Supporting the health and wellbeing of New Zealanders through - - PowerPoint PPT Presentation

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Supporting the health and wellbeing of New Zealanders through - - PowerPoint PPT Presentation

Dec 24, 2023 223 likes •743 views

Supporting the health and wellbeing of New Zealanders through standards and accreditation. Agenda 1. Welcome and introduction 2. Brief presentations o Quality infrastructure a brief overview o The value of standards o Thermo-

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Supporting the health and wellbeing of New Zealanders through standards and accreditation.

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Agenda

  • 1. Welcome and introduction
  • 2. Brief presentations
  • Quality infrastructure – a brief overview
  • The value of standards
  • Thermo- Sphygmomano- Tono–... What do all these meters measure?
  • Certification and Risk
  • Accreditation and Competence
  • 3. Keynote address: When Good Labs Go Bad, Standards, Accreditation & Politics,

Phil Barnes, General Manager, IANZ

  • 4. Panel Discussion and Q&A, followed by afternoon tea
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Quality infrastructure – a brief overview

Alex Kay Trade and International

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  • Standards, conformity assessment and

metrology

  • Also known as ‘Quality Infrastructure’ (QI)
  • Covers:
  • Standards development and management
  • Accreditation and conformity assessment
  • Measurement science and practice, and calibration
  • QI present in most countries
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Players and roles

Image: teara.govt.nz

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QI – the end result is quality assurance

  • Businesses use it to open markets, improve their

sustainability, lift productivity or increase consumer confidence

  • It provides information to consumers that helps

them choose the goods or services that best fit their needs

  • Government uses it as a tool for public outcomes
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Regulatory use of QI

  • Opportunities to improve relationship between regulatory

schemes and the QI Golden rules for rule-makers:

  • Know the QI tools
  • Know the QI players
  • Ensure:
  • Clear roles and responsibilities
  • Appropriate level of regulatory control and oversight
  • Make rules relative to risks
  • Be internationally aware
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My Wednesday morning with the QI

Images: Te Ara and Wikipedia

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What’s new?

  • Plan for the conformance system (relevant to wider QI)
  • Designed to assist accreditation and conformity assessment bodies and
  • ther organisations, agencies and people involved in conformance
  • Addresses a range of current challenges and opportunities in conformance
  • e.g. regulatory practice, visibility, coordination, technical workforce
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Alex Kay SENIOR POLICY ADVISOR Trade and International Ministry of Business, Innovation & Employment Alex.Kay@mbie.govt.nz

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Kia ora – Thanks!

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Standards NZ – who we are

  • Business Unit within MBIE
  • Act of Parliament
  • Cost recovery model
  • International first
  • Board who sign off on committees and final standards
  • Create, facilitate and project manage standards development
  • International (ISO, IEC)
  • Regional / Joint with Australia (AS/NZS)
  • National (NZS)
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Standards bodies

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Why health standards are important

Health standards help ensure that individuals and communities receive the quality of care they deserve. Health standards:

  • ensure consistency and efficiency by not having multiple

specifications

  • provide tools to assess and evaluate conformity and a solid

technical base for health legislation

  • ensure good-quality care and safe and reliable products and

services

  • Make it easier to compare health services, exchange

information and safeguard the privacy of an individuals health

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Dentistry Infusions and injections Optics Medical devices Assistive products for persons with disabilities Sterilization of healthcare products Equipment for transfusions Surgery Health informatics Traditional Chinese medicine

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Standard Title NZS 7106:1998 Polyurethane condoms SNZ HB 8134.5:2005 Health and Disability Sector Standards – Proposed Audit Workbook and Guidance for Residential Services for People with Dementia SNZ HB 8134.6:2006 Best Practice Guidance for Community Services for People with Dementia and Proposed Audit Workbook SNZ HB 8141:2004 Restraint Minimization and Safe Practice Audit Workbook SNZ HB 8142:2001 Infection Control Audit Workbook SNZ HB 8143:2002 National Mental Health Sector Standard Audit Workbook SNZ HB 8152:2001 Sentinel Events Workbook SNZ HB 8156:2003 Ambulance Service Sector Standard Assessment Workbook SNZ HB 8181:2007 Fertility Services Audit Workbook SNZ HB 8134.1:2001 Health and Disability Sector Standards (Residential) Audit Workbook SNZ HB 8134.2:2001 Health and Disability Sector Standards (Hospital) Audit Workbook SNZ HB 8134.3-2004 Health and Disability Sector Standards (Intellectual Disability) Audit Workbook SNZ HB 8158:2004 Home and Community Support Sector Standard Audit Workbook SNZ HB 8163:2005 Indicators for safe aged-care and dementia-care for consumers SNZ HB 8171.1:2005 Allied health services sector Standard – Physiotherapy Services Audit Workbook SNZ HB 8171.2:2005 Allied health services sector Standard – Chiropractic Services Audit Workbook NZS 8164:2005 Day-stay surgery and procedures NZS 8165:2005 Rooms/Office-based surgery and procedures NZS 8171:2005 Allied health services sector Standard SNZ HB 8134.4:2004 Health and Disability Sector Standards (Children and Young People) Audit Workbook NZS 8151:2004 Accident and Medical Clinic Standard NZS 8157:2003 Alcohol and Other Drug Treatment Sector Standard NZS/ISO 15189:2007 Medical laboratories – Particular requirements for quality and competence SNZ HB 8149:2001 Microbiological surveillance of flexible hollow endoscopes

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UN Sustainable Development Goals (SDG)

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ISO/TC 121 - Anaesthetic and respiratory equipment

  • Breathing attachments and anaesthetic machines
  • Airways and related equipment
  • Respiratory devices and related equipment used for patient care

ISO/TC 173/SC1 - Wheelchairs ISO/TC 212 - Clinical laboratory testing and in vitro diagnostic test systems

NZ’s contribution internationally

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Contact Details

Natalie Bowie

Sector Engagement Lead 021 824412

natalie.bowie@mbie.govt.nz

Aged Standards

www.standards.govt.nz

nzagedcataloguereview@mbie.govt.nz

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Thermo-, Sphygmomano-, Tono- What do all these meters measure?

13 November 2019

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"This image is taken from Blood pressure in general practice" by Medical Heritage Library, Inc. is licensed under CC BY-NC-SA 2.0

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Natalia’s Eye by Julian Carvajal CC BY 2.0

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Good Measurements

Fit for purpose Value and uncertainty

Achieved via

Well defined quantity Reliable / suitable equipment Calibration of equipment Competency of users

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Thank you

www.measurement.govt.nz

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Certification & Risk

Health & Disability Sector Seminar

13 September 2019 Presented by Kathryn Lockyer

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Definition of Risk

  • a situation involving exposure to danger.
  • the possibility of something bad happening
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Risk Based Thinking

  • Inherent in a number of certification standards
  • Provides a framework to identify potential areas of risk relevant to

processes

  • And, then steps to eliminate potential areas of concern, or address actual

events to ensure they don’t occur

  • Useful tools to help you understand risk

IS0 31000:2018 (Guidelines), IEC 31010:2019 (Risk assessment techniques)

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Certification allows you to demonstrate your service meets requirements Certification is a tool to help mitigate Risk Certification can support regulation

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In NZ certification activities covers the following areas:

  • Aged Care
  • Reproductive Technology
  • Urgent care facilities
  • Hospital care (Children’s health services, geriatric services, maternity services,

medical services, mental health services or surgical services)

  • Alcohol and Other Drug Treatments
  • Home and Community Support Sector
  • Day-stay surgery

What’s Next?

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Did you know that there are more than 1400 ISO standards that keep people healthy and safe?

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Thank you

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ACCREDITATION AND COMPETENCE

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2019 Gallup Poll 84% Nurses 67% Medical Doctors 66% Pharmacists

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  • Reliability
  • Expertise
  • Trustworthiness
  • Knowledge
  • Understanding
  • Empathy
  • Accuracy
  • Safety
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Provider s Public

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IANZ

  • Primary accreditation

provider in healthcare

  • Experience
  • All medical laboratories
  • Almost all radiology providers
  • Robust oversight of industry
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Why?

  • Consistency in service

provision

  • Technical competence
  • Reduction in errors
  • Reduction in risk
  • Safer services
  • Meet Government

expectations

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Protecting the Health and Wealth of NZ

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be assured

Phil Barnes General Manager

INTERNATIONAL ACCREDITATION NEW ZEALAND

When Good Labs Go Bad:

Standards, Accreditation & Politics

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Political Context

Gisborne, Dr Bottrill and The Inquiry Cloak of Secrecy: our business is not your business New Zealand Labs – Good, Bad or Ugly? Public Private ‘The Schedule’ ‘Mandatory’ Accreditation (if you can afford it)

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be assured

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Blue Print for Perfection The Standard: ISO 15189

Quality Front End Focus Health & Safety Ethics IT

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be assured

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Pathway to Perfection

1st April 2003: NZ first in the world, Yay!!! Consequently: First non-conformity in the world, (Not so Yay)

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be assured

Highway to Hell? Casualties and Collateral

Tairawhiti DHB Auckland DHB Otago DHB Northland DHB Waikato DHB

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be assured

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A Tale of Two Cities ADHBs Jewel in the Crown

and:

Just Another Private Provider for Auckland?

Letters from Australia: DML & LTA

CCDHB: All’s well that ends well ?

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be assured

IANZ only Picks on the Little Guys…

Case1: Lab Minus It all started so well… But don’t come yet, we are not ready! A really difficult easy decision – Risk asymmetry

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be assured

Case 2: Aussie Rules Private War

Rolls Royce or a Russian Tank? LTA in Wonderland – ……………….or in No-man's-land? Back to the drawing board – and the blueprint

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Case 3: Capital Investment

Wellington SCL History suggested high risk- Where did it all go right?

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New Role for IANZ?

Above the radar In the line of fire

“We are not the compliance arm of the regulator”…are we?

Where to from here?

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Panel Discussion