Question

please provide your opinion regarding "Common Roadblocks to Implementing Quality" in KSA at all 4 different levels of Health care accreditation ?

Answer 1

In KSA( Kingdom of Saudi Arabia) there are several Roadblocks in Implementing quality at all four Levels of Health Care Accrediation.these four levels are-

1. Level 1, require the Observation of basic quality of care compatible with instituitional resources. the services, units, or sectors have responsible certified personnel that observe formal safety Requirement and have appropriate infrastructure to implement activities within the corresponding rules & regulations.

2. Level 2, in addition to level 1 standards, there should be evidence of organizational planning of care in relation to documentation, training, control and decisions making based on information and the internal audit. services,units or sectors have documented Process and procedure manuals, that are up to date and available, as well as clinical protocols and basic statistics; continuous education program are offered for the Improvement of processes, sentinel events, and evidence of intigration with other hospital services.

3. Level 3, in addition to level 2 standards, there should be evidence of intitutional policies for continued improvement in terms of structures, processes, Procedures, technology upgrades, and outcomes or impacts. the services, units, or sectors have measurement systems for client satisfaction; integration with the instutional quality and Productity Program; evidence of improvement cycles; data information systems and indicators that allows service evaluation; and community Impact.

4. Level 4, in addition to level 3, there should be defined standards for structures, processes and results that must be firmly established in a hospital so that it may Provide Quality care.

# Common Roadblocks in Implementing Healthcare Accrediation- Institutionalizing improved quality of care through accrediation requires more than a technical approach. failure to change the behaviour and attitudes of people & organizations is the commonest cause of ineffective quality initiatives. sustained improvements often requires a change in attitude and acquisition of a sense of ownership with regard to the quality of services provided by an organization. many supportive initiatives are require to integrate accrediation into the structure and function of an organization. a mix of challanges are faced in healthcare accrediation. the challenges in setting and measuring against standards are mostly technical.

1. Shortage of Saudi health Professionals.

2. Effective Partnership between Patients and there healthcare Providers.

3. Changing Patterns of diseases.

4. High demand resulting from free healthcare services for all citizens and those expatriates working.

5. with salaries as the payment mechanism, health Providers have no incentive to control costs or make rational use of resources.

6. Despite continued efforts to invest in medical education, the country still depends greatly on non saudi citizens, who constitute approximately 58 % of health workforce.

7. Shortage of Nurses.