John Sweeney, Director, Health Care Informed 'National Licensing in a Time of Austerity – A Unique Opportunity for Innovation'

1. National Licensing in a Time of Austerity
A Unique Opportunity for Innovation
John Sweeney
Director, HCI

4. Building Control Authority Environmental Protection Agency Radiological Protection
Institute of Ireland Health & Safety Authority of Ireland Food Safety Authority of Ireland
(EHO's)Pharmaceutical Society of Ireland Health Services Executive CORU - Health and
Social Care Professionals HIQA - Infection Control Mental Health Commission National
Disability Authority Clinical Indemnity Scheme Irish Medical Council An Bord Altranais
Opticians Board Dental Council Irish Medicines Board Irish Blood Transfusion Service Royal
College of Physicians in Ireland Faculty of Occupational Medicine Faculty of Paediatrics
Faculty of Public Health Medicine Institute of Obstetricians & Gynaecologists Royal College
of Surgeons in Ireland Faculty of Dentistry Faculty of Radiologists Irish College of
Anaesthetists Irish College of General Practitioners in Ireland Irish College of Psychiatrists
Irish College of Ophthalmologists Irish Society of Chartered Physiotherapists National
Treatment Private Health Insurance Purchase Fund Joint Assessment Group (GI )HIQA Pre-
Hospital Emergency Care Council Fire Officers Excellence Ireland National Standards
Authority of Ireland Joint Commission International CHKS Accreditation Centre for the
Development of Nursing Policy and Practice, University of Leeds Irish National Accreditation
Board Clinical Pathology Accreditation (UK) Academy of Medical Laboratory Science
National Council for the Professional Development of Nursing and Midwifery NERA -
National Employment Rights Authority

6. Overlap?
2006 – 64%

8. Quality Manager (or similar)Departmental Quality Manager (e.g.
Labs) (or similar) Accreditation Manager (or similar)Risk
Manager (or similar)Health and Safety Officer (or
similar)Infection Control Officer (or similar) Clinical Audit
Manager (or similar) Governance Manager (or similar)Best
Practice Development Officer (or similar)Standards Development
(or similar)Quality Co-ordinator (or similar)Risk Administrator
Health Promotion Officer (or similar)Audit Administrator Quality
Administrator

9. Gaps?
2006 – 75%

10. Framework

12. Enforcement Education Research &
Development

13. Enforcement
2012
• Implementation – Hospital Prioritisation
• Regulatory Co-ordination (PSC)
• Incident Investigation
• Incorporates HIQA
• Costs

15. Enforcement
Implementation
• Prioritisation - Hospitals
• Private - Public
• Standards Comparable – ISQua - WHO

16. • Leadership, Governance and • Governance, Leadership, and Direction
Management • Access to Care and Continuity of Care
• Person-Centered Care • Patient Rights & Education
• Promoting Better Health • Assessment and Care
• Effective Care • Quality Improvement and Patient Safety
• Use of Information • Communication and Information
• Safe Care • Prevention and Control of Infections
• Use of Resources • Facility Management and Safety
• Workforce • Staff Qualifications and Education

17. Enforcement
Implementation
• Prioritisation - Hospitals
• Private - Public
• Standards Comparable – ISQua - WHO
• Other Risk Areas - Immediate
• Options?

18. Enforcement
Outsourcing
• USA - Centers for Medicare & Medicaid Services (CMS)
– CoP – Joint Commission - Random validation surveys
• New Zealand - Health and Disability Services (Safety) Act 2001 -
Designated Auditing Agency – ISO / ISQua
• VHI – Hospitals – Imaging - VHI

19. Enforcement
Potential Benefits
• Rapid Implementation
• Best Practice Standards – ISQua / WHO
• International Expertise
• PSA Control – Resource Utilisation
• Cost

20. Enforcement
Regulatory Burden
• Primary Regulator
• Regulatory Integration
• Specific Requirements re SBC
• Demonstrable need for additional
• Reduced Workload - Cost

21. Quality and Risk
• Framework for Provision of Care
• Responsibility Lies…
• Co-ordination/ Management
• Integration (Committees) and Localisation
• Reduction in Overlap
• Staff Gap - Best Use of Resources

22. Outcomes
• Quality and Risk Integration.
• Rapid Implementation.
• Regulatory Co-ordination.
• Reduced Cost – (Regulation and Quality).
• PSA – Changing Culture.
• Innovation.
• Improved Care.

23. Necessity, who is the mother of invention.
Plato
Let’s make things better.
Philips