1.5) National core standards Flashcards
(24 cards)
Who developed the National Core standards
the Office of Standards Compliance
Main purpose of the National Core Standards
-Develop a common definition of quality care that should be found in all health establishments in SA
- Establish a benchmark against which health establishments can be assessed, gaps identified and strengths appraised
-provide for national certification of compliance of health establishments with mandatory standards
Name the Principals of the NCS
Universality
Relevance
Validity and Reliability
Logic
Define Universality
-to ensure that standards and assessment measures are generally applicable across all healthcare levels and settings
Define Relevance
to ensure standards and assessment measures represent elements of care that are critical to the provision of safe, quality health care services in SA
Define Validity and Reliability
What can be measured objectively and practically during an audit of a health establishment
Define Logic
through the arrangement and classification of criteria and measures into those concerned with inputs or systems, policies, procedures or processes and outputs and as far as possible outcomes
What is the domain of Human Rights
it sets out what must be done to ensure that patients are respected and their rights upheld
Name the 7 Domains of NCS
- Patients rights
- Patient safety, Clinical governance and care
- Clinical support services
- Public Health
- Leadership and Corporate governance
- Operational management
- Facilities and Infrastructure
What rights should be upheld in the domain of human rights
access to needed care
respectful, informed, dignified attention in an acceptable and hygienic environment seen from patients POV
Patient rights in domain of human rights are in accordance with
Batho Pele principles and patient charter
Name 7 domains of NCS
- Patient rights
- Patients safety, clinical governance and care
- Clinical support services
- Public Health
- Leadership and Corporate governance
- Operational management
- Facilities and infrastructure
Domain of patient rights sets out
what must be done to ensure that patients are respected and their rights upheld
Rights to be upheld by domain of patient rights
- access to needed care
-respectful, informed, dignifies attention in an acceptable and hygienic environments
-seen from patients POV in accordance with Batho Pele principles and Patient Rights Charter
List of sub-domains within Patient Right domain
Respect & dignity
Access to information for patients
Physical access
Continuity of care
Reducing delays in care
Emergency care
Access to a package of health services
Complaints management
Clinical management needs to
ensure specific safety protocols for high-risk groups of patients
Facility’s evidence must show
that adverse events are identified and promptly respnded to
Subdomains with Patient Safety, CG and C
-patient care according to protocols
-clinical management of priority health conditions
-clinical leadership
-clinical risk
-AEvents management
-Infection prevention and control
Clinical Support services must be
timely availability of medicines
efficient provision of diagnostic, therapeutic and other clinical support services and necessary medical technology
Sub-domains within CSS domain
-pharmaceutical services: effective procurement of, stock control, prescriptions and dispensing of medicines
-Diagnostic services: quality and safety
-Therapeutic and support services
-Health tech: medical equipment and devices
-Sterilisation services: CSSD
-Mortuary services
-Clinical efficiency managements
Sub-domains within Public Health domain
-population based planning and service delivery-flagship programme
-health promotion and disease prevention
-health emergencies and disaster preparedness
-environmental controls
Sun-domains within Leadership and CG domain
-oversight and accountability
-strategic management: strategic and operational plans
-risk management: risks and medico-legal incidents
-Quality improvement systems
-Effective leadership
-Communications and PR
Sub-domains under the Operational Management domain
-HR management and development
-staff welfare and eployee wellness
-finanacial managemnt
supply chain and assets managemnt
-transport and fleet management
-info management
-medical records
sud-domains under facilities and infrastructure domain
-buildings and grounds: adequacy and safety of buildings, cleanliness of premises
-machinery and utilities: electricity and telephone systems
-safe and secure environment
-hygiene and cleanliness
-waste management: general and medical waste
-linen and laundry
-food services