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News Bulletin : ADA News Bulletin October 2010
20 OCTOBER 2010 Members will be aware that a set of National Safety and Quality Health Service Standards (the Standards) are being written by the Australian Commission of Safety and Quality in Health Care (ACSQHC). It was the view of the Federal and State Health Ministers that such standards should be developed and the ACSQHC has indicated that small facilities performing surgical procedures (such as dentistry and cosmetic surgery) should come under the new national umbrella of accreditation and that such accreditation be mandatory. The new Standards are being written with a stronger emphasis on patient care and less on institutional systems. The Standards are intended to apply across all health care settings and will be complimented by a Guide that will assist in placing the Standards in the context of the different health care settings including hospitals, procedural rooms and dental practices. The ADA has participated in the development of the dental application of the draft Standards and indicated where they are appropriate to dentistry. This can be likened to our involvement in the development of the NHMRC Infection Control Guidelines. It was felt that if the ADA was not involved in what is an inevitable process of Standard development then without our input what would be created would be irrelevant. The danger was that standards that would be suited to institutions would be developed rather than standards befitting our office based practice. PILOT Six dentists participated in a pilot of the first five draft Standards this year. This involved a written self-assessment and later an interview at the practice. The initial self-assessment was wordy, repetitive and lacking in concise language. However, the process did indicate to the participants that there were several areas where even a well- managed practice fell short of the desired Standards. Some of these included: • A documented integrated system of governance that actively manages patient safety and quality risks. • Effective governance and management systems for healthcare associated infections. • Information provided to patients on healthcare associated infection. • Medication management plan including storage, security and dealing with medicines. • Accurate patient medical history and medication. • Systems to ensure right patient/right treatment. • Patient experience surveys. The process revealed that broadly many small practices are likely to have to review their systems and introduce greater formalisation. This will be especially in their documentation and record keeping. This would include areas such as staff training (both indication and ongoing training), practice meetings and communication with patients. Further participation in pilots by the ADA will occur to assist continued refinement of the standards. The ADA is working with Quality in Practice QIP (who provide an Accreditation service to most medical practitioners), to develop relevant protocols, evidenced based guides and templates for dental practice. Our aim is to keep practice accreditation processes simple, web based and inexpensive. We have every indication that if we can achieve a level of penetration similar to the medical profession, the ADA and dentists will be able to self-regulate and thus retain ownership of the process and avoid further outside and inappropriate regulation of dental practices. This is the rationale behind the Early Adopter Scheme (EAS) introduced in the previous issue of the News Bulletin. The Early Adopters Scheme for practice accreditation is seen by the ADA as a pathway to enable self-regulation of practice accreditation for the profession. Those who expressed interest in participating in the EAS will be contacted shortly. Up-to-date reports will continue to be provided on progress of accreditation in the News Bulletin. The ADA website will also post information for members. John Matthews Chairman ADA Special Purpose Committee Practice Accreditation DentAl prACtiCe ACCreDitAtiOn Update
ADA News Bulletin September 2010
ADA News Bulletin November 2010