National Safety and Quality in Health Care
HDAA Experience with Assessing the NSQHSS
The Australian Commission on Safety and Quality in Health Care (ACSQHC) has granted approval to HDAA to assess health service organisations using the National Safety and Quality In Health Care Services Standards (NSQHSS).
HDAA are a specialist health assessment organisation, an experienced provider of accreditation to the health sector and one of the few organisations in Australia that has achieved accreditation by the International Society for Quality in Healthcare (ISQUA).
HDAA has worked with health services as they progressively implement the NSQHCS Standards. When you choose HDAA as your assessment agency you can be assured that we will do everything in our power to make the assessment experience both positive and valuable. Our aim is to walk beside you on your journey to improvement and help you at every stage.
What is the NSQHSS?
The NSQHS Standards were approved by Australian Health Ministers in September 2011 and Accreditation for hospitals and day procedure services commenced in January 3013.
The 10 NSQHCS Standards provide a nationally consistent statement about the level of care consumers can expect.
The 10 standards of the NSQHSS address the following areas:
- Governance for Safety and Quality in Health Service Organisations
- Partnering with Consumers
- Preventing and Controlling Healthcare Associated Infections
- Medication Safety
- Patient Identification and Procedure Matching
- Clinical Handover
- Blood and Blood Products
- Preventing and Managing Pressure Injuries
- Recognising and Responding to Clinical Deterioration in Acute Health Care
- Preventing Falls and Harm from Falls
The introduction of these National Safety and Quality Health Service (NSQHS) Standards and reforms under the Australian Health Service Safety and Quality Accreditation (AHSSQA) Scheme have implications for many health services nationally, as they commence participation in third party accreditation processes, many for the first time.
We welcome the opportunity to meet with you and discuss how HDAA can assist your service with assessment to the NSQHSS.
Preparing for your NSQHSS assessment
Contact us by email or phone 1800 601 696 to discuss your service’s individual needs, relevant transition details and to identify a suitable date with sufficient lead time to feel comfortable and prepare for your service’s transition.
To support your assessment planning, HDAA will provide you with clear information and guidance in regard to the evidence requirements, clarification of the specific time frames to meet your assessment cycle needs and an easy to use, comprehensive self-assessment document and improvement action plan system.
The Key Features of Assessment for Certification
An Assessment for Certification involves two key steps:
Stage 1 – a self-assessment and document review of your quality management system by a HDAA Assessor. A report of the findings of Stage 1 is provided to assist you to prepare for Stage 2.
Stage 2 – a visit to your Head Office and to a sample of your sites/locations, meeting with people who use your services, volunteers, staff, management and Board.
Throughout the Assessment we work together with you to provide:
- Access to HDAA’s Program Support team to clarify the requirements of the standards and discuss the assessment or other relevant matters;
- A fully participatory and inclusive approach by our Assessment Teams;
- Experienced and skilled Assessors who have worked with these standards and other human services assessment programs;
- Assessors with relevant disability and child safety services expertise.
What an assessment involves
Key Features of Assessment for initial certification:
- Pre-visit co-ordination;
- Pre-review of documentation by Assessment Team;
- Visit by the Assessor/s;
- Post-assessment report development;
- Quality review of assessment reports by an independent Principle Assessor;
- Draft assessment report provided for your feedback;
- Certification panel decision making;
- Final assessment report forwarded to you and the Department of Communities.
Our aim is for your assessment report to provide a blueprint for your ongoing continuous improvement plan. Remember your Assessor is available to discuss your assessment and answer any questions you may have at each step in the process.
Maintenance Review (Surveillance Assessment)
Maintenance Review involves working with you to assess your ongoing implementation of the standards and to determine your progress with your improvement plan. It provides you with assurance on how you are progressing against the standards and your previous Assessment and occurs at the midpoint of the certificate cycle, 24 months from your Certification (or re-certification) assessment.
The maintenance assessment includes on-site visits and, at a minimum, ensures:
- That previously identified corrective actions are closed out, as stated in the improvement plan;
- That management review, monitoring and internal assessment processes are functioning effectively;
- The effective interaction between all elements of the quality management system;
- That overall system effectiveness and integrity is maintained in the light of changes in operations;
- That there is demonstrated commitment to maintaining the effectiveness of the system;
- That there is consultation with service users.
The maintenance assessment usually involves:
- Pre-visit co-ordination;
- A review of your service in relation to a sample of standards and the previous Assessment for Certification (or Re-certification);
- Discussions with staff;
- Discussion with you on any improvements;
- Provision of a full Maintenance Assessment Report.
Certification is for a period of three years from the date the Certificate decision is made following the on-site Assessment for Certification visit. Re-certification is required to maintain certification. The re-certification process is assessment to a selection of the standards. The re-certification assessment will be similar to Stage 2 of an Assessment for Certification.