Philippine Quality Awards for Hospitals
Philippine Quality Awards Criteria for Performance Excellence for Hospitals
Reynaldo O. Joson, MD, MHA, MHPEd, MSc Surg
September 2, 2013
Why apply for Philippine Quality Awards or why be assessed using Philippine Quality Awards Criteria for Performance Excellence?
There are a lot of standards available in and outside the Philippines that hospitals can seek certification, accreditation, and recognition to. Below is a list of the more common standards available and popular in the Philippines.
- Philippine Quality Award Criteria for Performance Excellence
- ISO Quality Management System
- PhilHealth Benchbook
- Joint International Commission and Accreditation Canada International
- Investors in People
For details of the standards and my thoughts, perceptions, opinions, and recommendations, pls. see my slide presentation entitled “The Road To Hospital Quality Accreditation: What’s In It For Us? Is It Even Worth The Expense?” which I used to lecture to Master in Hospital Administration students of the University of the Philippines College of Public Health on August 16, 2013. (Link: http://www.slideshare.net/rjoson/hospital-quality-accreditationrjcphmha13aug16)
As we all know, seeking certification, accreditation and recognition to standards are voluntary on the part of the hospitals. Nobody forces any hospital to go for certification, accreditation and recognition to the standards as these activities entail fees, one for the survey or assessment and two, for the certificate or trophy. It goes without saying that prior to the survey and certification there are significant, if not tremendous, amount of work and time and, of course, expenses that have to be spent in the preparation.
Hospitals go for certification, accreditation and recognition for various reasons. However, the overarching one is to promote the business development program of the hospital so as to make it viable and sustainable. The other and more specific reasons are the following:
- To use the accreditation (certification, recognition) project as an assessment tool on hospital performance as well as a change management tool.
- To identify and institute areas of improvement towards excellence with the help of the hospital accreditation project.
- To educate the staff on performance excellence with the help of the hospital accreditation project.
- To increase the hospital’s credibility and to demonstrate its accountability to the community using an attained hospital accreditation.
- To enhance the hospital reputation so as to attract more clients utilizing its services.
- To increase its leverage with the potential partners and collaborators in the health care industry using the attained hospital accreditation.
As shown in the list, there are 6 standards that Philippine hospitals can consider if they want to go for formal certification, accreditation, and recognition. They don’t have to get all. Depending on their need and situation, getting a formal certification, accreditation, and recognition on one or two standards may be enough. For the rest of standards in the list, a hospital can just use them and comply through self-directed learning and improvement without going for formal accreditation.
Currently, in the Philippines, if a hospital, for one reason or another, wants to limit itself to just one formal accreditation, it should be on the PhilHealth Benchbook. There are already a significant number of Filipinos with PhilHealth subscription. Hospitals in the Philippines, if they want to survive and be competitive with comparable hospitals, should be accredited with PhilHealth for them to get the financial benefits of managing patients with PhilHealth subscription. The PhilHealth Benchbook contains standards set by PhilHealth to be complied by hospitals interested to be accredited. Another reason is that lately, 2013, the Department of Health is using the PhilHealth Benchbook standards in assessing and auditing hospitals for purposes of issuance and renewal of license-to-operate.
After PhilHealth Benchbook accreditation, if a hospital, for one reason or another, wants to have just one other formal accreditation, I would recommend the Philippine Quality Award Criteria for Performance Excellence (PQA-CPE). While trying to meet the criteria of the PQA-CPE, one can use the standards of ISO Quality Management System; Joint International Commission (JCI) and/or Accreditation Canada International (ACI); and Investors in People (IiP) as guides using self-directed learning without going for formal accreditation. Being certified by ISO and accredited by JCI / or ACI and IiP, though helpful, are not required in being granted a Philippine Quality Award.
Why PQA and not ISO, JCI / ACI, IiP as the other additional accreditation after PhilHealth Benchbook, if a hospital is limited to just two accreditation?
PQA is the highest level of recognition for exemplary organizational performance as this is established by a presidential executive order (No. 448) in October 1997 and institutionalized through the PQA Act (RA No. 9013) on February 28, 2001.
The PQA or PQA Criteria for Performance Excellence provides a global competitiveness template for organizations in the Philippines. It provides guidance on how organizations including hospitals can deliver ever-improving value to customer / clients while at the same time maximizing the overall organizational performance and capabilities.
If one compares PQA, ISO, JCI / ACI, and IiP, they are basically the same in terms of quality management system and systems approach. The differences lie in the focus: ISO – standardization of processes; JCI/ACI – quality and safe patient care; IiP – people development; PQA – results and impact on competitiveness and sustainability.
PQA Criteria for Performance Excellence puts more emphasis on the results of a quality management system, namely quality and performance excellence and viability and sustainability. It does not disregard the importance of the standardization of processes, quality and safe patient care, and workforce development. This is the second big reason (after PQA being the highest level of recognition) why I recommend it as the award to apply for after PhilHealth Benchbook, that is, if the hospital is limited to just one other formal accreditation. I repeat what I said earlier, while trying to meet the criteria of the PQA-CPE, one can use the standards of ISO Quality Management System; Joint International Commission (JCI) and/or Accreditation Canada International (ACI); and Investors in People (IiP) as guides using self-directed learning without going for formal accreditation.
If there are three formal accreditations that a hospital would like to have, I would go for PhilHealth Benchbook, either JCI or ACI, and PQA.
If there are four formal accreditations that a hospital would like to have, I would go for ISO as the fourth one.
Below is a table showing the comparative fees of the different standards. This information has to be considered in the decision-making of a hospital on what standards to seek formal accreditation with.
|Accreditation Standards||Accreditation Fees (Assessment and Certification)As of 2013 (may change anytime)|
|PhilHealth Benchbook||PhP 10T|
|Joint Commission International (JCI)Accreditation International (ACI)||JCI – PhP 14 MACI – PhP 8 M|
|Philippine Quality Awards||PhP 30T – small organizationsPhP 50 – medium to big organizations|
|ISO (International Organization for Standardization)||PhP 300T|
|Investors in People||PhP 1M|