Hanoi: Set of Vietnam Hospital Evaluation Criteria 2016

To supplement and complete the Set of Vietnam Hospital Evaluation Criteria for official issuance after three years of pilot implementation of Decision 4858/QD-BYT dated December 3, 2013, Lawnet provides some contents from the draft Set of Vietnam Hospital Evaluation Criteria 2016.

Set of Vietnam Hospital Evaluation Criteria are applied to evaluate, certify, and improve the quality of all public and private hospitals. All district medical centers with the function of examining and treating inpatients: assessing the quality of inpatient services. District medical centers without inpatient beds do not apply these criteria. The Set of Vietnam Hospital Evaluation Criteria focuses on patients in treatment and healthcare activities and healthcare officials shall be the key to all medical examination and treatment activities.

The Set of Vietnam Hospital Evaluation Criteria 2016 is issued to modify, supplement, and upgrade several criteria and sub-items from the Set of Vietnam Hospital Evaluation Criteria enacted under Decision 4858/QD-BYT; The quality criteria serve as a tool for hospitals to perform self-evaluation and for regulatory agency inspection teams to conduct annual or sudden quality evaluations. Additionally, the hospital quality criteria are tools for independent quality accreditation units to evaluate and certify quality.

The criteria are divided into 5 parts A, B, C, D, E:

- Part A: Patient-Centered Care

- Part B: Human Resource Development

- Part C: Professional Activities

- Part D: Quality Improvement

- Part E: Specialized Criteria

Each criterion addresses a specific issue and is built on a five-level quality scale (five evaluation levels). A criterion considers comprehensive aspects of a matter, including structural factors, implementation processes, and outcomes. The five quality levels are as follows:

- Level 1: Poor Quality (not implemented, no quality improvement efforts, or violations of legal documents, regulations, rules, and decisions).

- Level 2: Average Quality (some input factors established).

- Level 3: Fair Quality (complete input factors with outcomes).

- Level 4: Good Quality (good outcomes, with research, evaluation of work, and results achieved).

- Level 5: Very Good Quality (good outcomes, application of evaluation results, and research into quality improvement, approaching the quality of hospitals in the region or advanced countries worldwide).

The list of quality criteria in the Set of Vietnam Hospital Evaluation Criteria in Draft 2016 has several changes compared to the Set of Vietnam Hospital Evaluation Criteria in Decision 4858/QD-BYT 2013. To be specific:

No. Decision 4858/QD-BYT Draft
1

PART A. PATIENT-CENTERED CARE (19)

A1. Patient guidance, reception, instruction, emergency (6)

A2. Facilities for patient service (5)

A3. Patient care environment (2)

A4. Patient rights and benefits (6)

PART A. PATIENT-CENTERED CARE (19)

CHAPTER A1. Patient guidance, reception, instruction (6)

CHAPTER A2. Facilities for patient service (5)

CHAPTER A3. Patient care conditions (2)

CHAPTER A4. Patient rights and benefits (6)

2

PART B. HOSPITAL HUMAN RESOURCE DEVELOPMENT (14)

B1. Hospital workforce quantity and structure (3)

B2. Human resource quality (3)

B3. Remuneration regime and working environment (4)

B4. Hospital leadership (4)

PART B. HOSPITAL HUMAN RESOURCE DEVELOPMENT (14)

CHAPTER B1. Hospital workforce quantity and structure (3)

CHAPTER B2. Human resource quality (3)

CHAPTER B3. Remuneration regime and working environment (4)

CHAPTER B4. Hospital leadership (4)

3

PART C. PROFESSIONAL ACTIVITIES (38)

C1. Security, order, and fire safety (2)

C2. Medical record management (2)

C3. Information technology application (2)

C4. Infection prevention and control (6)

C5. Professional technical capacity (6)

C6. Nursing activities and patient care (5)

C7. Nutritional and dietary care capacity (5)

C8. Laboratory quality (2)

C9. Drug supply and use management (6)

C10. Scientific research (2)

PART C. PROFESSIONAL ACTIVITIES (36)

CHAPTER C1. Security, order, and fire safety (2)

CHAPTER C2. Medical record management (2)

CHAPTER C3. Information technology application (2)

CHAPTER C4. Infection prevention and control (6)

CHAPTER C5. Clinical quality (6)

CHAPTER C6. Nursing activities and patient care (3)

CHAPTER C7. Nutrition and dietetics (5)

CHAPTER C8. Laboratory quality (2)

CHAPTER C9. Drug supply and use management (6)

CHAPTER C10. Scientific research (2)

4

PART D. QUALITY IMPROVEMENT ACTIVITIES (9)

D1. Establish a system and develop, and implement quality improvement plans (3)

D2. Error, incident prevention and corrective measures (2)

D3. Quality evaluation, measurement, cooperation and improvement (4)

PART D. QUALITY IMPROVEMENT ACTIVITIES (11)

CHAPTER D1. Establish a system and develop, and implement quality improvement plans (3)

CHAPTER D2. Error, incident prevention and corrective measures (5)

CHAPTER D3. Quality evaluation, measurement, cooperation and improvement (3)

5

PART E. SPECIALIZED CRITERIA

E1. Obstetrics and Pediatrics criteria (for general hospitals with Obstetrics and Pediatrics departments and specialized Obstetrics and Pediatrics hospitals) (4)

PART E. SPECIALIZED CRITERIA

CHAPTER E1. Obstetrics and Pediatrics criteria (for general hospitals with Obstetrics and Pediatrics departments and specialized Obstetrics and Pediatrics hospitals) (4)

Detailed content may be found in Draft Circular on Set of Vietnam Hospital Evaluation Criteria.

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