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Promoting Quality in Homecare
Standards
John Sweeney, Director, Health Care Informed
We Believe
We Believe
We Believe
• “We are committed to providing the highest standards of
home care”
• “enhance the lives of seniors”
• “homecare of the very highest quality”
• “providing the highest quality care”
• “dedicated to overall improvement of your quality of life”
We Believe
• “strive to provide the best in quality home care”
• “provide you with a professional standard of quality”
• “Together we will give your loved one the best quality care.”
• “provide the highest quality of care”
• “through the provision of expert care ”
• “unmatchable quality of home care”
We Believe
14 HCCI
We Believe
To foster and promote
high quality standards
of home care services
We Believe
We Believe
ISO / Q Mark
Systems improvement
and Business risk
And Yet ….
And Yet…
….designed
to improve the
safety
and
quality of care.
Why?
Why?
• Difficult
• Costly
• Time Consuming
• Takes Away Core Focus of Business
• Its Optional …….
Drivers
• Demonstrable Quality of Care
– Voluntary – Improved Care (and Service)
– Financial - The Payers – Tax / Health Insurance
– Regulatory – Safety of Clients
Internationally
• Increased Regulation – UK, NI, US
•
– Increase Number of Regulatory Bodies (12%)
– Special Interest Group on Care of the Ageing
– 2015 – Home Care Focus – Q&S Goals
Nationally
• Health Information and Quality Authority (HIQA)
– Safer Better Care Standards - 2016+
– Homecare Specific Guidance
• Joint Commission International (JCI)
– Accreditation Standards for Homecare
JCI Standards
• Section I: Patient-Centered Standards
• International Patient Safety Goals (IPSG)
• Patient Access and Assessment (PAA)
• Patient Rights and Responsibilities (PRR)
• Patient Care and Continuity of Care (PCC)
• Patient Medication Management (PMM)
• Patient and Family Education (PFE)
JCI Standards
• Section II: Health Care Organization Management
Standards
• Improvement in Quality and Patient Safety (IQS)
• Infection Prevention and Control (IPC)
• Management and Safety of the Environment (MSE)
• Staff Qualifications and Education (SQE)
• Governance and Leadership (GAL)
• Communication and Information Management (CIM)
Benefits?
• Improve the management of care / services
• National / International Recognition
• Stimulate continuous improvement in care
• Increase efficiency/reduce costs
• Reduced Risk
• Framework for all Regulations
Where to Begin
•Governance
•Objectives
•Structures
•Communication
•Planning – Project
and Business
•GAP Analysis
• Structures –
Staff (HR)
Equipment
Environment
IMS
• Processes – PPG’s
/ ICP’s
•Outcome
•Feedback
•KPI’s
•Tracers
•Internal/External
Assessment
•Survey
•QIP’s
•Report Actions
•CQI
Key Findings
• Governance and Communication
• Care Assessment / Planning
• Risk Management
• Policies and Procedures
• Measurement and Evaluation
What Will it Mean?
• The Client:
– Appropriate / Comprehensive / Evaluated Care
– Confidence and Safety
• The Organisation:
– Significant Change – Structures – Process - Outcome
– Better Organisation and Business
In Summary
• We Must Practice What we Preach
• No Longer Optional. Now is the time….
• It is Difficult, Costly, and Time Consuming but …
• We need to Strive for Better Care …
Thank You

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John Sweeney, Director of Health Care Informed from The National Homecare Ireland Conference 2014

  • 1. Promoting Quality in Homecare Standards John Sweeney, Director, Health Care Informed
  • 4. We Believe • “We are committed to providing the highest standards of home care” • “enhance the lives of seniors” • “homecare of the very highest quality” • “providing the highest quality care” • “dedicated to overall improvement of your quality of life”
  • 5. We Believe • “strive to provide the best in quality home care” • “provide you with a professional standard of quality” • “Together we will give your loved one the best quality care.” • “provide the highest quality of care” • “through the provision of expert care ” • “unmatchable quality of home care”
  • 7. We Believe To foster and promote high quality standards of home care services
  • 9. We Believe ISO / Q Mark Systems improvement and Business risk
  • 13.
  • 14. Why? • Difficult • Costly • Time Consuming • Takes Away Core Focus of Business • Its Optional …….
  • 15. Drivers • Demonstrable Quality of Care – Voluntary – Improved Care (and Service) – Financial - The Payers – Tax / Health Insurance – Regulatory – Safety of Clients
  • 16. Internationally • Increased Regulation – UK, NI, US • – Increase Number of Regulatory Bodies (12%) – Special Interest Group on Care of the Ageing – 2015 – Home Care Focus – Q&S Goals
  • 17. Nationally • Health Information and Quality Authority (HIQA) – Safer Better Care Standards - 2016+ – Homecare Specific Guidance • Joint Commission International (JCI) – Accreditation Standards for Homecare
  • 18.
  • 19. JCI Standards • Section I: Patient-Centered Standards • International Patient Safety Goals (IPSG) • Patient Access and Assessment (PAA) • Patient Rights and Responsibilities (PRR) • Patient Care and Continuity of Care (PCC) • Patient Medication Management (PMM) • Patient and Family Education (PFE)
  • 20. JCI Standards • Section II: Health Care Organization Management Standards • Improvement in Quality and Patient Safety (IQS) • Infection Prevention and Control (IPC) • Management and Safety of the Environment (MSE) • Staff Qualifications and Education (SQE) • Governance and Leadership (GAL) • Communication and Information Management (CIM)
  • 21. Benefits? • Improve the management of care / services • National / International Recognition • Stimulate continuous improvement in care • Increase efficiency/reduce costs • Reduced Risk • Framework for all Regulations
  • 22. Where to Begin •Governance •Objectives •Structures •Communication •Planning – Project and Business •GAP Analysis • Structures – Staff (HR) Equipment Environment IMS • Processes – PPG’s / ICP’s •Outcome •Feedback •KPI’s •Tracers •Internal/External Assessment •Survey •QIP’s •Report Actions •CQI
  • 23. Key Findings • Governance and Communication • Care Assessment / Planning • Risk Management • Policies and Procedures • Measurement and Evaluation
  • 24. What Will it Mean? • The Client: – Appropriate / Comprehensive / Evaluated Care – Confidence and Safety • The Organisation: – Significant Change – Structures – Process - Outcome – Better Organisation and Business
  • 25. In Summary • We Must Practice What we Preach • No Longer Optional. Now is the time…. • It is Difficult, Costly, and Time Consuming but … • We need to Strive for Better Care …
  • 26.