Accredited by /Agréé par ISQua CCHSA Accreditation: New Standards for Managing Medications Jessica...
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Transcript of Accredited by /Agréé par ISQua CCHSA Accreditation: New Standards for Managing Medications Jessica...
Accredited by /Agréé par ISQuaAccredited by /Agréé par ISQua
CCHSA Accreditation: New Standards for Managing Medications
Jessica Peters
Lead, Research & Product Development
CCHSA
© CCHSA / CCASS2
Presentation Outline
Vision, Mission and Values
The Accreditation Program
Program Enhancements
The New Standards for Managing Medications
Next Steps
© CCHSA / CCASS3
CCHSA’s Vision and Mission
VisionThe leader in raising the bar for health quality
MissionDriving quality in health services through accreditation
© CCHSA / CCASS4
CCHSA’s Values
Within an environment focused on clients and committed to quality of worklife, partnerships, and personal growth, our values are:
Excellence Integrity Respect Innovation
© CCHSA / CCASS5
CCHSA’s Accreditation Program
Canadian accreditation program - incorporated in 1958 Not-for-profit High participation rates; continued growth Surveyors (approx. 400) are senior health care
professionals Surveys may be regional, institution specific, national or
market specific (i.e. First Nations, Corrections, Canadian Forces)
Average 400+ surveys per year Three year cycle Both public and private organizations participate
© CCHSA / CCASS6
© CCHSA / CCASS7
Role of Accreditation
Quality Improvement – at the organization level and at the system level
Change management
Standards of excellence – raising the bar on health care Standards of clinical practice Governance Leadership
© CCHSA / CCASS8
CCHSA Standards
Standards of excellence
‘Raise the bar’ for health care practice
Enable an organization/team to stretch to improve care, to reach or raise the bar
Developed with the input and guidance of experts in the field and updated on a regular basis to ensure relevance and value
Are applicable to different regions and service delivery settings
Will continue to be used by organizations, but in a new way
© CCHSA / CCASS9
Evolution of CCHSA Program
1958 -1976Hospital Based
1958-1980Acute Care
Long Term Care Institutions
1980 - 1995
1980 - 1992Mental HealthRehabilitation
Cancer
1995 - 2000
1995 - 1997Home Care
Community HealthServices
Health SystemsAcquired Brain
Injury
2000 - 2006
2001 - 2006HPCAHSCF
ARTChild Welfare
TelehealthLabs
1980 - 2006Diversification of Markets
2001AIM Introduction 2007
NewAccreditation
Program(Development & Pilot)
2001- 2006V2-V5
1959Accreditation
Program
New Sector New Sector
New Sector
New Sector
LEGEND
HPC: Hospice Palliative CareAHS: Aboriginal Health ServicesCF: Canadian ForcesART: Assisted Reproduction TechnologyEHS: Emergency Health Services
1995CCAP
2006Under Development
Public HealthEHS
TeletriageAHS Nursing StationsInfection Prevention &
Control
© CCHSA / CCASS10
The New Accreditation Program
Benefits:
1. Standards that: Capture the most recent governance/managerial and
clinical best practices Reflect the emerging trends or disease (and wellness)
patterns in healthcare Have an increased level of specificity Can be used or integrated into the daily work of
organizations
2. Streamlined and more flexible process that: Supports and aligns better to an organizations’ quality
improvement initiatives Is adaptable no matter how small or how complex the
organization may be
© CCHSA / CCASS11
The New Accreditation Program
Benefits:
3. Greater focus on the provision of safe quality care and service in a variety of health care settings
4. Planned and predictable accreditation activities with a on-site survey that is customized to the organizations’ needs
5. Automated measurement tools that allow: Greater and faster data exchange Improved standardization and objectivity
© CCHSA / CCASS12
The standards have a brand new structure…
© CCHSA / CCASS13
Standards Areas
POSITIVE CLIENT EXPERIENCE
SERVICE EXCELLENCE
PROACTIVE AND SUPPORTIVE ORGANIZATION
EFFECTIVE AND SUSTAINABLE GOVERNANCE
© CCHSA / CCASS14
Managing Medications: Background
The development of the new standards for managing medications was driven by: Importance of safe medication management processes in
protecting client safety Feedback from client organizations and surveyors Changing health care environment
Development began in 2004 Expert working group including representatives from
organizations and ISMP-Canada Standards circulated for consultation in late 2005 to
approximately 15 organization
© CCHSA / CCASS15
The New Standards for Managing Medications…
Standards target medication processes in an institutional setting, i.e. hospital, long term care
Focus on the safe use of medications from selection and procurement through administration
Address a number of key themes: Working Together to Promote Medication Safety Carefully Selecting and Procuring Medications Properly Labelling and Storing Medications Appropriately Ordering and Transcribing Medications Accurately Preparing and Dispensing Medications Safely Administering Medications to Clients Monitoring Quality and Achieving Positive Results
© CCHSA / CCASS16
Working Together to Promote Medication Safety
Recognizing pharmacists and pharmacy staff as integral members of the interdisciplinary team
Actively involving the pharmacy staff in designing the organization’s medication use and medication management processes
Providing access to accurate medication-related information, formally approved drug information tools and education about safe medication use
Evaluating the competency of all service providers who participate in the medication use process
© CCHSA / CCASS17
Carefully Selecting and Procuring Medications
Maintaining an up-to-date and evidence-based list of available medications
Minimizing the number of procured and available medications
© CCHSA / CCASS18
Properly Labeling And Storing Medications
Reducing the possibility of errors with drug product nomenclature, labeling, and packaging
Labeling all drug concentrations clearly and legibly
Providing suitable space for drug storage in pharmacies and client/unit medication areas
Carefully selecting stock drugs for each client area
Storing hazardous chemicals away from clients, service providers, and drug preparation areas
© CCHSA / CCASS19
Ordering and Transcribing Medications Appropriately
Maintaining accessible and up-to-date client information
Communicating drug orders and other drug information in a standardized way
Reviewing all prescriptions or medication orders for accuracy and appropriateness
© CCHSA / CCASS20
Accurately Preparing and Dispensing Medications
Preventing contamination when preparing medications
Dispensing medications in a safe, accurate, and timely way
Having a system to safely dispense medications where there is no internal pharmacy or when the pharmacy is closed
Transporting medication in a safe, secure, and timely manner way
© CCHSA / CCASS21
Safely Administering Medications To Clients
Educating clients about their medications and delivery devices, and ways to prevent errors
Following a process to allow and monitor clients’ self-administration of their medications
Safely and accurately administers medications Reducing the risk of error through careful
procurement, maintenance, use, and standardization of medication delivery devices
Monitoring clients following medication administration
© CCHSA / CCASS22
Monitoring Quality And Achieving Positive Outcomes
Having a coordinated risk management program to reduce medication-related errors and sentinel events
Regularly monitoring and evaluating the quality of the medication management and pharmacy system
© CCHSA / CCASS23
Current Status of the New Program
13 pilot sites will test various elements of the program starting March to December 2007
National consultation on standards Customized transition plan for each client in 2008 Pan Canadian information sessions in major cities to support
transition Ongoing communication
CCHSA web site teleconferences
© CCHSA / CCASS24
Canadian Council on Health Services Accreditation
The leader in raising the bar for health quality