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Accreditation preparation - ISO 9001:2000 / AGPAL

QPM offers in-house and external review of documentation; processes and practices via an audit termed “the gap analysis”. The Gap Analysis will identify areas for improvement in documentation and practice, consistent with the requirements of ISO 9001:2000 and also AGPAL.

Our desire is not to ‘'sell' you a new system; rather we assist you to maximise your existing documentation and practical processes and systems.

This program will benefit if:

  • You are still uncertain about some requirements for accreditation
  • The quality program needs to be aligned or implemented to your service requirements
  • You are a new facility and need some advice on establishing a quality system and continuous improvement processes
  • You need to provide staff with education to facilitate and support identified gaps in your documentation and/or service delivery
  • You have had a major staff turnover, and have not yet achieved continuity in your quality systems
  • You are experiencing difficulty in managing multiple tasks, including preparation for accreditation.

The Managing Consultant would conduct the preliminary audit within your facility and provide ‘The Gap Analysis Outcome’ report ¹. The audit would usually be conducted over a 2-3 period dependent upon the size of your facility.

Managing Accreditation Consultant – Wendy Bomgaars RN, B. Sc., Grad Dip Mgt, AAPM, AIMM

Wendy has extensive experience working in the private and corporate medical health industries, including positions held as Business Manager, Quality Control Coordinator, Director of Nursing and Radiation Safety Officer. Wendy is a member of the following organisations to ensure that her knowledge is at the forefront of recent healthcare issues/rulings to ensure that the latest advances and trends in Healthcare impact your organisation in a positive manner:

Current Memberships:

ANZAM (Australian & New Zealand Academy of Management), Australian Institute of Management (QLD), Australian Association of Practice Managers, American Society of Ophthalmic Administrators, Australian Society of Cataract and Refractive Surgeons (Affiliate), Australian Day Surgery Association & Royal Australian College of Ophthalmology (Affiliate).


Accreditation Preparation Program Options

Standard three (3) day analysis package:

Day One:

  • Interview with management (or authorised personnel)
  • Review of documentation relevant to your accreditation system – specific to Management Systems, Staffing and Organisational Development is undertaken to identify areas for improvement to help develop, improve and align systems and processes to requirements. This role plays an important part in supporting the business in fulfilling client obligations to conform to business requirements and relevant standards

Day Two:

  • Interviews with staff, including all personnel
  • Review of clinical and other documentation relevant to ensure compliance in conforming to the Business requirements and relevant standards.

Day Three:

  • Environmental review - this will include all aspects of the physical environment and safety systems.

Daily feedback sessions will include any issues of concern identified. A comprehensive report is included and will be forwarded no later than two (2) weeks after conducting the Gap Analysis.

Program fee: AU$1250 per day, plus travel and accommodation costs where applicable

Optional Extras

  1. 1-2 days (Based on the size of the clinic) One–on–one coaching with the Facility/Practice Manager to review current systems and systems to be implemented to meet requirements based upon maintenance and general performance of the facility. Team bookings also available.
  2. ½ day brainstorming session which includes developing and reviewing KPI's targeting specific goals of the organisation and strategies to target and monitor such goals on an ongoing basis.
  3. 3 hour session - Best practice guidelines for managing staff retention and productivity

Click here for bookings or enquiries.*

*Fees for optional extras will be quoted on upon expression of interest

¹ Gap analysis report fee - $1650 + GST

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