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Report Conference by FHAM WONG Yat-cheung,FRCP MD Dr. Charles (TAS) international Accreditation Trent Scheme* whatI leamt fromchairing recent a Thisarticle shares is reading. Merging these sources two was from in to conference,addition what discovered background personal not representative and of Myviews purely are to make article this comprehensible. essential perspective upbeat Adventist Health (AH) to the lt provides different Health or anyof itshospitals. Adventist "Return theBasics". Newsletter to Commission Intemational.*) June 2007 (Joint JCI

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Team, and with on & Hospital hisleft, theTAS with MAN HKSanatorium of Dr.Charles WONG, MsManbo from twoparticipants thePhilipines knowledge TASandJCIAccreditation on Limitof my personal WanAdventist Hospital Tsuen to was accreditation limited helping my on In the past, knowledge hospital surveys.This paediatrics at (TWAH) and in service its preparation attendance the timeof accreditation therefore not that opportunity learn. lt wasfortunate I was its chairman to was conference an excellent

into by for Even it wasonlyprudent meto prepare researching so, of any reqiiired deliver pearls wisdom. to thesubject. people . "Garing Patients it Borders Doing wellandletting International across for TheConference University. Management July1007 theSingapore at you know doit well"on 14th team. for took England, thelead theTAS from Disease Consultant Sheffield, Infectious Steve Professor Green, werefromthe Others was The contingent fromSingapore. aftended. largest 30 Roughly participants Director of MAN, (HK), Manbo Ms Kong Two fromHong Brunei Macao. were and Thailand, Philippiires, were Many aftendants (HKS&H), mefromlheTWAH. and & for Service theHKSanatoriumHospital Nursing of with aspects papers position. mainly connected various were Presenled in nurses management senior "selling' medical local medical treatment, visitors receive to inoverseas to meaning bring "medical tourism", clients. to service overseas TASandJCl,may by certified both being feature AH,thatitstwohospitals aretheonlyones of Theunique me the that invited tochair Conference. been reason TAS the have requirement private accreditation statutory and hospital Hong Kong private hospitals, itsown using and to inspect license is Department of Health responsible Thegovernment Kong for legal requirement Hong Kong no has in Hong At standards. thismoment time, setof un-published With such no statutory accreditation asJCIorTAS. such private bf any hospitals undergo form independent to ofTAS JCIaccreditation. and flagellation Health's double Adventist many queried requirement, have

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the suffered & prior the MAN, to 2000 around timethattheHKS{natorium Hospital According MsManbo to and private supervision werelacking hospit{b media alleged HK unit, dialysis local its accident-at renal introduced Hospital FANG,bf Paul's St. providing without standards.. -Sir Dr.Harry consistent care dccrediiation the f6r One partty a tool rebuff criticisms. reason choosing Trent to thbse as from UK the TAS to TAS to established standardssuitthe hospitalsmodify with towork HKprivate was Scheme itswillingness hospitals, HK amongst private variation affordability of Furthermore, tothelarge due situation. Hong Kong local surveyors pocket Most theUKbased of only. for expenses hospitals outof HK to TASagreed charge private profit body. a making remainsnon time. their vacation TAS lo HKusing own come cost shared oftheaccreditation All hospitals by in2000 TAS. private were hospitals accredited All12private for specifically evolved a with effort, setof standards this process, Conlinuing in containment. resultingcost and reviewed to continue be These standards UK from Kong, adapted established TASstandards. Hong the into taking account TAS members, private two each hospitals supplying committee withHK revisld, Board's inout.. Hong birth that hospitals theimpetus gave to theofficial was of m-operationallprivate This unprecedented at attendantsthis that I am to Incidentally, delighted report international Association. Hospitals Private Kong and and of very existancethisorganisation, thesolidarity co-operation the admired unreservedly conference within. Kong for tourism Hong Medical

tourism notein HK. of is that I told to At myintroductiontheConference, theaudience there stillnomedical I issue giving in Hong is Kong a different altogether. birth China from of Theiunentflood molhers mainland patient coinsurance co-payment, oveBeas cost service supersedes as believe as long HKmedical that patients wealthy from cover, insurance medical need fall payment theahort thatpatients to paydespite being tourism. to to are countries unlikely come HKformedical
litigation and tourism negligence Medical

lhat told (MPS) representative the Conference most Society Protection BEWAREMedical Doctors a occurred.Should USor negligence the where alleged will likelylitigation start in the country not does apply. cover then of sue citizen in thecourts theusAor canada, MPS canadian negligence of the who solicitor answered question medical Singapore by MpSwasrepresented its local patients abroad, international from treating cover insurance fordoctors tourism? medical to helped promote by accreditation JCIor TAS Has hospital region. within mst HK Cunent medical is notcompetitive theAsia to is No. There noevidence suggest;so. "first HK class, is farfrombeing world is world service quality standard medical of and Kong's Hong Alihough edge, competitive price". the Without price at world world service first world servicj thirJ at orices" it is"first pie, medical tourism international grab share theverysmall of a to Kong attempt to for it would futile l-iong be The body. intemational or is our oiwhether hospital accredited notbywhichever irrespeciive for at least now, advantage. of becauseprice have tourist notcome asmedical Kong to fewwho come Hong body? international by with Sowhybother accredihtion anyindependent, "Both Accreditation puts ("COO") TWAH it succinctly: JCIandTrent of Officer Operating Chief Mr.AlexLAN, from bestpractices and Experience quality careandpatient safety. of are Schemes toolsto imprwe of the to as standards ways improve quality care into participating are hospitals incorporating theaccreditation standards." and safety principles of because its guiding to TAS continues beuseful . . practicing lt clinicians.is by review active of run organization onhe basis peer TAS a non-profit is inexpensive. itself. to now only beginning"market" lt remains a There and hospital standards measures. isnow localized to establish committedhelp TAS remains and being continually reviewed which is Kong to that and setof slandards measures isspecific Hong uodated. in HK's TAS to is and standards measureunlikely work outof itsparticipation ofhospital Localisation between competition level remainscertain of healthy a there because surveys accreditation hospital and neutrality faimess. TAS private which hospitals is-befH bytheindependent guaranteed local

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Participating expenses. for are TASsurveyors not paidbut onlyreimbursed theirout of pocket and for expense training hospital's at their to are hospitals required supply ownstaff theparticipating hospitals. ofdifferent equivalence "exchangeexaminers". latter The helps standardize to of eventual Personal on "Exchange Examiners" results exchange knowledge best practice. of in also of for from this exchange potential of interests conflict on knowledge this issuetells me that of sense HKmedical common of because thegood not care of patient have occurred improvement professionals. andnursing with own at round all stationed thesurveyors' hospitals, continual surveyors year of Presence trained have local hospitals of surveyors different between and with contact theTASBoard, communication alike, and surveyors hospitals all benefited parties, the not fresh introduces perspective onlyfrom UKto HK, surveyors in brought byoverseas Experience vice butalso versa. WhyTASas wellas JCI? 2007 notreveal did of pages theAH"Return theBasics" NewsletterJune JCI to of Thorough of alleight study Mr, On TAS achieved certification. thisissue, successfully having on for the reasons embarking JCIafter pushed administration forJCIonthebasis of that explained theCEO theprevious AlexLAN, COO TWAH, of for The known thanTASworldwide. reason than higher standard TAS,andalsobetter thatit demands agreed universally system is undergoing JCI and TAScertificationthatthe latteris an assessment both may pulling of thisagreement anyhospital by out private hospitals unilateral and all between HongKong private system. accreditation hospital upset SAR-wide this that TAS from JCI also It is probably worthnoting originated the USAwhereas is UK based, American in and then Hospitals, AH CEOhadlived worked theUS, founded twoAdventist the Adventist missionaries the in Organisationthe USA, Accredited of then of the Director Nursing wasex-staff a JointCommission is headquarterin the USAandthe list the was Director thenAmerican, Church lmprovement Performance g o e s n. . . . . . 0 of The is not to that Mr.LANstressed the reason gainTASor JCIaccreditation thecertification. process patient and services the to to be is acknowledged themechanism improve hospitals' accreditation achieving covered preparation JCIis likely have to for than stringent TAS, JCIis more that safety.He reasoned since does certification not arise. AH administration of the therefore question redundant TAS requirements, planned both for expansion to will standards be applicable the impending intended suchimproved that and of processes examination inward as and In hospitals. practice, not surprisingly, withany serious safety. service patient and clinical procedures, outcome indeed improved is the JCI for insurers. reason choosing One negligence US amongst hospital to JCI Incontrast TAS, is wellknown are of outcomes theJCIaccreditation known Some provides clear measurable standards, and very is thatit include following: the These to mebyhearsay. ' insurance negligence on 25% that The assumption therewillbe an automatic discount hospital out did in hospitalstheUSA, notturn (Hospital accredited Commission) premium, to applicableJACO for to beautomatic HK. to g0 came inspect insurers after premium dideventually down cost insurance negligence Hospital passed JCIaccreditation. their after for first thehospitals hand themselves thehospitals

accreditation to of staff of education telling thattheprocess improvementachieve extensive Despite to preparation no because onewants beculprit out wasstressed bytheJCIsurvey staff wastheaim, that a of to is This analogousthefutility telling student it is for an forfailing assessment accreditation. and is of the score nottheexamination thatcounts; value theexaminationin thelearning theself place hand. before process took that improvement that far remains greater of TAS. inevitably of Cost JCIaccreditation

include localHKdevelopment current relevant, O(her . standards its public is service, using own massive hospital Hong operating Kong's Authority, Hospilal plan gofor There and with cbupbd JCIstandards measurements. is noimmediate to andmeasures, (hearsay). fullaccreditation independent, formal, JCI. aftempting is Hospitalalso TheHKBaptist scheme an but with continuing TAS, adding Australian double is HKS&H contemplating accreditation, certification. to in standardadditionTAS ISO have Hospital acquired 9000 and Matilda Union Both

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on more - Hospital becomes knowledgeablethis Kong is to accreditationhere stay.As Hong FUTURE re'evaluation. wanantscontinual accreditation, duplicated and issue,coshbenefit in particular Kong of solidarity theHong as fromTASis unthinkable thiswill ruinthehardearned away Breaiing Hospitals, of Association Private this to trip the suppofted authols to Singaporechair C'onference. financially TWAH Declaration: of summary JCI/TAS: Overview JCI - http://www.jointcommissioninternational.com/ 23.08.2008 from Taken JCIwebsite of and improve safety quality the isto International continuously "The Commiss:on of mission Joint and services and of the through provisioneducation consultation community in care theinternational intheUnited care ofhealth organizations accreditor the ......Today largest accreditation intemational a throughvoluntary health programs care 20,000 nearly surveys commission states, Joint the corporations." not-for-profit both process. Joint are and Commission itssubsidiary The accreditation for scope its institution, states specific JCI ofthe departments healthcare note: Author's Fordifferent process two Intent Measureable the and divide accreditation into sections, and that department, then Elements.

.. TAS - http://www.trentaccreditationscheme.org/ 23.08.2008 Taken TAS from website the from and by has developedpractitioners managers within Scheme been Accreditation TheTrent toevolve itsusers iscontinuing and by and credibility ownership capability, ensuring Trent Region develoo. and Benefits Scheme and staff, to of the o assures quality service patients, commissionersproviders ofstandards a benchmark o provides information quality monitoring o provides

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