Safety and Quality > Our Work > Assessment to the NSQHS Standards > Information for health service organisations undergoing assessment to the NSQHS Standards


Who needs to implement the National Safety and Quality Health Service Standards?

Steps for implementing the NSQHS Standards in health service organisations

Significant patient risk

Interim accrediting of new health service organisations

Information for small hospitals

NSQHS Standards Advisories

Approved accrediting agencies

 


 

Who needs to implement the National Safety and Quality Health Service Standards?

All hospitals and day procedure services and the majority of public dental services across Australia need to implement the NSQHS Standards. Private health service organisations need to confirm their requirements for assessment to any standards in addition to the NSQHS Standards with the relevant health department.

Further information regarding contact details for health departments can be found using the following link:
Assessment to the NSQHS Standards – Resources to implement the NSQHS Standards – Contact details

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Significant patient risk

If a significant risk of patient harm is identified during an onsite visit to a health service organisation, accrediting agencies are required to notify the relevant state or territory health department. The Commission has developed guidance and provided some examples of risks that could result in significant harm to patients.

Further information regarding significant risks can be found in Advisory A13/01 using the following link:
Assessment to the NSQHS Standards – NSQHS Standards advisories

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Interim accrediting of new health service organisations

There are specific requirements for new health service organisations being assessed to the NSQHS Standards. New organisations are unlikely to be able to meet all 256 actions in the 10 Standards as they have not patient histories to review. As a result, a number of actions have been prescribed as minimum requirements or have been declared non-applicable for the initial 12 months of operation.

Further information on interim accreditation be found using the following link:
Assessment to the NSQHS Standards – Resources to implement the NSQHS Standards – Accreditation workbooks and specialist guides

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Information for small hospitals

The Commission released the NSQHS Standards Guide for Small Hospitals in May 2013. This guide is useful for small hospitals with 50 beds or less.

The NSQHS Standards Guide for Small Hospitals is available for electronic download from the Commission’s website using the following link:
Assessment to the NSQHS Standards – Resources to implement the NSQHS Standards – Accreditation workbooks and specialist Guides

The guide is also available in hard copy on request. Contact the Advice Centre on 1800 304 056 or email accreditation@safetyandquality.gov.au to request a copy.

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NSQHS Standards Advisories

An NSQHS Standards Advisory is a formal communication from the Commission to accrediting agencies to provide guidance and direction on the interpretation and/or assessment of the NSQHS Standards. Advisories are numbered and dated before distribution.

The full list of advisories can be found using the following link:
Assessment to the NSQHS Standards – NSQHS Standards advisories

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Approved accrediting agencies

The Commission approves accrediting agencies to assess health service organisations to the NSQHS Standards. To be approved, accrediting agencies need to be accredited by an internationally recognised body such as the International Society for Quality in Health Care (ISQua) or the Joint Accreditation Scheme of Australia and New Zealand (JAS-ANZ), and report assessment outcomes information to the Commission and relevant state or territory health departments.

The Commission also approves accrediting agencies to assess health service organisations using the Trauma Recovery Program (TRP) Standards. Accrediting agencies must be accredited as outlined above, and follow the reporting requirements as specified in the National TRP Standards Workbook published by the Department of Veterans’ Affairs.

Health service organisations are required to use an approved accrediting agency to be accredited to the NSQHS Standards and/or the TRP Standards. A full list of approved accrediting agencies can be found using the following link:
Assessment to the NSQHS Standards – Resources to implement the NSQHS Standards – Contact details

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Last updated: 3 January 2017