Intern Accreditation Manual

PMCQ is proud to announce that the first edition of the Intern Accreditation Manual is currently available. The second edition is currently being worked on and will be available in 2012. Each facility that is accredited, or is known to be seeking Accreditation, will be able to access this new document online upon completion. This manual is being updated as the PMCQ Accreditation System evolves. Additions or amendments will be progressively released online.

PMCQ gratefully acknowledges the funding provided by Queensland Health to undertake the Facility Support Project. The Intern Accreditation Manual wouldn't be possible without the significant contributions of Ms Debbie Paltridge and the team at QMET.

To download an electronic copy of the Intern Accreditation Manual (edition 1) simply click on the link below. The manual is in PDF format, to enable you to navigate from section to section within Adobe.

Please note the manual is a large file and may take time to download. Please note the compiled version accessed via this link does not include the 2012 amendments to the manual. The below list, however, does.

Accreditation Manual

 Section

 Resource

 Interest Group/s

Section 1
Accreditation Policies

1.1     Principles of Accreditation
1.2     The Accreditation Cycle
1.3     Accreditation Policy
1.4     Appeals Policy
1.5     Surveyor Conflict of Interest Policy
1.6     Facility Allocation Status Policy
1.7     Supervision Policy
1.8     Surveyor Policy
1.9     Surveyor Position Description
1.10   Survey Sub-Team Leader Position Description
1.11   Survey Team Co-ordinator Position Description
1.12   Term Supervisor Definition 
1.13   Offsite Unit Definition and Guidelines
1.14   Relocated Unit Definition

E/DMS, MEU, Term Supervisors, Interns

Section 2
Accreditation Processes

2.1    Application for Accreditation
2.2    Application for Change of Accreditation Status
2.3    Full Surveys
2.4    Modified Unit Surveys
2.5    New Unit Surveys
2.6    Quality Action Plans and Periodic Surveys
2.7    Report Writing process
2.8    Accreditation Evaluation
2.9    Appeal Against Accreditation Committee
        Decision

2.10  Notification of Change of Circumstance
        that May Affect Accreditation Status

2.11  New Surveyor Selection
2.12  Survey Team Coordinator Selection
2.13  Sharing EA and OA Ratings

E/DMS, MEU, Term Supervisors, Interns

Section 3
Accreditation Standards

3.1    Accreditation Standards and Guidelines
3.2    Rating Scale

E/DMS, MEU, Term Supervisors, Interns

Section 4
Accreditation Support Resources


4.1    Accreditation Step by Step Guide
4.2    Accreditation Project Planner (Queensland
        Health)

4.3    IETP Policies and Processes
4.4    Term Orientation Manuals
4.5    Self Assessment for Rural Hospitals
4.6    MBQ Supervision Requirements
4.7    MBQ Ward Call Requirements
4.8    Organising a Full Survey Visit
4.9    Organising a New/Modified Unit Survey Visit
4.10  Organising a Paper Based Survey
4.11  Glossary
4.12  Evidence Folder Guidelines
4.13  Temporary Accrditation Compliance
        Guidelines

4.14  General Practice Guidelines  

All Groups
MEU
All Groups
MEU & Term Supervisors
E/DMS, MEU, Term Supervisors
All Groups
All Groups
MEU
MEU
MEU
All Groups

 

The following components of the above resource are new as at 12 December 2011, and their content is for implementation in 2012:


1.   Function 1 Standard 6 - Ward Call (new)

2.   Function 2 Standard 7 - Orientation (amended)

3.   Function 2 Standard 10 - Governance of Offsite Units (amended)

4.   Ward Call Definition (new) 

5.   Offsite Unit Definition (new)

6.   Relocated Unit Definition (new)

7.   Term Supervisor Definition (new)

8.   Surveyor Policy (amended)

9.   Process for Sharing EA and OA Ratings (new)

10. Modified Unit Process (amended)

11. Guidelines for General Practices (new)

12. Guidelines for Temporary Accreditaton Compliance (new)

13. Guidelines for Evidence Folders (new)


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