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Learning objectives
After reviewing this presentation, you will understandHow the Global Rating Scale supports accreditation
Understand what is meant by quality improvement
Understand the tools available to support improvements in endoscopy services
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The basics
The Endoscopy Global Scale (GRS) is a quality improvement system designed to provide a framework for continuous improvement for endoscopy services to achieve and maintain accreditation
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Accreditation definition
Usually a voluntary process by which an independent agency grants recognition to organisations which meet certain standards that require continuous improvement in structures, processes and outcomes.
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Accreditation represents
A risk reduction strategy That an endoscopy service is doing the right things and doing them well;Thereby significantly reducing the risk of error in the delivery of services
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Accreditation process
The process stimulates continuous improvementContinuous: uninterrupted, without cessationImprovement: bringing into a more desirable or excellent condition; making more valuable; making or becoming better. (Macquarie Dictionary definition)
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JAG Accreditation
What is JAG Accreditation intended to accomplish?Stimulate continuous improvement in processes and patient outcomes
Strengthen endoscopy services
Provide a knowledge base of best practices
Increase patient confidence in services
Improve the management and efficiency of services
Provide education on better/best practices
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SEQOHS Accreditation (Cont’d)
What is JAG Accreditation intended to accomplish?Provide comparison with self and others
Enhance the workforce, retention and satisfaction
Increase chances to add to and grow services
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Strengths of JAG Accreditation
Stimulates quality improvement culture in the service
External, objective evaluation
Uses agreed standards
Involves health professionals
Puts the patient at the heart of the process
Proactive not reactive
Annual re-evaluation against standards
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Benefits for medical and nursing staff
Improves professional staff development
Provides education on standards
Provides leadership for quality improvement within medicine and nursing
Increases satisfaction with working conditions, leadership and accountability
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Benefits for all employees
Values employee opinions
Involves them in quality activities
Improves employee job satisfaction and retention
Clearer lines of authority and accountability
Promotes teamwork
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Quality Endoscopy Service
1. Patient centered with good customer service
2. Use standards and guidelines to continually improve safety and quality of care and the environment
3. Led and coordinated with efficient safe processes
4. Safe, low risk facility and environment
5. Staff with excellent skills and knowledge
6. Quality improvement culture supported by leaders and managers
Quality Endoscopy Service
The GRS & accreditation pathway will assist you to both achieve and demonstrate this.
JAG Requirements
The JAG Accreditation process is based on the GRS Standards
The JAG will require GRS levels to be demonstrated though clear evidence submission
The JAG accreditation website, incorporates the GRS standards has an online accreditation system that services will have to participate in and upload the required evidence
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To progress to stage two
An endoscopy service must:
Be operational for a minimum of a year with supporting audits/evidence over an agreed period
Have completed the GRS over 2 census points
Ensure that evidence demonstrate agreed levels for domains of the Endoscopy Global Rating Scale (GRS):
– Clinical quality– Quality of the patient experience– Workforce– Training
Ensure that there is a safe environment for patients and staff
Meet requirements for decontamination
Making progress: working through the standards
Actively progressing well
with good engagement
Achieving all the standards
Ready now for accreditation
Had a look at: progressing
slowly
Where are you on the GRS and accreditation pathway?
20%
40%
60%
100%
80%
Successful services …
Actions Questions
Lead, plan, involve the whole team
Who is leading? Who is co coordinating?
Are clear about their starting point What does your GRS assessment really say?
Run it as a project, meticulous organisation will pay off
How will you prioritise the work and organise yourselves to be successful?
Develop a communication plan Who needs to know about this?
Have effective meetings What meeting structure do you have ?
Gather new knowledge and examples
How will you do this?
Meeting the standards
The GRS is not a “one man show” leadership across the disciplines was cited as the number one factor in achieving success.
Clinical engagement is key
The GRS-practical advice
Complete it at each census point. The GRS must be completed twice a year to apply for and maintain accreditation
Answer the statements critically each time Look the tools and advice available on the KMS Involve the whole team Engage with as many people as you can and publish
results
Work in partnership
Clinical lead for endoscopy
All endoscopists General Manager Nursing lead for
endoscopy Nursing staff
Support services: ITAuditPatient groupsDocumentation groupsClinical Governance
External networks
Involve as many as possible in doing the work:
Other specific support
Specific Training– How to pass your accreditation assessment
Schedule of teleconferences and Webinars– Specific Webex training and support
Dedicated email support through ‘contact us’ on the website
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Conclusion
Accreditation is the most comprehensive and powerful tool for quality improvement
Accreditation has been found to be effective in many systems in many other countries with very different systems
The JAG Accreditation Scheme is working to improve endoscopy services through the accreditation process
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