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News Bulletin : ADA News Bulletin July 2011
16 July 2011 Practice accreditation and the early Adopters Scheme – “ARe We tHeRe Yet?” committee report For the 600 plus members who applied for the practice accreditation (PA) Early Adopters Scheme “well may you ask” where are we up to and “why are we waiting”? The only explanations are to say that this is an arduous process and there have been significant ‘goal post’ changes since the concept of PA was mooted and now formalised by the bureaucratic process. It is clear that many of the issues confronting PA had not been anticipated by the Australian Commission for Safety and Quality in Health Care (ACSQHC). There is still a significant way to go prior to the launch of ADA Practice Accreditation Model which has now been earmarked to commence in 2012. I THOUGHT THAT PRACTICE ACCREdITATIOn WAS GOInG TO bE COMPULSORY Well so did we, but this has now changed since our meetings with the ACSQHC and the Australian Health Ministers Advisory Council (AHMAC) earlier in the year. The need for compulsory uptake has been negated for the foreseeable future, but that is not to say that this will not change and is heavily dependent upon the voluntary uptake of PA by practices. The ADA’s position has been that it is better for us to be in control rather than have a process that is dominated by forces that are not conversant with the practice of dentistry. The Commission’s wish is to see the profession adopt PA as part of a quality assurance for the benefit of patients. The ADA’s position as directed by Federal Council is that it has to be doable, non-arduous and affordable. WHAT IS THE ROLE Of THE ACSQHC The Commission’s role is to develop and maintain the National Safety and Quality Health Service (NSQHS) Standards and to approve and authorise accrediting agencies to assess performance and accredit health care service against the Standards. UndER THE dEnTAL ACCREdITATIOn SCHEME THE AUSTRALIAn dEnTAL ASSOCIATIOn WILL USE SELf REGULATIOn ARRAnGEMEnTS THAT AdOPT SELECTEd nSQHS STAndARdS Currently, there are 10 Standards of which six are currently to be implemented into dental PA. These are: • Standard 1: Governance for safety in health care organisations • Standard 2: Partnering with consumers • Standard 3: Preventing and controlling healthcare associated infections • Standard 4: Medication safety • Standard 5: Patient identification and procedure matching • Standard 6: Clinical handover The Commission’s Standards and Guides for Dental Practice Accreditation are nearing completion and are quite voluminous and have not been finalised which is certainly a significant factor in the delay of the EAS. WHAT IS THE ROLE Of AdA InC. In ACCREdITATIOn The Commission has requested that ADA Inc. undertake the role of a ‘regulator’. This is an exceptional achievement that has not been extended to any other professional organisation representing the professions that come under the control of the National Registration Board. In essence this has yet to be delineated, but from negotiations with the Commission and reading between the lines ADA Inc. will set the timeframe for implementation, delineate the components of the standards that will be introduced initially and built upon with time for dental PA and set the benchmark for a ‘pass’ for PA. Through due diligence ADA Inc. has already selected a preferred accreditation assessor, and in this case Quality in Practice (QIP) will be the organisation that provides this service. The ADA/QIP PA assessment model will be a desktop computer based audit system that has been utilised in other health settings and is being specifically adapted to conform to dental practice. WHO WILL ASSIST ME In ACHIEvInG PRACTICE ACCREdITATIOn ADA Inc. and the Branches will provide the information, education and assistance that you will need to become accredited. QIP will also assist, but the interface for you will be the ADA. There is still a significant amount of work to be done so that the assistance and implementation process become synonymous with another high quality service for members. HOW MUCH WILL IT COST ADA Inc. has yet to finalise the assessment costs, but it is envisaged to be capped at less than $600 per practice despite the need for further developmental costs. The fees will be paid directly to ADA Inc. and then QIP will be informed of your application. You will not be able access QIP directly and you will need to be a member to acquire ADA QIP PA. In excess of $300K has been invested by ADA Inc. and QIP to date. WHERE TO nOW Whilst it may seem as though the whole process is in limbo, it will come into place very quickly over the ensuing months. The Special Purpose Committee on Practice Accreditation Implementation and the Association are dedicated to ensuring that practice accreditation is an achievable and relatively inexpensive part of maintaining dental practice in Australia. Thank you for your patience and watch this space. Hugo Sachs Chairman Practice Accreditation Implementation Committee
ADA News Bulletin June 2011
ADA News Bulletin August 2011