ISO 7101:2023 | Healthcare management quality system / HMQS

ID 20511 | 05.10.2023 / Preview attached

ISO 7101:2023 Healthcare organization management - Management systems for quality in healthcare organizations - Requirements

ISO 7101 is the first international consensus standard for healthcare quality management.

It prescribes requirements for a systematic approach to sustainable, high quality health systems, enabling organizations of any scale, structure, or region to:

- create a culture of quality starting with strong top management;
- embrace a healthcare system based on people-centred care, respect, compassion, co-production, equity and dignity;
- identify and address risks;
- ensure patient and workforce safety and wellbeing;
- control service delivery through documented processes and documented information;
- monitor and evaluate clinical and non-clinical performance;
- continually improve its processes and results.

Why is ISO 7101 important?

Healthcare organizations around the world have been facing significant threats for several years, such as decreasing financial resources, workforce shortages, an increase in the number of people needing care as a result of ageing populations, increasing rates of chronic disease, lack of data for decision making, scarcity of, or inadequate, medical equipment and medications, and an absence of clear healthcare system governance. 

Benefits

- Refined quality of healthcare delivery.
- Improved patient safety.
- Cost-efficiency.
- Enhanced operational effectiveness.
- Strengthened reputation and extended market reach.

Who is it designed for?

ISO 7101 has been written with a focus on providing requirements for healthcare quality management. In as such, its targeted audience is broad, including any healthcare system, organization, or entity that aims to increase the quality of its healthcare delivery and care outcomes

How does ISO 7101 address global healthcare challenges and the evolving healthcare sector?

This standard assists organizations in navigating the complexities of healthcare, from limited resources and aging populations to challenges like global pandemics. It stresses the need for timely, safe, and people-centered care, highlighting the urgency of adaptation due to the surge of virtual healthcare and technological advances.

How does implementing ISO 7101 benefit healthcare organizations?

Implementing ISO 7101 equips organizations to deliver high-quality healthcare via systematic, evidence-based methods. It leads to improved user experiences, increase the quality of its healthcare delivery and care outcomes, and fosters a culture prioritizing quality. Its flexibility ensures it's applicable to diverse healthcare providers, from small clinics to expansive hospitals.

Does ISO 7101 replace an organization's legal obligations or generate significant paperwork?

No, this International Standard doesn't override legal responsibilities. While it necessitates some documentation, its primary objective is to establish transparent processes that enhance healthcare delivery, without promoting excessive administrative tasks.

How can organizations demonstrate conformity to ISO 7101, and what are the reputation benefits?

This International Standard contains the requirements used to assess conformity. An organization that wishes to demonstrate conformity with this International Standard can do so by:

- making a self-determination and self-declaration, or;
- seeking confirmation of its conformance by parties having an interest in the organization, such as service users, or;
- seeking confirmation of its self-declaration by a party external to the organization, or;
- seeking certification/registration of its healthcare quality management system by an external organization.

Successful implementation of this standard can demonstrate to stakeholders that an effective healthcare quality management system is in place.
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ISO 7101:2023 Healthcare organization management - Management systems for quality in healthcare organizations - Requirements

Introduction

0.1   General

Healthcare systems and organizations of all sizes and structures embrace a culture of quality and continual improvement with the objective of providing timely, safe, effective, efficient, equitable and people-centred care. Given the current and future challenges in healthcare, more than ever it is vital to improve service user experience, quality of care, and provide sustainable solutions.

Healthcare organizations around the world have been facing significant threats such as decreasing financial resources, workforce shortages, increase in the number of people needing care as a result of ageing populations, increasing rates of chronic disease, lack of shared data for decision making, scarcity or inadequacy of medical equipment and medications, and an absence of clear healthcare system governance. Many countries have embarked on universal health coverage, while others struggle with rising healthcare costs. To compound this, a global pandemic has highlighted the importance of virtual healthcare, new technologies, and the need to create and adapt approaches to healthcare management and delivery. These health and organizational challenges require bold and innovative steps to improve healthcare quality around the world.

This document provides requirements for management systems for quality in healthcare organizations. As such, its target audience is broad, including any healthcare system, organization, or entity that aims to increase the quality of its healthcare delivery and care outcomes. This includes ministries of health, public and private healthcare systems, hospitals, clinics, non-governmental organizations and agencies that provide healthcare services, and more.

This document conforms to ISO’s requirements for management system standards. These requirements include a harmonized structure, identical core text, and common terms with core definitions, designed to benefit users implementing multiple ISO management system standards.

This document contains the requirements used to assess conformity. An organization that wishes to demonstrate conformity with this document can do so by:

- making a self-determination and self-declaration;
- seeking confirmation of its conformity by parties having an interest in the healthcare organization, such as service users;
- seeking confirmation of its self-declaration by a party external to the organization; or
- seeking certification/registration of its management system for quality in the healthcare organization by an external organization.

In this document, the following verbal forms are used:

- “shall” indicates a requirement;
- “should” indicates a recommendation;
- “may” indicates a permission;
- “can” indicates a possibility or a capability.

Information marked as “NOTE” is intended to assist the understanding or use of this document

0.2   Aim of a management system for quality in healthcare organizations

The aims of a management system for quality in healthcare organizations include the following:

- create a culture of quality starting with strong top management;
- embrace a healthcare system based on people-centred care, respect, compassion, co-production, equity and dignity;
- identify and address risks;
- ensure patient and workforce safety and wellbeing;
- control service delivery through documented processes and documented information;
- monitor and evaluate clinical and non-clinical performance;
- continually improve its processes and results.

0.3   Success factors

The success of a management system for quality in a healthcare organization depends on the commitment from all levels and functions of the organization, led by top management. The top management structure of the organization can create a culture of quality by including quality principles in the organization’s strategic direction, decision making, and aligning them with other operational priorities. Successful implementation of this document can demonstrate to stakeholders that an effective management system for quality in the healthcare organization is in place.

The level of detail and complexity of a management system for quality in the healthcare organization varies depending on the context of the organization, the scope of its work, its regional, national, and international conformity obligations, the nature of its activities, services provided, and resources available.

0.4   Plan-Do-Study-Act model

The approach underlying a management system for quality in healthcare organizations is based on the concept of Plan-Do-Study Act (PDSA) (see Figure 1). The PDSA model provides an iterative process used by organizations to achieve continual improvement through cycles of ongoing measurement of performance and assessment of changes. It can be applied to a management system for quality in healthcare organizations and is briefly described as follows.

- Plan: establish healthcare quality objectives and processes necessary to deliver results in accordance with the organization’s healthcare quality policy (Clause 6).

- Do: implement the processes as planned (Clauses 7 and 8).

- Study: monitor, measure and assess processes against the organization’s policies, including its commitments, objectives and operating criteria and report the results (Clause 9).

- Act: take actions to continually improve (Clause 10).

Figure 1 - Elements of a management system for quality in healthcare organizations

1   Scope

The requirements of this document are based on recognized best practices and are intended to be applicable to any organization providing healthcare services, regardless of its type, size, or the services it provides.
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Fonte: ISO