BHB celebrates accreditation decision

Sunday 9 June 2024: Bermuda Hospitals Board has achieved accreditation in its 14th onsite survey by Accreditation Canada. The organisation has been accredited since the 1970s.

“Today is World Accreditation Day, and I am proud to announce that BHB has met all of the requirements for accreditation,” said BHB CEO and President R Scott Pearman. “It’s quite an achievement that the staff managed to maintain these rigorous standards during the 2019-2023 accreditation cycle, while working non-stop through a global pandemic, significant healthcare cost containment pressures and implementing an organisation-wide electronic medical record system that radically changed our way of working.”

From 6-10 November 2023, four independent surveyors assessed BHB against 26 sets of healthcare standards, 35 priority processes and 30 required organisational practices, a total of almost 3,800 applicable criteria. They spent time at King Edward VII Memorial Hospital, Mid-Atlantic Wellness Institute, Lamb Foggo Urgent Care Centre and BHB’s group homes, observing staff, reviewing documents and files, and interviewing staff, patients and community partners.

The surveyors’ findings were then reviewed thoroughly by the Accreditation Canada team before an accreditation decision and preliminary report were issued. The decision committee requested the submission of additional evidence for some of the criteria, issuing their final decision of ‘Accredited’ in May 2024.

In their decision letter, the Accreditation Decision Committee said: “We congratulate you on this achievement that demonstrates your organization’s determination and commitment to ongoing quality improvement. We applaud your leadership, staff, and accreditation team members for their efforts and dedication to the provision of safe, quality health services.”

Mr Pearman said: “In addition to praising our pandemic response and successful electronic medical record implementation, the surveyors highlighted our adaptive and caring workforce, improvements in our laundry and pharmacy, and our 2021-2026 strategic planning process.

“They also commended our work on integrated healthcare pathways and our continuing efforts to develop integrated care in the community to reduce the need for emergency care and admissions for chronic diseases.

“However, the most important part of the accreditation process is its role in our vision ‘to pursue excellence through improvement, to make Bermuda proud.’ The surveyors bring a wealth of knowledge from healthcare organisations around the globe, helping us identify challenges and recommending improvements large and small.”

Chief of Nursing Judy Richardson added: “We have already started to investigate and implement many of their recommendations, building on work that began after the 2019 survey.

“Quality begins at the unit level, and we are continuing to roll out unit-based quality and safety teams throughout the organisation, including in non-clinical areas. We are also planning the expansion of our Wards of Excellence evaluation programme. Both programmes encourage creativity and collaboration in making improvements on the units, and sharing our successes and lessons learned.”

Mr Pearman said: “Another key change we have made since the survey is the introduction of our Quality and Innovation Committee, which will prioritise our work to further reinforce the accreditation standards in our everyday operations, to improve the quality and safety of the services we provide.

“Notably, we are leveraging PEARL, our electronic medical records system, to improve communication between hospital physicians and our patients’ physicians in the community, particularly their general practitioners.

“We are also moving ahead with our people-centred care strategy. The surveyors noted that patient-centred care is already well established at the treatment level. The strategy aims to incorporate the voices of patients and families at every level of decision making.”

Mrs Richardson said: “The staff are dedicated to providing the best possible care for our community every day. On top of that, they put in an incredible effort to ensure we were ready for accreditation, with every ‘i’ dotted and ‘t’ crossed. Since the survey, they have been busy putting the surveyors’ recommendations into practice with the help of our expert quality team. Like Scott, I am incredibly proud of our staff and our hospitals.”

Accreditation Canada will continue to work with BHB throughout the four-year accreditation cycle, reviewing evidence related to unmet criteria, providing feedback, and monitoring standards and practices to ensure the organisation continues to perform at the expected level.

Accreditation Canada is a non-profit organisation that works with the Ottawa-based Health Standards Organization, healthcare providers, policy makers and patients to improve the quality of healthcare services. More than 1,100 health and social service organisations in Canada and around the world have been accredited by Accreditation Canada with a goal of safer, high-quality healthcare. Accreditation Canada surveyors are volunteers who are healthcare professionals in senior clinical or administrative roles at other accredited organisations.

The accreditation report, decision letters and survey comparison table are available on the BHB website at bermudahospitals.bm > About BHB > Providing Safe Care (bermudahospitals.bm/about-us/about-us/quality-care-and-patient-safety/).

In addition to organisation-wide accreditation by Accreditation Canada, the BHB Pathology Department is accredited by Joint Commission International (JCI), the Mammography Department is accredited by American College of Radiology (ACR), the Turning Point Substance Abuse Programme is accredited by Commission on Accreditation of Rehabilitation Facilities (CARF), and the Primary Stroke Centre achieved a Certificate of Distinction from Accreditation Canada.

BHB wishes everyone a safe and joyous Bermuda Day holiday weekend

Thursday 23 May 2024: Chief of Emergency Dr Chikezie Dean Okereke comments: “While we hope everyone enjoys the running, swimming and parade, for anyone in need of emergency or urgent healthcare services, we will be here.

“The KEMH Emergency Department is open 24 hours throughout the weekend for medical emergencies and if someone experiences a mental health crisis they can call BHB’s 24-hour mental health crisis hotline 239-1111 for advice. As a special reminder, if an individual experiences stroke symptoms, they must come in immediately or call 911. Do not wait to see if symptoms resolve or think you can wait. A full recovery following a stroke can depend on you getting treatment in time. We see up to five stroke victims a week and time is often the most important deciding factor on their outcome.

“The Lamb Foggo Urgent Care Centre will be open for its usual weekend hours, 9am to 9pm, on Saturday 25 and Sunday 26 May. It is not open on Friday 24 May. The UCC can help if you have an urgent, but not emergency healthcare need. There will be an x-ray service available, so if someone hurts their ankle or arm, for example, they can get their diagnostics in St David’s while the UCC is open.

“However, if your issue does not require an immediate healthcare response please remember that your family doctor is best placed to assist you. As your primary healthcare provider, they can advise, treat and refer you as necessary.

“Finally, look after yourself and ensure your family doesn’t get bad news this weekend by driving carefully and especially not taking drugs, drinking and driving. We cannot stress enough how important road safety is in preventing life-changing injuries and deaths. Please care for yourself and for all those in our community. Let’s enjoy this wonderful Bermuda holiday peacefully and safely.”

For details on stroke symptoms, remember the BE FAST acronym: If you experience a sudden issue with your Balance, Eyes (vision), Face (one side drooping), Arm or leg weakness or Speech problems, it’s Time you call 911. Watch this short video for more information or read the graphic below.

Blood donation criteria now based on individual sexual activity

Tuesday 7 May 2024: Bermuda Hospitals Board today updated its blood donor eligibility criteria to include risk-based questions that will be the same for every individual, regardless of sexual orientation, sex or gender. These questions reduce the risk of transfusion-transmitted infections, such as HIV.

The change brings Bermuda in line with blood donation criteria in the UK, Canada and the US.

Consultant Haematologist and Acting Chief of Pathology Dr Eyitayo Fakunle explains: “Our focus is always to ensure that our criteria maximise the safety of our blood supply. We test all our donated blood and we also defer donations from people who do not meet our criteria. Deferrals of higher-risk individuals and testing of all donated blood together give us the best protection overall.”

Prior to this change, the Bermuda Blood Donor Centre criteria had time-based deferrals specific to men who’d had sex with men (MSM) and women who’d had sex with MSM during the previous three months.

“These criteria didn’t address the sexual behaviour of all individuals, nor did they recognise that not everyone in one group has the same level of risk,” Dr Fakunle says. “The new questions will therefore be asked of all donors, irrespective of their sexual orientation.”

The new criteria will defer prospective donors who report having anal sex with a new sexual partner or more than one sexual partner of any gender in the past three months. People who are in monogamous relationships of three months or more will therefore not be deferred, irrespective of their sexual orientation.

Dr Fakunle adds: “We continue to use global research and evidence so that our blood donation criteria ensure safe transfusions for our patients. This is without doubt our most important priority in transfusion services.

“Criteria are updated when science indicates there is a more effective way to ensure safety. As a small jurisdiction, we closely follow the US and Canada specifically as we are accredited by patient safety bodies from both those countries.”

People can review a factsheet on sexual activity and blood donation, and all the blood donation eligibility criteria on the BHB website at bermudahospitals.bm/be-a-donor.