This document summarizes a project to develop and implement a hospital accreditation system in Bangladesh from 2012-2013. The objectives were to establish an accreditation committee, develop standards, implement the system, train surveyors, and pilot the standards in 2-3 hospitals. Achievements included launching the project, forming task forces and subcommittees to develop draft standards. The standards were divided into patient-focused and hospital-focused sections. A Gantt chart outlines the project timeline and activities. Key challenges included the time commitment of members and lack of awareness about accreditation among healthcare policymakers.
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Hospital Accreditation | Bangladesh project
1. Grant Number: 2011 THS 349
Hospital Accreditation Project
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
2. Overview
Develop and implement a hospital accreditation system in
Bangladesh
Transforming Health Systems Initiative in Asia
Life of Project January 2012 to December 2013
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
3. Objectives
Establish a National Accreditation Committee (NAC)
Develop Hospital Accreditation (HA) standards
Implementation of HA system in Bangladesh,
Identifying and training HA surveyors and
Pilot of HA standards in 2-3 hospitals.
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
4. Achievements
Project launched with Sr. Secretary of MOH
March 24, 2012
Project Task Force formed
Subcommittees established
Hospital Standard Subcommittee
Hospital Accreditation Subcommittee
Draft standards developed and distributed for review
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
5. Launching program|
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
6. Task force meeting |
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
7. Subcommittee meeting
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
8. Draft standards | 2 sections | 10 chapters
The national hospital standards are first divided into two major sections:
1. Patient-Focused Standards [5 chapters]
2. Hospital-Focused Standards [5 chapters]
The patient-focused standards:
1. Patient Safety Goals [PSG]
2. Total Patient Management [TPM]
3. Critical Care Management [CCM]
4. Total Medication Management [TMM]
5. Patient and Family, Rights and Education [PFRE]
Then Hospital-focused standards:
1. Quality and Risk Management [QRM]
2. Infections Control and Prevention [ICP]
3. Facility Safety and Equipment Management [FSEM]
4. Governance and HR Management [GHM]
5. Information and Communication [IAC]
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
9. Gantt Chart of the project
2012 2013
Tasks/Activities J F M A M J J A S O N D J F M A M J J A S O N D
1) Formation Project Management Task force [PMT]
1a) PMT meeting to oversee the project activities X X X X X X X X
2) Establish a National Accreditation Committee (NAC) X X X X X X X X X X X X X X X X X X X X X X
3) Develop the Accreditation System
Standard development
X X X X X X X X X
Methodology
Process & framework
4) HA Surveyor development
Develop surveyor guide
X X X X X X X X
Selection of surveyors
Surveyors training
5) Piloting of the Accreditation System
Selection of hospitals
Baseline assessment
X X X X X X X X X X X X X X X X X
Implement of standards
Accreditation survey
Certification
6) Exit Final reporting
Proposed Timeline | X Adjusted Timeline
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
10. Key Challenges
Time commitment from subcommittee members
Lack of awareness among the healthcare policy makers
on deliverables of HA system
Current fund is not sufficient to implement HA system
RF | 2011 THS 349 ???
Government of the Peoples Republic of Bangladesh
Directorate General of Health Services (DGHS)
11. THANK YOU
For any queries or for more information :
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