Jewish Hospice Program Accreditation with Hospice Palliative Care Ontario (HPCO)
JF&CS and Circle of Care operate in partnership the Jewish Hospice Program (JHP) which provides emotional, practical and spiritual support to individuals and their families facing a progressive life threatening illness. With a goal of supporting quality of life, the program provides in-home professional services at no cost. JF&CS provides program coordination, social work and chaplaincy and Circle of Care recruits, monitors and maintains volunteer services in the client’s home.
The Jewish Hospice Program is accredited by Hospice Palliative Care Ontario (HPCO). HPCO is a provincial association of hospices and palliative care providers, professionals, and volunteers throughout Ontario. Part of the process of HPCO Accreditation was for JF&CS and Circle of Care to jointly provide evidence to meet Standards in Governance, Administrative Operations, Quality Assurance and Service Delivery. Data from audits conducted on our clients’ case files and volunteer files as well as results from client and caregiver satisfaction surveys were also provided as evidence of compliance of Standards. JF&CS chooses to be accredited by HPCO for reasons that include:
Establishing qualifications required to continue driving referrals from external sources
Giving JHP voice to promote our unique culturally-aligned model in the larger Palliative Care conversations that are taking place across Ontario
Accreditation is an important mechanism to promote internal introspection, understand our strengths and weaknesses and identify key areas for future focus.
The Accreditation Process:
The organization engages in a self-review comparing actual practice against HPCO Standards
If approved to participate in an external review, the organization collects evidence/documentation demonstrating compliance with the Standards. For Visiting Hospice Services, this includes survey responses and file audit results
The organization submits the evidence electronically. For visiting Hospices Services, up to 5% of participating organizations are selected for additional on-site visit. During the on-site visit, members of the Review Team will gather additional evidence and validate the evidence that was provided electronically.
The Review Team evaluates the evidence and provides feedback, including required and recommended improvements.
HPCO delivers the Accreditation Report
The organization submits a Quality Improvement Plan (QIP) outlining their plan to address the required improvements.
The organization meets ongoing compliance requirements annually on Year two and year three anniversary of successful accreditation decision.
To achieve HPCO Accreditation, an organization must demonstrate that it is in compliance with applicable standards.
While an organization may not achieve full compliance with every standard/criterion, the accreditation decision will be based on an assessment of the organization’s overall performance – taking both strengths and limitations into consideration.
The following guidelines are used in assessing an organization’s submission for Accreditation Review:
Three year accreditation is issued
The organization achieves a score of 90% or higher on the Accreditation Review assessment. The services are designed and delivered in a way that maximizes safety for clients, volunteers and staff. The organization operates in a sustainable way; the current method of delivering service is likely to continue at this level for the next three years. The organization demonstrates ongoing quality improvement
One year accreditation is issued with conditions stipulated to achieve full accreditation.
The organization achieves a score of 70-89% on the Accreditation Review assessment.Conditional Accreditation may be awarded providing the areas for improvement that were identified do not affect client safety.A plan to address areas of improvement will be submitted to HPCO within 60 days.
The organization achieves a score of 69% or less on the Accreditation Review assessment and/or demonstrates violation of the standards and/or deficiencies which are likely to impact quality of care. Must wait a minimum of 1 year before resubmitting
A HPCO accreditation confirms to the public, health professionals and funders that the Hospice Program is in compliance with industry standards having successfully undergone a thorough program review by industry peers. Completing an accreditation review with HPCO is an efficient and effective means of continuous learning and improvement – a provincial benchmark for Ontario hospice palliative care programs.
JHP Accreditation Results
In December of 2016, the Jewish Hospice Program completed an accreditation review. In December 2016 the JHP became reaccredited for a three year period. HPCO requires that Jewish Hospice submit ongoing evidence of both compliance and quality improvement during the three year approval cycle.
Some noteworthy comments from Accreditation Report:
“The organization achieves a score of 90% or higher on the Accreditation Review Assessment.”
“Services are designed and delivered in a way that maximizes safety for clients, volunteers and staff.”
“The organization operates in a sustainable way; the current method of delivering service is likely to continue at this level for the next three years.”
“The organization demonstrates ongoing quality improvement.”
“…a commitment to providing high-quality volunteer-based Visiting Hospice Services.”
“Excellent process to identify major strategic and operational risks.”
“Volunteers are well supported in their designated role.”
To read the Jewish Hospice Program’s Accreditation Report from HPCO, please click here
To learn more about HPCO Accreditation, please visit http://www.hpco.ca/accreditation/