Process of GHC CertificationSat, 09/05/2015 - 19:21
1. SUBSCRIPTION AND SELF-EVALUATION
Minimum requirements for application include prerequisites that the hospital has been operating for at least one year, and has the basic health license issued by the Mexican government. In addition, standards relating to policies, procedures, and information systems must be met at three levels: essential, necessary, and recommended. A hospital must comply with the entirety of the first category, 80% of the second, and 50% of the third. Because patient safety is the focal point throughout the process, a commitment to high-quality standards must form part of the hospital’s mission statement.
Once the self-evaluation is approved, the hospital can pass to phase two: a three-strand audit of patient care, internal systems, and other GHC standards. Auditors must be accompanied by a secretary from the hospital to take minutes of the inspection, ensuring that the voluntary nature of the hospital’s decision is respected. The inspections are conducted from an office space the hospital provides, and are accompanied by feedback sessions at the end of the day. These feedback sessions allow for the immediate redress of issues on the part of the hospital without effect on the status of the hospital’s certification process. The inspection body produces a preliminary report, which allows the hospital to address concerns without an impact on the application process. The first three days of the audit focus on medication, infections, and facilities. For the audit to be effective, the hospital’s board and personnel must all be present at an initial conference, during which the hospital director introduces the institution. The hospital’s risk management strategy is tested during a simulation, with an emphasis on the handling of hazardous materials and response to emergencies. The preliminary report checklist includes punctuality, organization, staff interactions, and interactions between staff and auditors. The report is intended to delineate the patients’ perception of the services they are receiving, as well as documenting the objective effectiveness of diagnosis, treatment, and recovery.
The preliminary report is revised by the auditors and the commission before a decision is issued. The pass-grade for the audit requires hospitals to score five out of ten for each standard requirement, with six out of ten for each subsection, and an average of five across the whole standardization process. Where hospitals partially complete the required standards but pass the observation, or vice versa, they are given six months to fulfil the remaining criteria. Once approval is issued, the hospital must pass a verification audit, along with periodic, random visits by the auditors. If the hospital fails the certification process, it must wait six months before it can make another attempt.