User:Prhai/The Healthcare Accreditation Institute (Public Organization)

The Healthcare Accreditation Institute (Public Organization)

Location

At 5th floor of the National Health Building, Soi 6, Ministry of Public Health, Tiwanon Road, Muang Nonthaburi District. Nonthaburi Province

Establish: 22 June 2009

Initiated from: Health System Research Institute

Budget: 69 M.

Executive: Dr. Kittinan Anakkamanee (CEO), Dr. Piyawan Limpanyalert (Deputy CEO)

Supervision: The Ministry of Public Health

Documentation: the Royal Decree on establishment of the Healthcare Accreditation Institute (Public Organization) 2009 and 2019

The Healthcare Accreditation Institute (Public Organization): HAI was initiated under Health Systems Research Institute (HSRI) as a research program “Mechanisms on Promoting Hospital Quality Improvement” in year 1997 and was set up to be an associated institute of HSRI since year 1999 with the name of “The Institute of Hospital Quality Improvement & Accreditation”. HAI operate work under the principle of “ Neutral Organization”. They are reliable, flexible, and conducted on an academic basis which consistent with the health and cultural context of the country "

HAI played a crucial role in promoting standard and quality of healthcare in Thailand for many years. Being recognized by its roles, the institute became a public organization by the Royal Decree on establishment of the Healthcare Accreditation Institute (Public Organization) since 22 June 2009. In present, there is 2nd edition of Royal Decree 2019.

HAI’s objectives.
(1) To assess work systems and accredit healthcare organizations. These activities include setting up standards of healthcare organizations that will be used as a framework for assessing quality improvement and accrediting healthcare organizations.

(2) To collect, study and analyze data and make recommendations which aimed to promote, support and improve quality of healthcare organizations.

(3) To promote and support the establishment of mechanisms which systematically improves quality and safety of healthcare services.

(4) To generate and disseminate knowledge and provide access to knowledge on quality assessment, quality improvement and accreditation of healthcare organizations.

(5) To collaborate with state agencies, national and international organizations, and private sector that are interested in quality assessment, quality improvement and accreditation of healthcare organizations.

(6) To formulate curricula and train healthcare personnel in order to escalate understanding on tools for quality assessment, quality improvement and accreditation of healthcare organizations.

Healthcare accreditation

In the fiscal year 2020[Acs1], there are 1,400 public and private hospitals that can be assessed for quality certification according to HA standards. According to HAI's operations, there are hospitals that have received HA quality assessments at all levels and maintained accreditation status. On September 30, 2020, there are 924 hospitals (66%).

There are hospitals in accreditation status at HA step 1 (10 hospitals), HA step 2, (10 hospitals), HA step 3 (832 hospitals), and advanced HA (A-HA) (7 hospitals). The total are 839 hospitals get the HA standards certification.

HAI has developed its operations until it has been certified by IEEA, an international organization that provides accreditation for healthcare in many countries around the world with 3 programs (standard, organization and surveyor training program) .There will be a period of 4 years of certification.

·      Standard program was first certified in 2010, the first certification was renewed in 2014, and the second certification was renewed in 2018.

·      Organization program was first certified in 2013 and renewed in 2017.

·      Surveyor training program was first certified in 2016 and renewed in 2020.

This refer to pride and trust building for customer that the healthcare with accreditation by  HAI has quality and standard at international level.

Authorities and responsibilities
(1) to hold titles, possessory rights and property rights

(2) to create any rights or execute all kinds of juristic acts which binding its properties,including other juristic acts for the benefits of the undertaking of the Institute

(3) to borrow money for the benefits of the undertaking according to the objectives of the Institute

(4) to enter into a joint venture with other juristic persons in matters relating to the objectives of the Institute

(5) to enter into agreements and cooperate with public or private sectors, both domestic and foreign organizations, in matters relating to the objectives of the Institute

(6) to levy fees, contributions, remunerations or service charges for the undertaking of the Institute in accordance with rules and rates specified by the Board

(7) to authorize any person to carry out any act within the power and duties of the Institute

(8) to confer certificates and certified letters for activities in accordance with objectives and power and duties of the Institute

(9) to give an accreditation hallmark for healthcare organizations which have been accredited;

(10) to take any other necessary or subsequent actions to attain the objectives of the Institute. The borrowing of money under (3) and the entering into a joint venture under (4) shall be in accordance with the rules stipulated by the Council of Ministers.

Vision
Thailand has quality and reliable healthcare services underpinned by HA standards.

Mission
(1)    Develop and prescribe healthcare accreditation standards and prepare recommendations to support and foster quality improvement in healthcare systems by collecting, reviewing and analyzing the data obtained through accreditation process.

(2)    Promote and support the systematic development of a mechanism for improving healthcare systems to ensure quality and safety through the collaboration with public and private agencies (both in Thailand and overseas) concerning quality assessment, improvement and accreditation for healthcare facilities.

(3)    Promote, support and implement the dissemination of knowledge. Prepare training curriculums for officials and staff members of healthcare facilities and other agencies in a way utilizable for self-assessment and quality improvement of healthcare facilities.

HAI organizational structure

 * HAI is divided into 5 divisions 1.     Accreditation Division 2.     Development Support and Promotion Division  3.     Strategy Division  4.     Organization Development Division  5.     General Administration Division



Accreditation and Certification system
HAI develop an assessment system for quality development process in variety of forms according to the need and progress of the hospital, such as

·      Advanced HA (A-HA)

·      District Health System Accreditation (DHSA)

·      Healthcare Network Accreditation (HNA) or original name Provincial network certification (PNC)

·      Program and Disease specific certification (PDSC)

·      Spiritual Healthcare Appreciation (SHA) certification

HA Philosophy

·       Accreditation is a learning process: quality assessment and recognition is a process of learning together in a friendly manner.

·       The goal of HA is to encourage HCO continuous quality improvement to ensure quality and safety of patient care.

·       The surveyor is an HAI representative that visit the HCO like an invited guest, be a true friend, not a judge, not an auditor.

·       The survey process is confirmation of the HCO self-assessment and encouraging further development in a broader perspective.

·       The success of survey is the delight of the HCO staff, though more improvements need to be done.

·       Accreditation is the appreciation of good work done and encourages continuous improvement, not a judgment of pass or fail.

Logo of Healthcare Accreditation
The blue cross sign that was opening means that the hospital allows surveyors for visiting

Check mark means that the hospital

1. Commit to provide quality service with a patient-centered.

2. There are sufficient resources and effective resource management.

3. There are risk prevention system, continuous quality improvement and the maintenance of improvement quality

4. There is patient rights along with supervision of professionals

5. There are working process and patient care, which emphasizes the introduction of professional standards and up-to-date knowledge appropriate to the economic and social conditions to meet the needs of the patients.

6. Allow surveyors for visiting

At 5th floor of the National Health Building, Soi 6, Ministry of Public Health, Tiwanon Road, Muang Nonthaburi District. Nonthaburi Province

According to the result of Office of the Public Sector Development Commission (OPDC) in 2019, it was found that the HAI (Public Organization) has been assessed at a standardized level

Other sources

 * สถาบันรับรองคุณภาพสถานพยาบาล (สรพ.)

Department: Office of the Minister,  Office of the Permanent Secretary, Department of Mental Health, Department of Disease Control, Department of Health , Department of Medicine , Department of Medical Sciences , Department of Health Service Support • Department of Thai Traditional and Alternative Medicine , Food and Drug Administration

State enterprises: Government Pharmaceutical Organization (GPO)

Public Organization: National Health Security Office , Health System Research Institute (HSRI)  , National Institute of Emergency Medicine , Ban Phaeo Hospital , Healthcare Accreditation Institute (Public Organization