Accreditation Canada's sector- and service-based standards help organizations assess quality at the point of service delivery and embed a culture of quality, safety, and client- and family-centred care into all aspects of service delivery. The standards are based on five key elements of service excellence: clinical leadership, people, process, information, and performance.
Accreditation is one of the most effective ways for organizations to regularly and consistently examine and improve the quality of their services. The standards provide a tool for organizations to embed accreditation and quality improvement activities into their daily operations with the primary focus being on including the client and family as true partners in service delivery.
Client- and family-centred care is an approach that guides all aspects of planning, delivering and evaluating services. The focus is always on creating and nurturing mutually beneficial partnerships among the organization’s team members and the clients and families they serve. Providing client- and family-centred care means working collaboratively with clients and their families to provide care that is respectful, compassionate, culturally safe, and competent, while being responsive to their needs, values, cultural backgrounds and beliefs, and preferences (adapted from the Institute for Patient- and Family-Centered Care (IPFCC) 2008 and Saskatchewan Ministry of Health 2011).
Accreditation Canada has adopted the four values that are fundamental to this approach, as outlined by the IPFCC, and integrated into the service excellence standards. The values are:
- Dignity and respect: Listening to and honouring client and family perspectives and choices. Client and family knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care.
- Information sharing: Communicating and sharing complete and unbiased information with clients and families in ways that are affirming and useful. Clients and families receive timely, complete, and accurate information in order to effectively participate in care and decision-making.
- Partnership and participation: Encouraging and supporting clients and families to participate in care and decision making to the extent that they wish.
- Collaboration: Collaborating with clients and families in policy and program development, implementation and evaluation, facility design, professional education, and delivery of care.
This set of standards addresses the labour and birth process within an acute care setting, up to the point when the mother and baby are transferred to another setting of care or home.
This set of standards contains the following sections:
- Investing in quality services
- Building a prepared and competent team
- Providing safe and effective services
- Maintaining accessible and efficient information systems
- Monitoring quality and achieving positive outcomes
In these standards, "client" includes the pregnant woman or mother and the fetus or baby. "Family" is defined by the client, and may include the baby's father, members of the immediate family such as siblings, members of the extended family, or caregivers.
Users of these standards may want to refer to the MOREOB Program (Managing Obstetrical Risk Efficiently) developed by the Society of Obstetricians and Gynaecologists of Canada. MOREOB is an obstetrics risk/error reduction program utilized in many hospital birthing units across Canada. The program integrates the lessons learned from managing risk and adverse events in industry and organizational structures into the obstetrics and promotes a culture of patient safety. It is an innovative approach to the care of pregnant women in hospitals that emphasizes teamwork, effective communication, interdisciplinary (nurses, midwives, family physicians, obstetricians) education and review of normal and abnormal events, skills practice, and emergency drills. It brings together all health care professionals in the birthing unit through educational workshops and provides the process and methods to eliminate a culture of blame in hospitals. For more information, see www.moreob.com/salus_global_corporation.html <http://www.moreob.com/salus_global_corporation.html> or www.sogc.org <http://www.sogc.org>.
All Accreditation Canada standards are developed through a rigorous process that includes a comprehensive literature review, consultation with a standards working group or advisory committee comprised of experts in the field, and evaluation by client organizations and other stakeholders.