The Commission is currently developing a Colonoscopy Clinical Care Standard, as a key component of a national safety and quality model for colonoscopy.
In 2015, the Department of Health appointed the Commission to develop a safety and quality model for colonoscopy. The appointment was made in the context of the expanded screening of the Australian Government National Bowel Cancer Screening Program.
The Commission developed a draft safety and quality model for colonoscopy through a consultation process and a review of Australian and international experiences, from October 2015 to July 2016. Stakeholders identified the need for the model to address:
The draft model incorporated three key elements:
The Commission undertook a public consultation on the draft model in August 2016. Submissions were received from a wide range of stakeholders including individuals, professional and peak organisations, hospitals and other health services. In June 2017, the Australian Government Department of Health accepted the Model.
The Colonoscopy CCS provides guidance on the best evidence based care delivered in day procedure hospitals, private hospitals and public healthcare services. Implementation of evidence based best practice is required under the Clinical Governance Standard in the second edition of the National Safety and Quality Health Service (NSQHS) Standards.
The Commission has worked with the Colonoscopy CCS Topic Working Group, consisting of clinical experts and consumers, to develop the draft Colonoscopy CCS. The Colonoscopy CCS relates to the care of adult patients undergoing colonoscopy for surveillance and diagnosis. It covers management from the initial referral for colonoscopy though to follow-up post procedure, and will assist health services address service provision disparities contained in the First Australian Atlas of Healthcare Variation.
The Colonoscopy Clinical Care Standard has received endorsement by the clinical colleges and societies whose members perform colonoscopy. In April 2018, the Commission Board approved the CCS for submission to AHMAC in June 2018.
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