• Aucun résultat trouvé

This is an important event in the continuing efforts of the Regional Office to enhance the process of hospital accreditation

N/A
N/A
Protected

Academic year: 2022

Partager "This is an important event in the continuing efforts of the Regional Office to enhance the process of hospital accreditation"

Copied!
4
0
0

Texte intégral

(1)

In the Name of God, the Compassionate, the Merciful

Message by

DR HUSSEIN A. GEZAIRY REGIONAL DIRECTOR

WHO EASTERN MEDITERRANEAN REGION to the

EXPERT GROUP MEETING ON HOSPITAL ACCREDITATION EMRO, Cairo, 23–26 September 2002

Distinguished participants, Ladies and gentlemen,

It gives me a great pleasure to welcome you to the meeting of this expert group in the field of quality health care and accreditation, and to welcome you to the WHO Regional Office in Cairo. This is an important event in the continuing efforts of the Regional Office to enhance the process of hospital accreditation.

The pressing need, and demand, for a recognized quality improvement and accreditation system have rapidly emerged as a result of the current national health reform policies in various Member States of the Region. Health sector reform, which has taken different forms since the late 1990s, has resulted in the scrutiny of health services and, therefore, hospitals. Policy-makers,

(2)

2

clients, third party payers and the community all seek an acceptable level of quality in health care in relation to what they are paying and their expectations. Accreditation implies confidence in a hospital by the population. It should bring the users’ perspective to the health care quality movement. Accreditation is needed even more as the private sector expands into health care service delivery, allowing freedom of choice for a growing number of clients. Many government, semi-private and private health institutions seek a recognized accreditation system in order to cope with the newly emerging competitive environment of health care service delivery.

Hospital accreditation processes have recently begun to be implemented in some countries in the Region. It might be said that a health care facility ‘is accredited’ when the availability and organization of its resources and activities conform to a process, the final result of which is satisfactory quality health care.

Institutionalizing improved quality of care through accreditation requires more than a technical approach; more than the application of tools and methods. Failure to change the behaviour of people and organizational attitudes is the commonest cause of ineffective quality initiatives. Sustained improvements often require a change in attitude and acquisition of a sense of ownership with regard to the quality of services provided by an organization. Many supporting factors are required to integrate accreditation into the structure and function of an organization. The challenges in setting and measuring against standards are mostly technical;

the challenges in making appropriate change are social and managerial. Sustainable quality needs a supportive environment of leadership, clarity of purpose, and organization. In other words a strong accreditation programme. Accreditation can be the single most important approach for improving the quality of health care structures.

Currently, there are great discrepancies in quality among different services of the same hospital, independent of the number of beds. Faced with this scenario, the Regional Office is developing, with the collaboration of countries, a hospital accreditation model that is appropriate for this Region, and that is flexible enough to allow for adaptations of major differences. The model accreditation guidelines for the Regional Office will cover all services of a general hospital for treatment of acute cases. They are intended to serve, not as a set of paradigms, but

(3)

3

rather as an illustrative guide for national multi-institutional bodies when formulating their own evaluation tools.

Hospital accreditation is a method of ongoing consensus, rationalization, and hospital organization. In this meeting we will work on developing the first instrument for the explicit and objective technical evaluation of quality: that is, the accreditation manual. The national response is of great importance, that is the creation of the National Accreditation Body, which should be apolitical, multi-representational, and should undertake its work energetically, prudently and periodically. This entity will be responsible for the administration and policy- making of the accreditation system at the country level. It will be responsible for the setting of national standards for accreditation, adopting WHO guidelines for accreditation, identifying and training the surveyors, conducting and monitoring the site surveys and making the decisions related to the awarding of accreditation and maintaining it.

It is essential to have uniformity; therefore this body should apply uniform accreditation standards to be followed by state or provincial entities.

In spite of recommendations that the National Accreditation Body be multi-institutional, and include the most prominent and active players in the civic, public and private sectors of the national health sector, the presence of the Ministry of Health is essential, both because of its prestige in our countries, and its capability of transferring resources within the process of national hospital accreditation.

In all successful cases of accreditation, it was possible to identify a leader in the process.

Sometimes this leadership initiative has come from the private sector, sometimes, as in most countries of this Region, from the public sector. Some approaches are paired, with the public sector represented by the health ministry, and the private sector represented by private hospital associations.

In 1995 the Regional Committee made its first resolution on quality assurance and accreditation. In 2001 the Regional Office organized a consultation on accreditation of district

(4)

4

health facilities in collaboration with the Health Ministers’ Council for Gulf Cooperation Council States. In follow-up of these initiatives it is envisaged that at the regional level, a regional think- tank on accreditation, under the aegis and facilitation of the WHO, will be formulated. General guidelines and procedures related to accreditation can be further discussed and revised periodically.

The mandate of such a regional entity would be to ensure that national accreditation systems are competent to: monitor and evaluate adherence to national health system policy and responsiveness to current and future challenges; monitor and evaluate quality performance of health organizations/facilities on various levels; cover managerial and clinical aspects; enhance organizations’ learning environment and quality improvement culture; and establish a national framework to take full responsibility for the accreditation initiative.

This national ownership is crucial, both to lay the foundation and to maintain, from the beginning, a high degree of integrity as well as accountability of the national accreditation system.

I am sure with your commitment and expertise we will launch a challenging and rewarding undertaking. I wish you success in your deliberations, and look forward to the outcome of your work.

I wish you also a pleasant stay in Cairo.

Références

Documents relatifs

To cite this article: Katrina Perehudoff (2020) Universal access to essential medicines as part of the right to health: a cross-national comparison of national laws, medicines

At the heart of our operational approach is the provision of support to Member States to examine and scale up delivery of people-centred core services in areas that are of

The Commission on Social Determinants of Health (CSDH) created by the World Health Organization draws the attention of governments, civil society, international organizations,

DISAPPROVES of all assistance that might result from any interpretation whatsoever of paragraph 2 of resolution WHA19.31, in the conviction that it will in no way

Considering that during the discussion on the report of the Regional Director reference has been made to the health problems created by refugees from the Portuguese colonies

Your endorsement of the regional manual to guide Member States in preparation for certification reports provided the framework necessary for the National Certification Committees

The power of a CASE pack- age based on an expert system is among other the possibility to help the system analyst to simplify each stage of the system development process, while at

Article 9 of the Convention requires that the Committee proposes to the General Assembly the accreditation of non-governmental organizations (NGOs) with recognized competence in