The Canadian accreditation process

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1

The Canadian accreditation process

CLINIQUE LA ROSE is the first clinic in Africa to engage in a Canadian accreditation process since November 2017.

Healthcare accreditation is an ongoing process of providing objective assessments based on a set of benchmarks or standards of excellence to determine what needs to be improved as part of their commitment to continuous quality improvement.

In this framework, 16 benchmarks affecting the different activities of the clinic will be applied, including :

  • Governance

  • Leadership

  • Infection prevention

  • Reprocessing and sterilization of reusable medical devices

  • Perioperative services and invasive procedures

  • Medication management

  • Preparation for emergencies and disasters

  • Transfusion services

  • Ambulatory care services

  • Emergency services

  • Medical services

  • Obstetric services

  • Intensive care services

  • MAP laboratory

  • MAP Centre

  • Medical imaging

During this process, self-assessments are led by the working teams, while a gap analysis is led by the Canadian team. A simulated visit will be made to assess the clinic’s readiness and one last visit will be made to grant us an accreditation certificate to demonstrate conformity with the required criteria.

Accreditation is important as it helps organizations create better health and social care for you, your family and your community. It enables organizations to understand how to better use their resources, increase efficiency, improve quality and safety, and decrease risk.

 

What is accreditation?

Accreditation Canada is the world’s most globally recognized organization.
For over 60 years, Accreditation Canada has worked with health care facilities in more than 35 countries.

  • 1,000+ EXPERTS IN THE FIELD

  • 35+ COUNTRIES

  • 12,000+ FACILITIES USING AC PROGRAMS

What does it mean to be accredited?

When you see the Accreditation Canada seal, you can be sure that the health care organization is striving to meet standards to provide safe, high-quality care. They do this because better quality means better health.

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Our quality policy

In order to provide patients with high-quality services and doctors with optimal working conditions for the practice of medicine, and in order to meet the conditions needed for the clinic’s sustainability in a highly competitive context, LA ROSE Clinic adopted a quality approach through the Canadian Accreditation and included it in its long-term vision.

In this context, the focus is to :

Constantly improve the quality and safety of patients care: On the one hand, the clinic’s administration undertakes to put in place the necessary human, financial, organizational and technical resources for the ongoing improvement of patient care. On the other hand, it also commits to ensuring strict compliance with hygiene measures and preventing associated infections.

Fully meet our employees’ expectations: We pledge ourselves to listen to our patients and their relatives while respecting their rights (dignity, privacy, treatment continuity, information, etc.) and respecting our doctors and staff.

Provide our doctors with the best working conditions: By providing them with a complete, effective and state-of-the-art technology platform and optimal safety conditions to better take care of their patients.

Provide staff with adequate resources: By providing the required equipment and training to succeed in their actions and prove their capacities.

Promote continuous quality improvement and lead the clinic to Canadian Accreditation: This involves targeting and prioritizing shortcomings, seeking and implementing solutions and periodically measuring the level of quality achieved.

Quality management is digitalized. Documents are electronically managed using QUALIPRO software which allows all the staff to access the various resources necessary for the smooth running of their work and which ensures an effective digital distribution of information in order to leave no room for error.

Training upon hiring and continuous training should be carried out to allow for the periodic evaluation of all staff by their superiors. An annual assessment of skills and goal achievement of the previous year is also carried out to improve the training plan and the skill grid of the staff.

3

Our risk management approach

We adopt a prior risk management approach, by mapping and systematically reviewing and managing the institution’s risks to avoid their recurrence a posteriori, through the reporting of adverse events.

The reporting of adverse events is part of our risk management and patient safety policy and is ensured using the institution’s information system while maintaining the anonymity of the reporter.
In this context, it is the responsibility of each person to submit without prior request and without delay any information on such events. Failure to comply with this rule may undermine the entire prevention process carried out by the institution.
To promote this return on experience, the medical and general administration of our clinic does not initiate disciplinary proceedings against any employee who has spontaneously revealed in no time, a breach of safety rules in which s/he took part.

4

Patient experience and the assessment of their satisfaction

Patients are invited to fill out satisfaction questionnaires that will be subject to a quarterly report. Complaints are immediately processed by the Quality Officer.

You can contact the Quality Officer directly by WhatsApp: +216 98 757 393, by email : contact@clinique-larose.com
or by filling the form published on the website.

Daily rounds are made by the head of each department, the governess, the hygienist and the Quality Officer to make sure that the patients’ conditions of stay comply with our regulations.

5

Auditing and continuous improvement

Auditing is a crucial phase within the process of assessing the conformity of our practices with the developed guides. The raised areas of improvement are designed within an action plan that will be subject to follow-up based on the fixed deadlines. Continuous improvement is also among the main principles of our quality approach.