION RATE 71%65% 3.WAITING TIME (ER) 1.34 HRS40 minute 4.MEDICAL RECORDS DOCUMENTATION COMPLETENESS PERCENTAGE 55%70% 5.NO. OF EDUCATIONAL SESSIONS PER YEAR 70190 6.COMPLIANCE WITH POLICIES & PROCEDURES RATE 25%47% 7.FINANCIAL REVENUE 2% 5%
12 a. Effective communication. b. Continuous education. c. Satsifaction. d. Safety culture. e. documentation system. The Top 5 positive impact of accreditation
13 Recommendations accreditation culture. Accreditation not certificate only. Decision makers in MOH should support hospitals ( under accreditation/accredited) through increased annual budget. Rewarding system for staff to be created. Quality of services should be considered during preparation for accreditation.
15 Conclusion Accreditation is more effective in private than government hospital All accreditation organizations have clear strategic directions Accreditation system has created patient and safety language ( new language ) Documentation system is improved. Accredited hospitals are more profitable. Monitoring process in place