Accreditation

Accreditation and the National Safety and Quality Health Service Standards

The Australian Commission on Safety and Quality in Health Care (the Commission) developed the National Safety and Quality Health Service Standards (the NSQHS Standards) to drive the implementation of safety and quality systems, and to improve the quality of health care across Australia. The standards provide a nationally consistent statement about the level of care consumers can expect from health services.

The second edition of the NSQHS Standards was endorsed by Health Ministers in June 2017, and released in November 2017. Assessment to the second edition will commence from 1 January 2019.

There are eight national standards:

  1. Clinical Governance
  2. Partnering with Consumers
  3. Preventing and Controlling Healthcare Associated Infections
  4. Medication Safety
  5. Comprehensive Care
  6. Communicating for Safety
  7. Blood Management
  8. Recognising and Responding to Acute Deterioration

Private health service establishments that are licensed to operate in Tasmania must be accredited by an approved industry body in accordance with the NSQHS Standards.

The Commission's Advice Centre provides support for health service organisations, surveyors and accrediting agencies on implementation of NSQHS Standards. They can be contacted by emailing accreditation@safetyandquality.gov.au or phoning 1800 304 056.

Further information regarding accreditation and the NSQHS Standards, including resources for implementation and details of approved industry bodies, can be found at the Commission's website, www.safetyandquality.gov.au.

In Tasmania, DoH has developed the Tasmanian Accreditation Compliance Manual for Public and Private Health Services (the TAC Manual). Further information can also be obtained by contacting hselicensing@health.tas.gov.au.

Accreditation

It is a condition of your licence to operate that you ensure you remain accredited. You are responsible for providing continuing evidence of your accreditation status to the Secretary (ie a copy of your accreditation certificate and a copy of your most recent accreditation report), and notify the department in the event that there is any change to your accreditation status.

If at any time accreditation is not in force, or there is no accreditation for a private hospital or day procedure centre (other than a 'low-risk' class of day procedure centre), and no exemption from the Secretary has been granted, the licence is taken to be cancelled.

The Tasmanian Accreditation Compliance Manual for Public and Private Health Services (the TAC Manual) outlines the steps taken by the Department in response to issues with accreditation. Further information can also be obtained by contacting hselicensing@health.tas.gov.au.

Interim Accreditation for New Facilities

New health service establishments, that have not previously provided patient care, are required to be accredited by an approved industry body within 12 months of commencing service provision.

This includes having interim NSQHS Standards accreditation in their first 12 months of operation, and full NSQHS Standards accreditation after that period. Refer to The Guide for Interim Accreditation.

Note that interim accreditation does not apply to health service establishments relocating to new facilities, or existing health service establishments commencing a new service.


References:

Health Service Establishments Regulations 2011, Schedule 1, Part 2(2).

The National Safety and Quality Health Service Standards

Tasmanian Accreditation Compliance Manual for Public and Private Health Services