by: Dr.Saeed Al Qahtani Head, Planning Department and

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The impact of accreditation on patient care in
Saudi Hospitals
by Dr.Saeed Al Qahtani
Head, Planning Department and Quality Management
Consultant, KFSH,,Saudi Arabia
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Agenda

• History of accreditation.
• Purpose of study.
• Objectives.
• Methodology.
• Results.
• Recommendations.
• Conclusion.

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Accreditation History in Saudi Arabia

• Aramco Medical Services 1990
• 27 hospitals are accredited.
• 33 (Governmental)
• JCIA (22).
• CCHSA (4).
• JCIA CCHSAACHS (1)
• CBAHI 2006 ( processing )

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Purpose

• To study the Impact of Accreditation on
  Patient Care in Hospitals in Saudi Arabia

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Objectives

• To measure the impact of accreditation on patient
  /staff
• To determine the impact of accreditation on
  utilization resources
• To study the relationship between obtaining the
  accreditation and increased financial revenue
• To identify the top 5 elements that affect
  positively in the organization

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Methodology

• 25 hospitals ( sample size )
• Data collection ( questionnaire )
• 5 Dimensions
• a. Patient Safety
• b. Leadership
• c. Workforce development
• d. Patient focus
• e. U.M F.M

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Results

• Patient safety culture is increased by 10.
• Staff are more satisfied by 5( governmental
  hospitals only).
• Patients are more satisfied by 7.
• Leadership is more committed by 20.
• Utilization resources are more utilized by 18.
• Patients bill of rights are more implemented by
  10.

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The Top 5 positive impact of accreditation

• a. Effective communication.
• b. Continuous education.
• c. Satsifaction.
• d. Safety culture.
• e. documentation system.

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Recommendations

• accreditation culture.
• Accreditation not certificate only.
• Decision makers in MOH should support hospitals (
  under accreditation/accredited) through increased
  annual budget.
• Rewarding system for staff to be created.
• Quality of services should be considered during
  preparation for accreditation.

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THE IMPACT OF ACCREDITATION
Patient Safety
Communication
Process
Profit
ACCREDITATION
Documentation System
Reports
Management of Utilization
KPIs
Incident Report System
Training Education
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Conclusion

• Accreditation is more effective in private than
  government hospital
• All accreditation organizations have clear
  strategic directions
• Accreditation system has created patient and
  safety language ( new language )
• Documentation system is improved.
• Accredited hospitals are more profitable.
• Monitoring process in place