Page 159 - Hospital Authority Convention 2017
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Symposiums



                S12.1     Inter-professional Collaboration                          14:30  Convention Hall A

               Health Service Accreditation Programmes: Their Role, Contribution and Associated Challenges to Driving
               Quality, Safety and Organisational Improvement
               Greenfield D                                                                                        HOSPITAL AUTHORITY CONVENTION 2017
               Australian Institute of Health Service Management, University of Tasmania, Australia

               This presentation has three aims: to review health service accreditation programmes role, contribution and associated
               challenges, to driving quality, safety and organisational improvement. First, the purpose of health service accreditation
               programmes will be discussed. An accreditation programme is a mechanism to assess that an organisation has appropriate
               structures and processes to promote safety and quality, that they are functioning effectively, and have a continuous quality
               improvement focus to drive improvements. The accreditation of healthcare services remains a key regulatory mechanism
               employed by many governments, at both national and state levels, to monitor and improve safety and quality.

               We will review how accreditation programmes provide a framework for engagement and improvement across complex
               healthcare organisations. We will review the literature to see how accreditation programmes have: stimulated improvements
               in communication and cooperation among individuals and teams; encouraged and made transparent collegial decision-
               making and team learning; realised the regular review and standardising of policies and guidelines; endorsed positive
               organisational cultures and leadership; promoted a positive quality and safety culture, thereby promoting practice change;
               and, been associated with improvements in clinical performance.

               Nevertheless, there is still much to learn about under what circumstances and how an accreditation programme fosters
               quality improvement and learning. Clarifying the distinction between the costs associated with implementing safety and
               quality systems, and those with participation in an accreditation programme requires further attention. The difference is
               confused by many and results in false claims about the cost of accreditation activities. Understanding the role of process
               and quality indicators within an accreditation programme or their relationship to accreditation results is required. Another
               significant challenge is the sustainability of the current programme model and the need for further evolution of the component
               parts, including standards and surveyor workforces. These are perennial issues, inherent in the accreditation field, that
               necessitates consideration.







                S12.2     Inter-professional Collaboration                          14:30  Convention Hall A

               Inter-professional Collaboration in the Community
               Chan F
               Department of Medicine and Geriatrics, Tung Wah Group of Hospitals Fung Yiu King Hospital, Hong Kong

               In the past, healthcare services are mainly provided by the hospitals and outpatient clinics led by the medical team. Over the
               years, community care services, including community nursing service, community geriatric assessment service, outreach
               psycho-geriatric service, palliative care service, and domiciliary allied health services have been set up. The ultimate goal is
               to provide an integrated, holistic, patient-centred and multi-disciplinary care for older patients with chronic diseases to stay
               in the community, supported by healthcare professionals, family members as well as the social and welfare sector.
               In  this  symposium,  various  inter-professional  collaboration  models  will  be presented.  Integrated  care  model  and  patient   Wednesday, 17 May
               support call centre are two programmes targeted at high risk elders to provide continuing comprehensive support upon their
               discharge from hospital. Community volunteer service is a medical-social collaboration with different community partners
               to provide support and care in the form of a neighbourhood network. End-of-life care programme is an inter-specialty
               programme in partnership with palliative care specialists for older adults with advanced diseases and limited life expectancy,
               promoting advance care planning and quality care in residential care homes for the elderly. Dementia community support
               scheme and carers’ training programmes are designed to provide support for older persons with mild to moderate dementia
               in district elderly community centres operated by non-government organisations. A recently rolled out pilot programme,
               aiming at improving drug adherence and minimising drug wastage for patients with asthma and chronic obstructive airway
               disease,  is  an  inter-professional  collaboration,  involving  pharmacists,  respiratory  physicians,  social  workers,  community
               nurses and volunteers.

               At the end of the presentation, key factors for successful implementation of inter-professional collaboration will be discussed.












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