1. ISQua Webinar 21 November 2013 Meeting Government /Accreditation Requirements or the Pursuit of Excellence Brian Johnston Consulting

2. Our Aims A word about accreditation in general Standards Regulation Accreditation in social care (in Australia) The Residents Compliance with regulations and the pursuit of excellence With due acknowledgement of the input of Mark Brandon, CEO, Aged Care Standards and Accreditation Agency, and The ISQua Special Interest Group with its focus on ‘Quality Social Care for Older Persons Brian Johnston Consulting

3. What is accreditation in social or health care settings? “A public recognition by a healthcare accreditation body of the achievement of accreditation standards by a healthcare organisation, demonstrated through an independent external peer assessment of that organisation’s level of performance in relation to the standards.” The International Society for Quality in Health Care, Organisation Survey Handbook (7), January 2008 There are others but the intent is similar. Brian Johnston Consulting

4. Accreditation is about turning noise into music Brian Johnston Consulting

6. What accreditation is and is not! What it is:  a commitment to maximising quality and safety  Acting in the best interests of service users  A commitment to minimising risks  Being a learning organisation What it is not  a guarantee of absolute quality  A guarantee of absolute safety  The elimination of all the risks  A guarantee that evidence based best practice is always provided Brian Johnston Consulting

7. Standards Address a recognised need Be evidence based (as far as practicable) Be developed through a transparent and consultative process Be outcome focused Achievable Measurable ISQua Brian Johnston Consulting

8. Regulation “We regulate in an empirical void, often addressing anecdotes and hysteria with far-reaching initiatives” Brennan TA (1998) The role of regulation in quality improvement. Milbank Q 76, 709 – 31, 512 ‘The Regulatory pyramid and health care safety and quality mechanisms’ Braithwaite, J., Healy, J., Dwan, K., The Governance of Health Safety and Quality, Commonwealth of Australia, 2005

9. Types of regulatory approaches Brian Johnston Consulting

10. Accreditation in social care There are four standards: 1.Managements systems, staffing and organisational development 2.Health and personal care 3.Resident life style 4.Physical environment and safe systems With the detail of demonstrable performance requirements set out in 44 expected outcomes. They are prescribed under legislation. Brian Johnston Consulting

11. Compliance v Excellence A blending of issues – social expectations, policy and funding agendas, government responses Regulation – enforcement or clarity Defining quality – “the extent to which a health care service or product produces desired outcomes” Runciman Excellence and the pursuit thereof… Brian Johnston Consulting

12. In summary A merging of concepts that if effective gives context, direction and the right outcomes for all parties Brian Johnston Consulting

14. Thank you Brian Johnston Consulting E brianjohnston@bigpond.combrianjohnston@bigpond.com M +61 413 156 683 T + 61 2 9540 4875 PO Box 28 Gymea NSW 2227 Australia Brian Johnston Consulting