WHAT IS DENTAL CLINIC ACCREDITATION PROGRAMME?
The MSQH Dental Clinics Accreditation Programme (DCAP) is a voluntary, independent programme supported and administered by oral healthcare professionals who are organised under the auspices of the Malaysian Society for Quality in Health (MSQH).
The Dental Clinic Accreditation Standards were developed in collaboration with the Ministry of Health Malaysia (Oral Health Division), the Ministry of Defence Malaysia (Dental Service Division), and professional organisations representing the dental profession i.e. Malaysian Dental Association (MDA), Malaysian Private Dental Practitioners’ Association (MPDPA), Malaysian Association of Oral and Maxillofacial Surgeons (MAOMS), Malaysian Association of Paediatric Dentistry (MAPD), Malaysian Association of Orthodontists (MAO), Malaysian Endodontic Society (MES), Malaysian Oral Implant Association (MOIA) and Malaysian Society of Periodontology (MSP).
Accreditation
a self-assessment and external peer review process used by healthcare organisations to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve the healthcare system.
2nd EDITION
DENTAL CLINIC ACCREDITATION STANDARDS
The Dental Clinic Accreditation Programme provides an effective means of self-assessment, whereby oral healthcare organisations can assess their levels of performance against relevant national standards, which have been developed by oral health care professionals and are accepted for nationwide application in Malaysia.
The Dental Clinic Accreditation Standards provide a benchmark against which Dental Clinics can regularly assess their organisational performance and improve continually in an on-going and incremental basis.
The MSQH Accreditation Standards for Dental Clinics are grouped into eight (8) core areas, of which the performance levels are deemed to have an impact on safe care and quality of service in the Dental Clinic. They are:
Standard 1: Access to Care
Standard 2: Facilities and Equipment
Standard 3: Human Resource
Standard 4: Practice Addendum (Sedation practice)
Standard 5: Safety
Standard 6: Ethics
Standard 7: Clinical Governance
Standard 8: Quality Improvement Activities
Each standard is reviewed and updated as and when feedback isreceived from the surveyors on issues of accuracy and ease of interpretation. The technical content and criteria are also updated in tandem with progress and changes in technology and best practices nationally and internationally.
Dental Clinic Accreditation
The MSQH may accredit any Dental Clinic, as defined by the Private Healthcare Facilities and Services Act 1998 and its Regulations 2006. The term Dental Clinics for the purpose of these standards refers to all registered ‘free standing’ outpatient clinic services and ambulatory care centres managed by a dental practitioner and covers both private and public sector clinics, including specialist clinics.
- The clinic shall be a corporate member of MSQH
- The clinic shall be registered or licensed under the Private Healthcare Facilities and Services Act; or be a gazetted public facility;
- The clinic shall be a provider of dental services;
- The clinic shall have been in full operation for a minimum of six (6) months prior to the application date;
- The Person-in-Charge (PIC) shall have no pending/existing legal issue or misconduct with any authority;
- The PIC shall not have been found guilty of any offence by the Malaysian Dental Council (MDC) or a court of law within the past two (2) years [The period of 2 years shall take effect from the date of completion of the punishment].
Survey Application
The staff of a Dental Clinic applying for a first accreditation survey must undergo accreditation training conducted by the MSQH trainers.
Fill in online your "Survey Application Form". It must reach MSQH at least six (6) months before the expected date of survey. Applications for survey remain valid for 12 months from the date of application unless significant changes affect the facility.
Successful applicant will then be guided through the steps for training & education, organisational development, self assessment and will be informed regarding associated costs.
Any questions on the application process, survey scheduling, and the survey process, may contact MSQH for further information.
msqh@msqh.com.my
+60 3 2681 2232
Values of the Dental Clinic Accreditation Programme
- assurance that your service meets or exceeds the quality oral health standards available in Malaysia;
- strengthened community trust, as being certified is evidence to patients and the community that your Dental Clinic is committed to providing Quality and Safe Healthcare Services;
- greater client satisfaction;
- trust in your staff's ability to respond appropriately to their needs and to protect customers’ rights; and
- security in the knowledge that quality systems are in place to identify and remedy dental problems;
- tested performance standards that focus on quality and safety in patient care;
- comprehensive and structured analysis of performance;
- a broad-based improvement in delivery of services;
- reduced re-work and rectifications, since things are done right the first time, every time;
- established organisational credibility, which builds up staff and stakeholders confidence in the Dental Clinic;
- better outcomes of care;
- reduced risk and legal costs;
- confidence that focus is on quality care, safety and service excellence; and
- enhanced public image and competitive edge.
- a valuable learning experience through self-assessment, reflection and challenge to tradition;
- empowerment to improve the processes and change current practices in delivery of care;
- enhanced teamwork, staff satisfaction and staff morale;
- provision with the right tools and new techniques for quality and safe services;
- being part of a client-focused team to achieve service excellence;
- equipped with a rigorous approach to continual improvement;
- shared knowledge through a nationwide network of quality oral health providers; and
- esteem and endorsement by peers and the public for a conscious and
- active effort in maintaining high professional standards.
- confidence that your Dental Clinic is client focused;
- assurance that your Dental Clinic operates according to industry standards and meets international safety standards;
- success and sustainability of business through quality outcomes; and
- confidence that risk is minimised and managed to create better shareholder value.
Accreditation Status Dental Clinic Accreditation Survey
Four Year Accreditation
- A four-year Accreditation is awarded to Dental Clinics, which in the opinion of MSQH, substantially comply with the MSQH Dental Clinic Standards over and above compliance to all mandatory items. It should be noted that the Dental Clinic must achieve substantial compliance in all standards to achieve four-year Accreditation.
Delayed Accreditation
- Delayed Accreditation is awarded to Dental Clinics which have:
- achieved compliance to all mandatory items, but have not reached substantial compliance in all standards; or
- achieved substantial compliance in all standards, but have not achieved compliance in all mandatory items.
Non-Accreditation
- Accreditation cannot be awarded to a Dental Clinic where all the mandatory items and a significant number of standards are not complied with.
- Dental Clinics that are not accredited are encouraged to implement the recommendations made in the Survey Report and to re-apply for a survey at a later date.
- It is recommended that a minimum of twelve (12) months should elapse, to allow time for remedial action and rectification, before the next survey is undertaken.