英国标准协会(BSI)联合临床服务认证联盟(CSAA)共同发布PAS 1616医疗保健-临床服务供应-规范,旨在为帮助临床服务供应商提供物有所值的高效服务,
PAS 1616 包含从预防保健到各方面护理的所有服务,以及临床用户和护理人员接触的全过程,从第一次接触基层医护人员到最后出院,包括家庭护理在内。PAS 1616还面向有复杂需求的临床用户以及临床服务,帮助临床服务在适当时机推陈出新。
随着临床服务用户需求的增加,加上资源方面的限制,医疗保健供应面临的挑战越来越大。同时,向监管者、委员、资助者和系统设计者等利益相关方展示其服务符合要求以及持续在实施改进的需求也不断加大。医疗保健拥有一系列配套设施,包括从学校体检和接种疫苗的公共卫生,到专科临床服务和家庭服务的临终关怀。
PAS 1616 有助于形成临床路径的不同临床服务和医疗服务机构间的合作和沟通,为各机构提供一致的结构设置、专业术语和交流方式。PAS 1616 能够让工作人员和领导团队分配各方权利,并在明确的职权范围内提供临床服务。
PAS 1616的优点
l 遵守PAS 1616能够让临床服务用户明确他们能得到的临床服务;
l 无论临床服务有没有外部评价机制,PAS 1616能使其不断自评和提升;
l 可以使临床服务和体系的制定遵守PAS标准的相关要求;
l 帮助临床服务保持纪录和文件的持久性,有助于监管机构的减负和效率提升。BSI市场开发管理与恢复部门总监安妮.海耶斯说:“PAS 1616 为总裁、经理和临床服务带头人提供一个适用于临床服务的框架,是提高标准和质量这一长期目标中的第一步。PAS 1616的目标是通过提供结构和指导,填补临床服务中市场开发管理和恢复方面的战略组织缺陷,从而节省时间,减少资源浪费。任何临床服务方都能审视目前的服务状况,然后创建一个合适的提升路线图。”
PAS 1616包含了临床服务的计划和定义;领导力、战略和管理方法;以人为本的治疗和/或护理;风险和安全;临床评价;有各种需求的临床服务用户;如何为临床服务配备人员;提升、创新和改变;以及如何培训未来的员工。PAS 1616涵盖医院环境中的临床服务,但不是专门用于此类临床服务。它不包括有特定服务需求的个别临床服务。
PAS 1616是以下机构中的各个专家通力合作,达成共识后的结果:英国特需理疗师协会、BSI消费者和公众利益网络、医疗领导和管理学院、健康与社会保健认证论坛(HaSCAF)、英格兰国民保健署、NHS临床调试组、英国国家卫生与临床优化研究所、RCP病人和护理人员网络成员、英国卫生部监察员、英国健康与社会保障专业标准局、英国皇家全科医师学会、英国皇家护理学院、英国皇家内科医学院(RCP)、英国皇家医师学院认证单位、英国皇家外科医学院和西米德兰兹质量审核服务。
PAS 1616是一系列资源中的一部分,由医疗质量改进伙伴关系(HQIP)代表CSAA发布。2016年11月25日会召开PAS 1616发布会,会议的主要领导人来自中国质量认证中心(CQC)、英国国民医疗服务改进体系(NHS Improvement)、HQIP、英国皇家学院和其他认证团体。
New clinical services standard published
BSI, the business standards company, has published PAS 1616, Healthcare - Provision of clinical services - Specification, in association with the Clinical Services Accreditation Alliance (CSAA) to help clinical services providers deliver efficient services which are good value for money.
PAS 1616 covers the full range of services from preventative care through all aspects of care that clinical service users and their carer(s) encounter on their journey, from first contact with a primary care health professional through to their exit from the clinical service, including home care. It includes requirements for clinical users with complex needs and for clinical services to seek and adopt innovation when that is considered appropriate.
Healthcare provision is becoming increasingly challenging, with clinical service users presenting more complex needs under constrained resources. There is also a growing need to demonstrate to stakeholders such as regulators, commissioners, funders and system planners that requirements are being met and improvements implemented. Healthcare is provided in a wide range of facilities and settings, from public health, which includes screening and vaccinations in schools, to end-of-life care in specialist clinical services and in the home.
PAS 1616 can facilitate collaboration and communication across the different clinical services and healthcare providers that make up a clinical pathway, providing them with consistency of structure, terminology and communications. This can allow clinical services, staff members and leadership team ownership over the clinical service and empowerment to act within a clearly given remit.
Benefits of PAS 1616:
. Compliance with PAS 1616 can provide clarity to clinical service users about what they can expect from the clinical service
. Can enable a clinical service to continually self-assess and improve, regardless of whether there is any existing external evaluation scheme within that clinical service
. Can enable service and systems planners and funders to commission on the basis of adherence to the requirements of the PAS
. Has the potential to reduce the burden and increase the effectiveness of regulation by helping clinical services to maintain robust records and documentation which could be used to show compliance with regulations
Anne Hayes, Head of Market Development for Governance and Resilience at BSI, said: “PAS 1616 provides CEOs, managers, and clinical leaders with a framework to follow for their clinical service; a first step in the long-term aim of raising standards and improving quality. It aims to fill a strategic and Market Development for Governance and Resilience organizational gap by providing a structure and guidance for clinical services, thereby saving time and reducing wasted resources. Any clinical service can now review its current level of provision and create a roadmap for improvement.”
PAS 1616 covers clinical service planning and clinical service definition; leadership, strategy and management; person-centred treatment and/or care; risk and safety; clinical effectiveness; clinical service users with complex needs; staffing a clinical service; improvement, innovation, and transformation; and educating the future workforce. It covers clinical services within hospital settings, but it not exclusively for such clinical services. It does not cover service-specific requirements for an individual clinical service.
PAS 1616 was developed using a collaborative, consensus-based approach using experts from such organizations as: the Chartered Society of Physiotherapy, BSI Consumer & Public Interest Network, the Faculty of Medical Leadership and Management, the Health and Social Care Accreditation Forum (HaSCAF), NHS England, NHS Clinical Commissioning Group, National Institute for Health and Care Excellence, the Member of RCP Patient and Carer Network, Monitor - the Department of Health, the Professional Standards Authority for Health and Social Care, the Royal College of General Practitioners, the Royal College of Nursing, the Royal College of Physicians, the Royal College of Physicians Accreditation Unit, the Royal College of Surgeons and West Midlands Quality Review Service.
PAS 1616 is part of a suite of resources being delivered by the Healthcare Quality Improvement Partnership (HQIP) on behalf of the CSAA. A launch event will take place on 25th November 2016, featuring leaders from CQC, NHS Improvement, HQIP, Royal Colleges, and the wider accreditation community.