ACHSI presented the certificate to Dr Reema Al Hammadi,. Director of Medical
Affairs, who ... Attending the Al Hammad Hospital Presentation, L-R: Dr Reema Al
...
The Australian Council on Healthcare Standards
ACHSNEWS The official newsletter from ACHS to communicate to all member organisations and our stakeholders
The hallmark of the long and proud history of ACHS is „adaptability‟. Sometimes it has led change and other times it has responded to the industry, but in all aspects ACHS has changed to meet the evolving needs of the industry. The Commission‟s National Standards will soon be approved and released for usage; this is expected in July. ACHS will be undertaking its first surveys to include the National Standards in the same month. The transitional period for the implementation of the National Standards will be a valuable learning period for all parties. It is timely, as we all enter this new phase of accreditation in health, to reflect on the strengths and substantial attributes of your Council. Since its inception ACHS has been „owned‟ by the health system. Its governance structure is designed to ensure its independence and yet remain responsive and accountable to the expectations of, in particular, major stakeholders. It has sustained its commitment and is a strong, active and financially stable organisation. It has continued to evolve its programs and supportive information over the last 37 years in close consultation with the industry and consumers. ACHS has developed a malleable and effective set of programs responsive to the evolving needs of the health industry. The size of our membership reflects the value placed on the programs offered by the vast majority of healthcare organisations. It continues to make its resources available for wider application. This is particularly demonstrated by its leading role, nationally and internationally, in initiating and supporting serious academic research into quality and safety. ACHS is regarded both here and overseas as among the leading organisations of
No. 37 Winter 2011
its kind. It has a very prominent position within the international quality and safety community. Its programs and systems continue to form the basis of existing and new programs both in Australia and elsewhere. The effective stewardship of members‟ funds is clearly demonstrated by the positive financial performance over many years and the sound fiscal position it has achieved. ACHS has consistently demonstrated its social responsibility. As a not-for-profit Australian company it has been able to demonstrate in real terms its commitment to maintaining a very small „financial footprint‟. Its fee structure is based on community rating principles so that geographic location does not impact on price, thereby ensuring equity of access among healthcare organisations. Lastly, but by no means least, ACHS accreditation has maintained its focus on maximising risk mitigation. Accreditation is focused on the whole system and maximises the potential for risk mitigation through complementary strategies by promoting continuous improvement and evaluation of outcomes. Compliance is focused on specifically defined topics and has a greater potential of overlooking key issues impacting on the overall performance of a system. The concept of a national set of standards applied consistently across all facets of the health care industry is worthy of strong support. The strengths of what has been achieved will not be lost, but must continue to grow. We look forward to sharing the future with you.
Brian Johnston Chief Executive
New inductee surveyors getting to know ACHS better at a workshop in early June For further information about ACHS go to our website at: www.achs.org.au
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Have you seen this flyer?
EAT5 for EQuIP Day Procedure Centres The ACHS Electronic Assessment Tool (EAT) 5 for EQuIP Day Procedure Centres (DPC) is ready for use. The tool includes all the improvements of EAT5 for EQuIP such as data editor, compatibility with more internet browsers, speedier and easier navigation, and additional report functions. If you have any further questions on EAT please do not hesitate to contact the ACHS EAT support team on +61 2 9281 9955 or
[email protected].
The submission details for ACHS QI Awards 2011 are now on the ACHS website. For 2011, the QI Awards have been further refined to ensure the submission details are clear and to encourage member organisations of any size to enter – private or public, regional, rural or metropolitan. According to our QI judging panels the key to QI success is to provide the evidence to support a project‟s outcome. In 2008, the QI Award in the Non-clinical Service Delivery category was won by a small, rural hospital. Its outpatient laundry, staffed by volunteers, delivered measurable benefits to its community. As in previous years, there are three categories for QI Award 2011 – Clinical Excellence, Non-clinical Service Delivery and Healthcare Measurement (which has undergone a name change). Anne Mennen, Operations Manager of MonashHeart, Southern Health, Vic, was a QI winner last year in the Clinical Excellence and Patient Safety category, for the MonAMI project, a collaboration between MonashHeart, Southern Health and Ambulance Victoria for the management of STEMI. “We were very proud of the MonAMI initiative and we really lived and breathed the benefits of it every working day so it was not hard for us to put down on paper what we were actually doing. “I think the reason we were a QI Award winner is that we were able to provide solid evidence of the outcomes. We collected robust data to monitor results and had statistical analysis to prove the outcomes.” How did the MonashHeart and Southern Health team find the time to produce the submission? “I didn‟t find writing the QI Award too challenging at all because we had easy access to the data. It was a question of pulling the information together and writing a draft submission that the team could then comment on.” Anne believes that there were real benefits to the organisation in being chosen for a QI-Award. “I think it was important, as a team, to have received recognition. Our CEO joined us at the ACHS Annual Dinner to receive the Award. I think the recognition really encouraged the team and was a very positive experience for everybody.” Would Anne enter a submission to the QI Awards again? “Absolutely – In fact I have already begun gathering the data for a project that I hope to submit as a QI!”
Anne Mennen, Operations Manager of MonashHeart, Southern Health, Victoria, receives the 2010 Clinical Excellence & Patience Safety Award
QI winners will receive their Award as guests of the ACHS at the Annual Dinner on 24 November 2011 in Sydney. You will find the MonAMI Southern Health submission, together with details on how to enter this year‟s QI Awards at www.achs.org.au/QIAwards or by contacting the ACHS Development Unit +61 2 9281 9955. Page 2
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Obituary Mr Ray Sweeney 24 July 1954 27 February 2011 An abbreviated version of the Eulogy by Mr Dan Weeks I worked very closely with Ray for over a dozen years and it is my great privilege to talk to you about Ray the Chief Executive. His number one rule was “no surprises” – he has certainly had the last laugh there. Ray commenced his work in health in WA and developed a love of community health. One of his favourite photos in his office was a picture of a building that was little more than a tin hut with dirt floors that was one of his community health outposts in the Kimberleys. Coming over East, he was the Chief Executive Officer of Melton Community Health, then Camperdown District Hospital, before a stint as Deputy CEO at Hamilton Base Hospital, before arriving in Benalla as the new CEO in 1992, a role he held until the end of 2007, when he was the CEO that finally led the merger of Wodonga Regional Health and Albury Base Hospital into the new Albury Wodonga Health. However I will focus mainly on Benalla, as it was here that I worked with Ray and it was here that his heart truly belonged. He loved Benalla Hospital with a passion and felt a very keen sense of responsibility for each and every staff member, no matter what their role. The feeling was certainly reciprocated and there has been a sense of numbness, shock and sadness throughout the hospital and I am wondering who is actually there today looking after patients as it seems just about all the staff have turned out today to pay their respects. If we could have closed the hospital for the day we would have. Ray had enormous faith in people and humanity. He once said to me that the day he stops believing that there is goodness in everyone, no matter how hard it is to find it, is the day he will pack it all in. Inevitably as a CEO, there are times when staff do have to be moved on and such occasions always caused him great personal distress. However, as a professional, Ray was committed to doing the right thing, not the easy thing. It was Ray‟s faith in people that led to the development of the hospital‟s Value system, a framework that let staff know what is expected of them in treating patients, the public and each other. The values of Respect, Empathy, Accountability, Compassion and Excellence are all traits that Ray believed in and embodied in his approach to work and life. They also are reflected in the Frank O‟Connor staff support fund that Ray established as a way in which staff could meaningfully support each other in times of crisis. He took much pleasure in developing staff and he always took enormous pride when his staff went on to bigger and better things. There are many here today, including me, who will always be grateful for the role that Ray played in their professional or personal development. He was also committed to improving the health system, not just Benalla, although it was always his goal for Benalla to be the best hospital in the country. He was highly regarded by his peers and within the Department of Health and I couldn‟t begin to count the number of Regional projects that Ray headed or was involved in. He was always one of the first nominated because other CEO‟s and the Department knew that Ray would do the right thing for the Region and not simply seek to find advantage for Benalla. He was trusted by his peers. Ray also played a significant role in improving health across the country and was a highly regarded accreditation surveyor with the Australian Council on Healthcare Standards. Over the last 15 plus years of surveying, mostly as the co-ordinating surveyor, Ray visited 77 hospitals all over Australia to help assess their performance, and more importantly, help them on their journey to improving healthcare services. I had the pleasure of surveying on one of Ray‟s teams and he approached that task with the same style that he showed as a CEO – consultative, inclusive, take advice, offer advice, and make decisions when decisions were required. Ray was husband to Sue, father to Tom, Ben and Joe (deceased).
The great Healthcare Challenge! As a quality organisation, the Australian Council on Healthcare Standards puts a great deal of emphasis on learning and sharing knowledge. Our annual conference is a great opportunity to showcase new thoughts and experience in quality health care, and this year we have pulled out all stops to collaborate with three peak health care organisations to produce The great Healthcare Challenge. ACHS is delighted to be working in partnership with the Australasian Association for Quality in Health Care (AAQHC); The Australian Healthcare & Hospitals Association (AHHA); and the Royal Australasian College of Medical Administrators (RACMA). The conference theme of achieving patient-centred outcomes reflects the challenges of delivering integrated healthcare in the current reform environment, including Governance, Information Management and E-Health; Clinical Leadership; Appropriateness of Care; Safety and Quality and the need for Patient-centre Outcomes. We hope you can join us in Melbourne from October 12-14.
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Clinical Indicator (CI) Program Update
Closing date for first half CI collection Beat the crowd – submit early
Saturday 20 August
Data Collection To avoid competing with many organisations attempting to enter their data in the first two weeks of August, it is requested that consideration be given to monthly or quarterly data entry.
Revised Indicators for Emergency Medicine From 1 July 2011, EQuIP members can collect an expanded set of Emergency Medicine (ED) indicators. Discuss the new options with your ED clinicians. New indicators focus on:
Mental health assessment turnaround time (2 CIs) Paediatric patient management (2 CIs) Discharge communication for older adults (2 CIs) Pain management (4 CIs) Did not waits (2 CIs).
The Australasian College for Emergency Medicine has revised the ED role delineations. From a CI perspective, contributors will now select from only three peer groupings – Levels 1, 2 and 3. Data for the revised set will be collected in the second half submission of 2011.
Attend a CI Workshop ‘Measurement in Health Care: How to maximise the benefits of clinical indicators’ is a full day workshop for people who manage and interpret ACHS clinical indicators. The training days offer a great opportunity to learn more about selecting indicators, interpreting the results, and using the data to investigate performance and ultimately to improve quality. Workshops are scheduled for: Canberra 16 August Sydney 18 October Darwin 7 September Hobart 25 October An organisation or group of organisations may choose to customise the workshop to focus on their data. Contact Jen Bichel-Findlay on (02) 8218 2727 to discuss your organisation‟s requirements. If you will be attending The great Healthcare Challenge conference in Melbourne, consider arriving one day earlier, to attend the full day workshop ‘Measurement in Health Care: Are we dividing apples by red herrings?’ This workshop considers the different ways of monitoring performance, and will clarify the differences between different types of measures. Understand what can and can‟t be learnt from indicators, feel confident about investigating changes in indicators, and use the data to drive change. For more information: http://www.healthcollab.org.au/workshops.asp
ACHS CI Survey captures a global audience In 2010, the ACHS clinical indicator program undertook a survey of attitudes. More than 120 surveyors and 230 people directly involved with either CI data collection or use of the data participated. In addition, responses were received from 32 working group members, 42 members of participating colleges, and 52 EQuIP members who do not submit indicators. The feedback gained from the survey has been used to plan further updates to the CI program, to set priorities for education, and to plan for the changes occurring in accreditation nationally. In addition, Jen Bichel-Findlay will cover specific findings from the survey at the 28th International Society for Quality in Health Care Ltd (ISQua) International Conference in Hong Kong in September 2011. The survey method will feature in a 15 minute oral presentation, ‘Evaluating an evaluation program – It’s all in the planning’. Jen will also have two posters on display:
A web-based tool for measuring patient outcomes – innovative, logical and easy-to-use Measuring patient outcomes to improve care – is the circle complete?
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Australian Council on Healthcare Standards International (ACHSI) Accreditation ceremony at Al Hammadi Private Hospital, Kingdom of Saudi Arabia The Al Hammadi Hospital, a 360 bed private hospital in Riyadh, Kingdom of Saudi Arabia, celebrated the award of the Australian Council on Healthcare Standards International (ACHSI) accreditation at a certificate presentation held on May 23.
Attending the Al Hammad Hospital Presentation, L-R: Dr Reema Al Hammadi, Director Medical Affairs, Dr Desmond Yen, Executive Director, ACHSI, Mr Mohammed Al Hammadi, Executive Director, Dr Aziz Al Hammadi, Vice Director Medical Affairs and Mr David Miller, ACHSI.
Dr Desmond Yen, Executive Director, International Business, ACHSI presented the certificate to Dr Reema Al Hammadi, Director of Medical Affairs, who was speaking on behalf of the Al Hammadi Family and hospital executive, reflecting on the positive relationship between the hospital and ACHSI and the many benefits they have realised through their accreditation journey.
Speaking to an auditorium packed with staff and leaders from the various hospital departments, Dr Reema said, “This achievement gives us all the inspiration and encouragement to aim for higher goals and continue to improve the quality of care we provide to our clients”. This sentiment is at the core of the hospital‟s commitment to service enhancement and care to the community as evidenced throughout the survey. Dr Yen commended the organisation on its commitment to continuous quality improvement and highlighted many of the areas of excellence in practice identified through the accreditation process.
Hemas Hospitals, Sri Lanka, Make History History was made on 2 June when Hemas Hospitals became the first organisation in Sri Lanka to achieve international health care accreditation. Hemas Hospitals comprises two general acute hospitals, one in the Wattala area of Colombo and the other, Hemas Southern Hospital in Galle. The Australian Council on Healthcare Standards International (ACHSI) certificate presentation, held at the Cinnamon Lakeside Resort in Colombo, contrasted traditional Sri Lankan ceremonial aspects including a welcome by elaborately dressed dancers and the use of high-tech projection, lighting and sound to provide a dramatic overview of the hospital‟s services. The ceremony also included the tradition of “the lighting of the oil lamp” where visitors and company representatives light candles on a brass oil lamp stand draped in intricately laced flowers.
The ceremony was witnessed by more than 300 VIP‟s and invited guests including Ms Kathy Klugman, the Australian High Commissioner to Sri Lanka, Dr Firdos Rustom Mehta, the country‟s representative for the World Health Organisation and the Dr Ravindra Ruberu, Secretary of the Ministry of Health. Mr Deshamanya Lalith De Mel, the Chairman of Hemas Holdings articulated how the company‟s commitment to provide leading-edge health services to the Sri Lankan community, was strengthened by the achievement of ACHSI accreditation. Mr Murtaza Esufally, Chairman of Hemas Hospitals said “We are convinced that ACHSI has provided us with an effective framework to continuously assess our own performance and strive for continuous quality improvement”. He also reflected on the improved culture across the organisation as individuals and teams work tirelessly to raise the bar for quality in healthcare delivery in Sri Lanka. Dr Desmond Yen, Executive Director International Business, ACHSI, acknowledged the achievement of Hemas Hospitals in pioneering international healthcare accreditation in Sri Lanka and credited this to strong leadership, clinical engagement and a focus on high quality clinical care. Welcome to Mr David Miller, Manager, International Business
Attending the Hemas Hospitals presentation, L-R: Dr Desmond Yen, Executive Director , ACHSI, The Honourable Lalith Dissnayake, Deputy Minister of Health, Mr Murtaza Esufally, Chairman of Hemas Hospitals and Dr. Aruna Rabel, Director Medical Services, Hemas Hospitals
ACHS is delighted to welcome David Miller as the Manager, International Business. David started in this role in May, where his key responsibilities include promoting ACHS and its products and services internationally, as well as supporting international clients to ensure they maximise the benefits of ACHSI accreditation. Prior to joining ACHS David was based in South Australia where he was the General Manager of Lyell McEwin Hospital. Achievements in that role included leadership in service re-design and health service reform initiatives as part of the implementation of the South Australian Healthcare Plan.
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Taking action towards combating antibiotic resistance in Australia The Australian Commission on Safety and Quality in Health Care (the Commission) has recently launched Antimicrobial Stewardship in Australian Hospitals 2011, a key step towards action to combat antibiotic resistance in Australia. A major cause of antibiotic resistance, a growing issue in Australia and internationally, is the unnecessary and inappropriate use of antibiotics (and other antimicrobials) resulting in resistance of bacteria to these drugs. Antibiotic resistance is increasingly common. This new book highlights the dangers of unnecessary and inappropriate use of antibiotics (and other antimicrobials) and encourages hospitals to implement antimicrobial stewardship programs. Antimicrobial Stewardship in Australian Hospitals 2011 demonstrates that an organised antimicrobial management program – known as antimicrobial stewardship is an effective approach to antimicrobial resistance. When combined with hand hygiene and infection control programs antimicrobial stewardship reduces the rate of healthcare-associated infection by resistant organisms and subsequent transmission to other patients. Ms Margaret Duguid, the Commission‟s Pharmaceutical Advisor, said that “Up to 50% of antimicrobial courses prescribed in Australian hospitals are considered inappropriate. Comparison with northern Europe shows Australian hospitals have a higher rate of antimicrobial use. Unnecessary and inappropriate use of antimicrobials costs lives. It drives the development of pathogens resistant to antibiotics and other antimicrobials and poses the real risk that health professionals and health consumers will face a future with few effective antimicrobials. It also adds to the cost of health care.” Professor Chris Baggoley, Chief Executive of the Australian Commission on Safety and Quality in Healthcare, said that “A hard copy of Antimicrobial Stewardship in Australian Hospitals 2011 has been sent to all hospitals in Australia. I encourage all Australian hospitals to implement antimicrobial stewardship arrangements appropriate to their circumstances.” The book and other resources are available for downloading from the Commission web site http://www.safetyandquality.gov.au
Two new Guides to help you ACHS is pleased to announce that two new versions of our useful Pocket Guides are completed. ‘The ACHS Pocket Guide for Surveyors‟ is a welcome update on the former 2007 edition. Keeping the same broad themes of explaining ACHS surveyor commitments and expectations it is a handy reference book for surveyors to dip into should they want administrative information, or useful explanations on some aspects of surveying. The new Guides were published in May and will be posted out to all Surveyors. If you need further copies please contact Maggie Wang on (02) 8218 2766. The second Guide – ‘The ACHS Clinician’s Guide: Improving safety and quality of care with EQuIP’ is a straightforward reference guide to assist health care providers understand how quality activities underpin the safety of health care. It explains the systems that support the delivery of clinical care in the context of EQuIP5. The content has been updated to incorporate the relevant EQuIP5 criteria against each of the three broad concepts of care. A handy summary fold-out table listing the full EQuIP5 Standards, Criteria and Elements has been included inside the back cover as a reference tool. The new, updated ‘A Clinician’s Guide’ will be published ready for distribution in July. Page 6
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June 2011 Education Workshop Calendar for July to December 2011 is available on the ACHS website at: http://www.achs.org.au/EduCalendarmonth/
Online learning has been available to members to support the launch of EQuIP5. This elearning is easy to access and user friendly. If you have not yet completed the module, have a look at -
elearning for ACHS Members Click Here to access If you do not have a password, it is easy to go online and apply via the ACHS website at http://www.achs.org.au/memberregform
The ACHS Education Needs Survey was repeated in early 2011 and feedback from members about their education needs has resulted in the following new workshops being added to the calendar. NEW: Health Care is a Risky Business: Effectively Managing Risks in Your Organisation Presented by Gill Clark, ACHS Contracted Survey Co-ordinator, this workshop is designed to EQuIP participants with: understanding the role of risk management in providing safe quality care; understanding what is required for effective risk management; the ability to identify the elements of an integrated risk management strategy; understanding what is needed for both corporate and clinical risk management; and understanding the evidence required for EQuIP5 criterion 2.1.2. This workshop is suitable for Quality and Governance team members as well as Quality Co-ordinators and Managers.
NEW: EQuIP5 for Community Health This workshop will be presented by Sue Gilham, ACHS Survey Co-ordinator. This workshop is designed to inform participants of the EQiIP5 Process and Phases, the EQuIP5 Functions, Standards, Criteria and Ratings, the Mandatory Criteria and Evaluation and Summary of Supportive Evidence. The emphasis is on the application of all of these in a community setting. The workshop is suitable for all staff and volunteers in community health organisations, Quality and Governance team members, Health Workers, Educators, Project Workers, Consumer Representatives, Quality Co-ordinators and Board members. NEW: EQuIP5 for Day Procedure Centres This half-day workshop (afternoon only) has been developed to provide an overview of EQuIP5 for Day Procedure Centres, including the requirements for successful EQuIP5 accreditation for existing and new clients. It is presented by Dr Helen Jagger. Helen is an experienced ACHS Survey Co-ordinator who has co-ordinated many surveys for Day Procedure centres.
Several popular workshops have returned for the second half of 2011 EQuIP5: Understanding Criterion 1.5.7 Nutrition These half-day workshops, presented by Ros Pearson, ACHS Survey Co-ordinator, are designed to help you understand how to apply the new nutrition criterion 1.5.7. This workshop is aimed at Clinicians (Medical, Nursing, Allied Health), Dieticians, Quality & Risk / Safety Managers, Directors of Nursing, Nursing Administrators. Measurement in Healthcare: How to maximise the Benefits of Clinical Indicators Presented by Dr Jen Bichel-Findlay, Co-ordinator of the ACHS Performance and Outcomes Service, this popular workshop will help you to get the most from your Clinical Indicators and is suitable for those who participate in clinical indicator reporting – Clinicians, Quality Managers and Coordinators, Quality Networks and Governance Units, Clinical Leaders and Educators. Page 7
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Several popular workshops ….
continued
Preparing for Survey Will again be presented by some of ACHS‟s most experienced survey co-ordinators, at several locations around Australia. This program is suitable for new quality and governance team members and new Quality Co-ordinators and Managers who have had some practical experience with EQuIP. It is particularly useful for organisations who are preparing for survey in the next 6-18 months. Partnering with Consumers to Achieve Quality Outcomes in Healthcare Consumer Advocate Stephanie Newell presents this workshop, which explores practical ways to engage consumers in healthcare organisations resulting in improved outcomes for all. This program is suitable for health care CEOs, Project Managers, Quality, Safety and Risk Managers, Patient Safety Co-ordinators, Healthcare Administrators, professionals and consumers working within health care organisations. EQuIP5 for Mental Health Services This program is designed to assist those working in the clinical area of mental health in the preparedness for survey. This program includes the Accreditation Framework for the in-depth review program which is aimed at assisting organisations in the implementation of the National Standards for Mental Health (NSMH) within EQuIP5 framework. It will be presented by Neville Phillips, ACHS Surveyor. Achieving EA Ratings – How to Use Key Performance Indicators and Benchmarking Presented by Robyn Quinn, ACHS Education presenter, this workshop helps organisations to develop and grow through using KPIs and benchmarking. The program is suitable for Board members, surveyors, managers and directors, clinicians, quality managers and co-ordinators, quality networks and governance units, clinical leaders, educators, health workers, project workers and consumer representatives. Clinical Audit Fundamentals Presented by senior ACHS surveyors, this practical workshop works through how to set up and conduct clinical audits. The program is suitable for clinicians from all health care services, managers and quality co-ordinators, surveyors, clinical governance teams, information and records management staff. Designing and Managing Clinical and Corporate Policy Frameworks Presented by Dr Lee Gruner, ACHS Survey Co-ordinator, this workshop is designed to give participants a clear understanding of what a policy framework is, how to develop a policy framework and meet the elements of 3.1.5 to EA and how to identify the gaps to meet the requirements for 3.1.5 in their organisation. This workshop is suitable for quality and governance team members and quality co-ordinators and senior managers, and those managers responsible for developing and managing policy frameworks. Implementing and Sustaining a Quality Management System This workshop is designed to give participants the ability to identify all elements of a quality management system, understand the links between quality management systems and strategic success, develop strategies for sustaining the system through leadership. It is suitable for Quality Managers, Quality co-ordinators and those involved in setting up and running quality management systems. It will be presented by Sandy Thomson, ACHS Survey Co-ordinator, and Joy Brumby, ACHS Education Manager. Making the Most of Health Record Audits Presented by Marilyn Sneddon, ACHS Survey Co-ordinator, this practical workshop covers designing, performing and reporting health record audits. This program is suitable for Quality Co-ordinators and people who plan care or audit health records. This program is designed to promote improved use of health records for quality improvement and risk management.
All workshop details available at: http://www.achs.org.au/EduCalendarmonth/ All of the workshops on the ACHS calendar are available as customised „on-site‟ workshops in your own organisation. Please do not hesitate to contact us if you would like to find out more about this option. ACHS Education: Phone: +61 2 9281 9955 email:
[email protected]
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