Several types of internal audits have been used to promote quality improvement (QI) in healthcare facility. However, Government entity has the own mechanisms and develop their own criteria for the effectiveness of audits as per their health regulatory body. CBA understand the mechanisms and contextual factors that determine why audits might, or might not, lead to improved quality of healthcare facility.
Healthcare facility mean whichever entity has the license or need to obtain license under health regulatory body such as homecare, clinics, medical center, polyclinic, daycare surgery center, specialized medical center, long term care center, general hospital, specialized hospital, pharmacy, first aid post, drugstore and medical store, etc
CBA quality auditors are expert on the government regulation and our auditors attend multiple audits directly with the facility. The audit attendance for new facility audit, ranging audit, adding specialty, change of type, change of location, temporary closure, and change of plan, in DOH, DHA, MOH, and DHCC.
Since our auditor’s expert on documentation, and attending the audit we conducted to systematically, regulatory and synthesize the literature on audits. Documentation for individual facility type and specialty are synthesized by focusing the scope of services, testing and supplementing comprehensive program to refining into a set of context mechanism outcome.
Quality Assurance is an integral part of any process and requires to be monitored continuously. Quality assurance in healthcare encompasses the activities and series of measures that are designed to ensure continuous improvement in the quality of medical care. Quality assurance does more than provide an excellent experience for your patients and patient satisfaction. It also helps you achieve facility goals and measure success.
Our auditing support for the following not limited to assist in developing robust process monitoring mechanisms or enhancement of existing processes or final audit license issuance from healthcare regulatory body.
HEALTHCARE FACILITY AUDIT | UAE
Each emirate has its own regulatory framework, we provide audit consultations, fulfilling the requirement, support services, documentation, facility drawing review, and orientation and awareness training to facility healthcare professional staff and non-healthcare professional staffs. The major healthcare regulatory body in UAE for issuing license, processing license, to healthcare facility as follows
DOH Licensing or Ranking Audit
DHA Licensing Audit
MOHaP Licensing Audit
The audit support as DOH; Licensing or ranking audit, DHA; Licensing audit, MOH; Licensing audit. Most of the facility require the following audits to fulfill due to continue operating their facility.
Continues Improvement of Department of Health (DOH), the facility has to fulfilled the JAWDA compliance and ADHICS Compliance. To fulfill the requirement of those compliance, CBA will assist on completion and attend the audit with DOH auditors. The regulation not only portrays to the customer that medical ethics and quality assurance is high, with low chances of medical errors but also gives them a sense of security when availing the services of your facility.
UAE DOH LICENSING OR RANKING AUDIT
We assist and facilitate with the (DOH)Department of health, Abu Dhabi facility licensing audits for all types of facilities, which includes medical center, hospital, day care surgery units, traditional medicine centers, primary healthcare facility, homecare, pharmacy, rehabilitation center, optical store, laboratory, teleconsultation facility, first aid-post, ambulance services and school clinics
We help you with the process of tradename reservation with the Department of Economics, to the final approval with DOH. This involves document preparation, engineering drawing approvals (DOH), training to staff, inspection preparation and presence during the permanent registration audit.
If you are looking at adding a new specialty to your existing facility, we help you with the engineering drawing approval process and inspection preparation with audit support.
If you are planning to modify an existing area within your facility or add rooms into the existing facility, we can process the application on your behalf and be a part of the entire approval process.
If you are seeking to upgrade your facility type, based on the scope of services that you are planning to provide, we can help you with the end-to-end process from proposing the list of specialties to hiring the required professionals.
If you intend to change the location of your existing facility, in anticipation of an insurance empanelment or better business prospects, we can take care of the entire application process from the initial application to the final audit approval.
As a part of the DOH’s initiative to ensure continuous improvement amongst healthcare facilities, yearly focused visits are conducted by the DOH auditors to ensure compliance on all aspects of patient care, primarily categorized into organization management, infection control requirements, facility requirements, medical documentation, and awareness of staff.
Our team of experienced professionals will liaise with your staff on a regular basis to ensure that you achieve excellent scores.
The process involves conducting an initial mock survey to understand the readiness of the facility and provide gap analysis on the pending requirements as per the DOH requirements. Later provide guidance and support on implementation of the necessary controls to achieve compliance.
UAE DHA LICENSING AUDIT
We assist and facilitate with the Dubai Health Authority (DHA) facility licensing audits for all types of facilities, which includes medical center, hospital, day care surgery units, traditional medicine centers, homecare, pharmacy, rehabilitation center, optical store, laboratory, teleconsultation facility, first aid-post, ambulance services and school clinics
We help you with the process of tradename reservation with the Department of Economics, to the final approval with DHA. This involves document preparation, engineering drawing approvals (DHA), training to staff, inspection preparation and presence during the permanent registration audit.
If you are looking at adding a new specialty to your existing facility, we help you with the engineering drawing approval process and inspection preparation with audit support.
If you are planning to modify an existing area within your facility or add rooms into the existing facility, we can process the application on your behalf and be a part of the entire approval process.
If you are seeking to upgrade your facility type, based on the scope of services that you are planning to provide, we can help you with the end-to-end process from proposing the list of specialties to hiring the required professionals.
If you intend to change the location of your existing facility, in anticipation of an insurance empanelment or better business prospects, we can take care of the entire application process from the initial application to the final audit approval.
The process involves conducting an initial mock survey to understand the readiness of the facility and provide gap analysis on the pending requirements as per the DHA requirements. Later provide guidance and support on implementation of the necessary controls to achieve compliance.
UAE MOHaP LICENSING AUDIT
We assist and facilitate with the Ministry of Health and Prevention (MOHaP), facility licensing audits for all types of facilities, which includes medical center, hospital, day care surgery units, traditional medicine centers, homecare, pharmacy, rehabilitation center, optical store, laboratory, teleconsultation facility, first aid-post, ambulance services and school clinics
We help you with the process of tradename reservation with the Department of Economics, to the final approval with MOHaP. This involves document preparation, engineering drawing approvals (MOHaP), training to staff, inspection preparation and presence during the permanent registration audit.
If you are looking at adding a new specialty to your existing facility, we help you with the engineering drawing approval process and inspection preparation with audit support.
If you are planning to modify an existing area within your facility or add rooms into the existing facility, we can process the application on your behalf and be a part of the entire approval process.
If you are seeking to upgrade your facility type, based on the scope of services that you are planning to provide, we can help you with the end-to-end process from proposing the list of specialties to hiring the required professionals.
If you intend to change the location of your existing facility, in anticipation of an insurance empanelment or better business prospects, we can take care of the entire application process from the initial application to the final audit approval.
The process involves conducting an initial mock survey to understand the readiness of the facility and provide gap analysis on the pending requirements as per the MOHaP requirements. Later provide guidance and support on implementation of the necessary controls to achieve compliance.
UAE DOH JAWDA COMPLIANCE AUDIT
JAWDA is the quality assurance initiative of Department of Health, Abu Dhabi (DOH) and is followed in conjunction with the other quality and patient safety measures undertaken by DOH.
Facilities are required to monitor defined pre-set Key Performance Indicators that are relevant to the facility scope of services. In addition, data compliance to the medical coding practices that are in line with DOH and international standards.
Third party organizations appointed by the DOH conduct JAWDA Audits across the KPI and coding domains.
We facilitate this by aiding on the interpretation of the Key Performance Indicators (KPI) defined by the Department of Health, Abu Dhabi (DOH) for Hospitals, Medical Center, Dental Center, Home care, Teleconsultation facility, Rehabilitation center and Primary Health Care facility.
The Process involves defining of data collection practices, data cleansing and validation, submission guidance and support for audits.
DOH circular regarding JAWDA says “the subject and the mandatory shafafiya system enrollment, all healthcare providers are required to abide by the circular (DG/02/18) published on 10 January regarding the updates on JAWDA data certification (JDC). All the payers and TPA must refer to the list of licensed facilities published on Shafafiya to confirm the compliance status prior to make the payments.
Listing on safafiya and following JDC requirement is applicable to all healthcare facilities including Home Healthcare and Long-term facilities operating exclusive as self-pay, proforma or service codes and shall be monitored by any no-compliance is applicable for sanctions” published by Department of Health.
UAE DOH ADHICS COMPLIANCE AUDIT
ADHICS compliance is mostly data security and patients’ information. As a facility can not hire fulltime IT engineer to fulfill the requirement. CBA has our own IT engineers and well trained regarding the ADHICS compliance and requirements. Our IT team will prepare complete guideline and policies as per ADHICS requirement, and train your facility staff on implementing for continues on practices.
As per DOH health information and cyber security standard and says that; The requirements of this Standard are based on governmental and industrial demands, and Information Security and Cyber Security international best practices. DOH has invested time and effort to understand the demands, define Abu Dhabi Health Sector-specific Information and Cyber Security requirements, and define timelines towards compliance. The Standard focuses on the specifics of protecting and/or securing personal health information. It defines the controls applicable to healthcare entities based on their capability, maturity and risk environment. Compliance with this Standard increases Information assurance level between healthcare entities, public (citizens, residents and visitors) and governmental bodies.
Our team will work closely with your EMR provider and IT technician or IT external supporting team as per your requirement how handling patient information and data and quarterly submission in Aamen portal. The services not limited to the following
- Review & Update ADHICS policies and guidelines
- Documentation Orientation to the staffs including healthcare professionals
- Information security training to required employees
- ADHICS Self-Assessment check list completion
- ADHICS documentation & Staff orientation
- System & Networking & EMR related consultation
- Audit corrective action plan if required.
HEALTHCARE FACILITY AUDIT | SAUDI ARABIA
We do not have a physical office in Saudi Arabia; however, our team has enough knowledge on the regulatory requirement, we can able to support online to fulfill the requirement. Our new office in KSA will soon. The audit support for
CBAHI COMPLIANCE AUDITCBAHI COMPLIANCE AUDIT
Saudi Central Board for Accreditation of Healthcare Institutions audits for Hospitals, Primary Healthcare Centers, Laboratory and Blood Banks and Ambulatory centers are supported by CBA. The process involves conducting an initial mock survey to understand the readiness of the facility and provide gap analysis on the pending requirements as per the CBAHI requirements. Later provide guidance and support on implementation of the necessary controls to achieve compliance.
MOH – LICENSING AUDIT
We assist private healthcare providers in obtaining the Final Approval for Health Facility Licensing by conducting an initial mock survey to understand the readiness of the facility and provide gap analysis on the pending requirements as per the MOH requirements. Later provide guidance and support on implementation of the necessary controls to achieve compliance.
HEALTHCARE FACILITY AUDIT | QATAR
We do not have a physical office in Saudi Arabia; however, our team has enough knowledge on the regulatory requirement, we can able to support online to fulfill the requirement. Our new office in KSA will soon. The audit support for
- MOPH-Licensing Audit
We assist private healthcare providers in complying with the SCH and MOPH requirements by conducting an initial mock survey to understand the readiness of the facility and provide gap analysis on the pending requirements as per the SCH and MOPH requirements. Later provide guidance and support on implementation of the necessary controls to achieve compliance.
Healthcare facilities are the key players to maintaining a healthy society in the world. Audit is identifying the risk of the facility, fulfilling the regulatory requirement as per KPI. Our audit process completely as per real audit from the regulatory audit, it is a mock audit, it will support to healthcare facility how to attend the audit and required documentation. The process flow as follows
The patient safety, patient satisfaction, waiting time, and quality of service provided in a facility are measured using KPI defined by the regulatory or internationally recognized accrediting bodies. During the audit process, our auditors are evaluating the documents on healthcare professional file, patients file, EMR to make sure the legal practice that healthcare facility maintain medical ethics and quality assurance and avoid malpractice to avoid unnecessary claim from patients, and avoid fine from regulatory authority.
Regulatory governing bodies such DOH, DHA, MOH, CBAHI, MOPH and other regulatory bodies require healthcare facilities to abide with the standards defined and regularly practice and fulfill KPI in audit process and ensure compliance.
In summary, expert team of quality auditors at CBA will work with your facility team to be compliant of these audits & conduct mock audits on the lines of an actual regulatory body audit, to ensure that your facility is ready for inspection by providing necessary updated policies, guideline, scope of services, scope of practice, privileges, KPIs, conduct trainings to medical and non-medical staffs.