Review of 2006-2008
As part of the endeavour to improve the quality of the NHS and within the Ministry of
Health and Social Policy’s sphere of responsibility, the processes for accrediting and
auditing health care facilities and services are considered to be of fundamental
importance. These processes are believed to be very useful in ensuring fulfilment by the
facilities and services of their duty to provide specialised training in the health sciences,
and also in the accreditation of NHS Reference Facilities, Services and Units, as provided
by Royal Decree 1302/2006. Specific auditing plans and auditor training programmes
have been developed in both cases.
With the participation of scientific societies and experts in the fields, documents on
Standards and Recommendations in Quality and Safety are being prepared. The
standards for the areas of Major Outpatient Surgery, Day Hospitals, Pluripathology
Units, and Maternity Wards have been published during this period.
Activities Planned 2009-2010
The activities currently underway will continue, with improvements being made to
the processes used in evaluating, auditing and accrediting teaching units and NHS
reference facilities. Specifically, the Manual for the Evaluation of Teaching Units will be
updated to reflect the new legislation (Royal Decree 183/2008, on the specialities of the
health sciences and certain aspects of specialised health care training), as will be the
Manuals for the Accreditation and Evaluation of Teaching Units that require updating
due to changes in the corresponding training programme. The auditor training programme will also be consolidated. The Auditing Plan for Teaching Units and
Reference Facilities will be drawn up, by virtue of which audits will be performed in over
100 hospitals, for purposes of their accreditation or designation.
Reports will be prepared on standards and recommendations for new hospital units,
such as; urgent care services, the intensive care unit, the hospital nursing unit and the
palliative care unit.
| Accrediting and auditing health care facilities and services. |
|
-Preparation of documents on standards and recommendations in quality and safety for five units and health services. -Audits for the accreditation of NHS Reference Facilities, Services and Units. -Plan for teaching audits together with the autonomous communities, plan for the management of teaching quality, updates of evaluation and auditing manuals and consolidation of auditor training programme. |