Download The New Standards for Managing Medications…

CCHSA Accreditation: New Standards
for Managing Medications
Jessica Peters
Lead, Research & Product Development
CCHSA
Accredited by /Agréé par ISQua
Presentation Outline
 Vision, Mission and Values
 The Accreditation Program
 Program Enhancements
 The New Standards for Managing
Medications
 Next Steps
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CCHSA’s Vision and Mission
Vision
The leader in raising the bar for
health quality
Mission
Driving quality in health services
through accreditation
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CCHSA’s Values
 Within an environment focused on clients
and committed to quality of worklife,
partnerships, and personal growth, our
values are:
 Excellence
 Integrity
 Respect
 Innovation
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CCHSA’s Accreditation Program
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Canadian accreditation program - incorporated in 1958
Not-for-profit
High participation rates; continued growth
Surveyors (approx. 400) are senior health care
professionals
Surveys may be regional, institution specific, national or
market specific (i.e. First Nations, Corrections, Canadian Forces)
Average 400+ surveys per year
Three year cycle
Both public and private organizations participate
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Role of Accreditation
 Quality Improvement – at the organization
level and at the system level
 Change management
 Standards of excellence – raising the bar on
health care
 Standards of clinical practice
 Governance
 Leadership
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CCHSA Standards
 Standards of excellence
 ‘Raise the bar’ for health care practice
 Enable an organization/team to stretch to improve care, to
reach or raise the bar
 Developed with the input and guidance of experts in the
field and updated on a regular basis to ensure relevance
and value
 Are applicable to different regions and service delivery
settings
 Will continue to be used by organizations, but in a new
way
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Evolution of CCHSA Program
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The New Accreditation Program
Benefits:
1. Standards that:
 Capture the most recent governance/managerial and
clinical best practices
 Reflect the emerging trends or disease (and wellness)
patterns in healthcare
 Have an increased level of specificity
 Can be used or integrated into the daily work of
organizations
2. Streamlined and more flexible process that:
 Supports and aligns better to an organizations’ quality
improvement initiatives
 Is adaptable no matter how small or how complex the
organization may be
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The New Accreditation Program
Benefits:
3. Greater focus on the provision of safe quality
care and service in a variety of health care
settings
4. Planned and predictable accreditation activities
with a on-site survey that is customized to the
organizations’ needs
5. Automated measurement tools that allow:
 Greater and faster data exchange
 Improved standardization and objectivity
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 The standards have a
brand new structure…
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Standards Areas
EFFECTIVE AND SUSTAINABLE GOVERNANCE
PROACTIVE AND SUPPORTIVE ORGANIZATION
SERVICE EXCELLENCE
POSITIVE CLIENT EXPERIENCE
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Managing Medications: Background
 The development of the new standards for
managing medications was driven by:
 Importance of safe medication management processes in
protecting client safety
 Feedback from client organizations and surveyors
 Changing health care environment
 Development began in 2004
 Expert working group including representatives from
organizations and ISMP-Canada
 Standards circulated for consultation in late 2005 to
approximately 15 organization
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The New Standards for Managing
Medications…
 Standards target medication processes in an institutional
setting, i.e. hospital, long term care
 Focus on the safe use of medications from selection and
procurement through administration
 Address a number of key themes:
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Working Together to Promote Medication Safety
Carefully Selecting and Procuring Medications
Properly Labelling and Storing Medications
Appropriately Ordering and Transcribing Medications
Accurately Preparing and Dispensing Medications
Safely Administering Medications to Clients
Monitoring Quality and Achieving Positive Results
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Working Together to Promote
Medication Safety
 Recognizing pharmacists and pharmacy staff as
integral members of the interdisciplinary team
 Actively involving the pharmacy staff in designing
the organization’s medication use and medication
management processes
 Providing access to accurate medication-related
information, formally approved drug information
tools and education about safe medication use
 Evaluating the competency of all service providers
who participate in the medication use process
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Carefully Selecting and Procuring
Medications
 Maintaining an up-to-date and evidencebased list of available medications
 Minimizing the number of procured and
available medications
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Properly Labeling And Storing
Medications
 Reducing the possibility of errors with drug
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product nomenclature, labeling, and packaging
Labeling all drug concentrations clearly and
legibly
Providing suitable space for drug storage in
pharmacies and client/unit medication areas
Carefully selecting stock drugs for each client
area
Storing hazardous chemicals away from clients,
service providers, and drug preparation areas
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Ordering and Transcribing Medications
Appropriately
 Maintaining accessible and up-to-date client
information
 Communicating drug orders and other drug
information in a standardized way
 Reviewing all prescriptions or medication
orders for accuracy and appropriateness
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Accurately Preparing and Dispensing
Medications
 Preventing contamination when preparing
medications
 Dispensing medications in a safe, accurate, and
timely way
 Having a system to safely dispense medications
where there is no internal pharmacy or when the
pharmacy is closed
 Transporting medication in a safe, secure, and
timely manner way
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Safely Administering Medications To
Clients
 Educating clients about their medications and
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delivery devices, and ways to prevent errors
Following a process to allow and monitor clients’
self-administration of their medications
Safely and accurately administers medications
Reducing the risk of error through careful
procurement, maintenance, use, and
standardization of medication delivery devices
Monitoring clients following medication
administration
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Monitoring Quality And Achieving
Positive Outcomes
 Having a coordinated risk management
program to reduce medication-related
errors and sentinel events
 Regularly monitoring and evaluating the
quality of the medication management and
pharmacy system
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Current Status of the New Program
 13 pilot sites will test various elements of the program
starting March to December 2007
 National consultation on standards
 Customized transition plan for each client in 2008
 Pan Canadian information sessions in major cities to support
transition
 Ongoing communication
 CCHSA web site
 teleconferences
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Canadian Council on Health Services Accreditation
The leader in raising the
bar for health quality
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