Promoting Quality in Homecare Standards

John Sweeney, Director, Health Care Informed

We Believe

We Believe

We Believe

• “We are committed to providing the highest standards of

home care”

• “enhance the lives of seniors”

• “homecare of the very highest quality”

• “providing the highest quality care”

• “dedicated to overall improvement of your quality of life”

We Believe

• “strive to provide the best in quality home care”

• “provide you with a professional standard of quality”

• “Together we will give your loved one the best quality care.”

• “provide the highest quality of care”

• “through the provision of expert care ”

• “unmatchable quality of home care”

We Believe

14 HCCI

We Believe

To foster and promote high quality standards of home care services

We Believe

We Believe

ISO / Q Mark

Systems improvement and Business risk

And Yet ….

And Yet…

….designed to improve the

safety and

quality of care.Why?

Why?

• Difficult

• Costly

• Time Consuming

• Takes Away Core Focus of Business

• Its Optional …….

Drivers

• Demonstrable Quality of Care

– Voluntary – Improved Care (and Service)

– Financial - The Payers – Tax / Health Insurance

– Regulatory – Safety of Clients

Internationally

• Increased Regulation – UK, NI, US

•

– Increase Number of Regulatory Bodies (12%)

– Special Interest Group on Care of the Ageing

– 2015 – Home Care Focus – Q&S Goals

Nationally

• Health Information and Quality Authority (HIQA)

– Safer Better Care Standards - 2016+

– Homecare Specific Guidance

• Joint Commission International (JCI)

– Accreditation Standards for Homecare

JCI Standards

• Section I: Patient-Centered Standards

• International Patient Safety Goals (IPSG)

• Patient Access and Assessment (PAA)

• Patient Rights and Responsibilities (PRR)

• Patient Care and Continuity of Care (PCC)

• Patient Medication Management (PMM)

• Patient and Family Education (PFE)

JCI Standards

• Section II: Health Care Organization Management Standards

• Improvement in Quality and Patient Safety (IQS)

• Infection Prevention and Control (IPC)

• Management and Safety of the Environment (MSE)

• Staff Qualifications and Education (SQE)

• Governance and Leadership (GAL)

• Communication and Information Management (CIM)

Benefits?

• Improve the management of care / services

• National / International Recognition

• Stimulate continuous improvement in care

• Increase efficiency/reduce costs

• Reduced Risk

• Framework for all Regulations

Where to Begin

•Governance

•Objectives

•Structures

•Communication

•Planning – Project and Business

•GAP Analysis

• Structures – Staff (HR)

Equipment Environment

IMS

• Processes – PPG’s / ICP’s

•Outcome

•Feedback

•KPI’s

•Tracers

•Internal/External Assessment

•Survey

•QIP’s

•Report Actions

•CQI

Key Findings

• Governance and Communication

• Care Assessment / Planning

• Risk Management

• Policies and Procedures

• Measurement and Evaluation

What Will it Mean?

• The Client:

– Appropriate / Comprehensive / Evaluated Care

– Confidence and Safety

• The Organisation:

– Significant Change – Structures – Process - Outcome

– Better Organisation and Business

In Summary

• We Must Practice What we Preach

• No Longer Optional. Now is the time….

• It is Difficult, Costly, and Time Consuming but …

• We need to Strive for Better Care …

Thank You