be assured 1 Accreditation Unplugged Accreditation Unplugged Making it realistic and constructive Shiva Sami and Craig Watson August 2014

be assured Accreditation  What is it?  Why have it?  Who does it?  How is it carried out?  What defines the benchmarks? 2

be assured What we see… 3 RUUUN….and don’t say anything if they catch you! Just walk quickly, don’t turn around and we’ll make it out before they notice….

be assured What we’d like to see! 4 Yay – Assessment time!

be assured What is it  Process by which radiology service providers assure and enhance the quality of service including standards of practice.   Assure both patients and referring clinicians that it meets international standards. 5

be assured Big changes to process –2013  Surveillance streamlined  Constructive input  Increased value  Embracing move to electronic environment  Already gained improved feedback by industry 6

be assured Why do it?  Ensures standardisation of services- consistency  Improves internal service quality  Gives tools for all staff members to follow in all instances 7

be assured Who does it?  Approved accreditation body, who also is assessed  Trained and qualified assessors  Peers (such as some of you) utilised as technical experts  Technically and clinically review service  Promote good practice  Foster collegial interaction to continually improve and standardise practices taking confidentiality in mind 8

be assured How is it carried out?  Annual on-site visits (surveillance and 4 yearly Peer-review assessment  Offsite/Document review i.e. extensions or sub- sites  Can take 1-5 days depending on size of service  Collate findings and produce formal report 9

be assured What defines the Benchmarks  NZCRMP (New Zealand Code of Radiology Management Practice) based on ISO standards  Supplementary Criteria  Industry related criteria:  RANZCR  ASUM  ESR/ORS 10

be assured Common non-conformances  QC issues e.g. monitor testing, probe testing  Service record detail  Reporting issues e.g. nuchal requirements, sono identification  Competency records  Documentation doesn’t reflect actual practice  Staff resourcing  Waiting list times 11

be assured Benefits to the Industry  Assurance of quality, standardisation, consistency for patients and clinicians  Competitive advantage (accredited vs. non- accredited)  Contiguous quality management with change in staffing  Efficiencies in workplace environment – alignment of servicing, standardised QA processes, established routine testing processes. 12

be assured Benefits to the Industry cont….  Better communication processes – establishment of regional groups/education/forums  Better relationships with funding bodies/contract tenders (e.g. insurance companies, ministry of health) 13

be assured ROLE PLAY  GOOD, BAD and UGLY 14

be assured IANZ INITIATIVES  75-80% of providers are accredited (not RT)  Promoting better awareness of accreditation initiatives – working with other stakeholders and advisory groups  Working to finalise the PET criteria  Provided courses 15

be assured IANZ INITIATIVES cont….  Website with various standards  Use of our library and IANZ resources  Develop electronic portal  Advisory support if required and always available 16

be assured THANK YOU QUESTIONS 17