The Situation of Disaster Management in Accreditation National Model of Hospital performance

Because of specific ecological and geographical location, our country is one of the most disaster prone countries in the world which requires reasonable and special attention to disaster management. Therefore, the role of hospital is essential as the center of disaster management programming and health & care activities in coping with disasters. Regarding the importance of accreditation in improving health system performance, this study aims to construct and design a national accreditation model for hospital with special focus on disaster management. In this descriptive study that done 2 years, after a vast literature review,researchers designed a systematic review in the best databases such as Ovid Medline, Pub Med and SID in order to identify and utilize and benchmark the pioneer and the best accreditation models both in the region and in the world. A questionnaire designed by using Delphi technique and gaining experts opinions in order to determine the best accreditation models, their standards especially disaster management standards. Thereafter, experts give scores to the standards in aspects of ‘importance’ and ‘performance’. In the systematic review section, the health & care accreditation models such as JCAHO (USA), CCHSA (Canada), ACHS (Australia), ANAES (France) and QHNZ (New Zealand) were selected as the best models in order to utilize and benchmark in the world respectively. It should note that Canada model (CCHSA) is known as the most comprehensive one in disaster management. Also, Lebanon and Egypt accreditation models were chosen as the best local models (EMRO). The Delphi study was done in 2 rounds with high response rate and the standards was exerted in view of experts. However, for all selected model, 'content statement' and 'objective measurable component's were prepared regarding the most common and related model in disaster management. Finally, the designed model was completed by writing of essential parts of standards. The final designed model has 15 standards with 'content statement' and 'objective measurable components'. This is an enrich accreditation model in number, range and diversion of standards according to various aspects of crisis management so that we can claim it is a most complete model in the world. After a preliminary study and final reform, this model will be able to improve the hospital performance especially in terms of crisis management and hospital preparedness in emergencies. There is no doubt that the application of this model in our health system leads to significant improvement in health system performance and client's satisfaction.