Finalization of Hospital Accreditation Standards

Finalization of Hospital Accreditation Standards

• 1.
  Workshop on Finalization ofHospital Accreditation Standards September 08, 2012 Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 2.
  Draft | HospitalStandards • The hospital standards are first divided into two major sections: 1. Patient-Focused Standards [5 chapters] 2. Hospital-Focused Standards [5 chapters] Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 3.
  Draft | PatientFocus Standards | 5 Chapters • Patient-focused standards section is extended into 5 chapters: 1. Patient Safety Goals [PSG] 2. Total Patient Management [TPM] 3. Critical Care Management [CCM] 4. Total Medication Management [TMM] 5. Patient and Family, Rights and Education [PFRE] Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 4.
  Draft | Hospital-FocusedStandards | 5 Chapters • Hospital-focused standards section is further extended into another 5 chapters: 1. Quality and Risk Management [QRM] 2. Infections Control and Prevention [ICP] 3. Facility Safety and Equipment Management [FSEM] 4. Governance and HR Management [GHM] 5. Information and Communication [IAC] Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 5.
  Patient Focus Standards|Chapter 1 6 (six) Patient Safety [PSG] Goals PSG.1 Identify Patients Correctly PSG.2 Improve Effective Communication PSG.3 Improve the Safety of High-Alert Medications PSG.4 Ensure Correct-Site, Correct-Procedure, Correct- Patient Surgery PSG.5 Reduce the Risk of Hospital–Associated Infections PSG.6 Reduce the Risk of Patient’s Falls Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 6.
  Patient Focus Standards|Chapter 2 Total Patient Management [TPM] • Admission to the Hospital • Continuity of Care • Assessment of patient • Laboratory Services • Radiology and Diagnostic Imaging Services • Uniform Care Delivery • Care of High-Risk Patients and Provision of High-Risk Services • Food and Nutrition Therapy • End-of-Life Care • Discharge, Referral, and Follow-Up • Transfer of Patients | Transportation Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 7.
  Patient Focus Standards|Chapter 3 Critical Care Management [CCM] • Management Responsibility • Sedation Care • Anesthesia Care • Surgical Care Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 8.
  Patient Focus Standards|Chapter 4 Total Medication Management [TMM] • Management Responsibility • Selection and Procurement • Storage • Ordering and Transcribing • Preparing and Dispensing • Administration • Monitoring Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 9.
  Patient Focus Standards|Chapter 5 Patient & Family, Rights & Education [PFRE] • Patient and Family Rights • Informed Consent • Research • Organ Donation • Patient and Family Education Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 10.
  Hospital-Focused Standards| Section2 | Chapter 1 Quality and Risk Management [QRM] • Leadership and planning • Design of Clinical and Managerial Processes • Data Collection for Quality Measurement • Analysis of Measurement Data • Gaining and Sustaining Improvement Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 11.
  Hospital-Focused Standards| Section2 | Chapter 2 Infection Control and Prevention [ICP] • Leadership and Coordination • Focus of the Program • Isolation Procedures • Barrier Techniques and Hand Hygiene • Integration of the Program with Quality Improvement and Patient Safety • Education of Staff about the Program Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 12.
  Hospital-Focused Standards| Section2 | Chapter 3 Facility Safety and Equipment Management [FSME] • Leadership and Coordination • Safety and Security • Hazardous Materials • Disaster Readiness • Fire Safety • Medical Equipment • Utility Systems • Staff Education Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 13.
  Hospital-Focused Standards| Section2 | Chapter 4 Governance & HR Management [GHM] • Governance of the Organization • Leadership of the Organization • Direction of Departments and Services • Organizational Ethics • HR Planning • Orientation and Education • Medical Staff Credentials | Clinical Privileging • Ongoing Monitoring and Evaluation of Medical Staff • Nursing Staff Credentials • Other Health Care Practitioners Credentials Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
• 14.
  Hospital-Focused Standards| Section2 | Chapter 5 Information and Communication [IAC] • Communication with the Community • Communication with Patients and Families • Communication between Practitioners within and outside of the Organization • Leadership and Planning • Patient Clinical Record • Aggregate Data and Information Government of the People’s Republic of Bangladesh Directorate General of Health Services (DGHS)
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