HRFS Accreditation

NADC Collaborative Interdisciplinary Diabetes HRFS Accreditation

In conjunction with the National Association of Diabetes Centres (NADC) Collaborative Interdisciplinary Diabetes High Risk Foot Service (HRFS) Standards, the NADC has released the Pilot NADC Collaborative Interdisciplinary Diabetes HRFS Accreditation program.
The NADC Collaborative accreditation for Interdisciplinary Diabetes High Risk Foot Services is the only national accreditation of its kind, aimed at the improvement of quality and safety within Interdisciplinary Diabetes HRFS. The accreditation model is focused on a three-pronged approach combining governance, clinical and quality criteria. The objective of the NADC Interdisciplinary Diabetes HRFS accreditation is to assist Diabetes HRFS to achieve quality patient care through improved interdisciplinary team based care including improved governance and centre structure, as well as providing opportunities for clinician education and research.
Legends: Centre of Excellence Core Standards

Centre of Excellence Awardees

Core Standards Awardees

As part of NADCs role in setting National HRFS Standards and an Accreditation program, the next step is to assist in connecting services with other services that have been identified as leaders in HRFS. If you are wishing to make a connection with one our of accredited services to discuss models of care and service provision, please email admin@nadc.net.au

Accreditation

Accreditation is one tool in a range of strategies that can be used to improve safety and quality in a health based organisation. It is a way of verifying:

  • Actions are being taken
  • System data are being used to inform activity
  • Improvements are made in safety and quality

The NADC Collaborative Interdisciplinary Diabetes HRFS accreditation also aims to define and and harmonise the standard of service delivered by Interdisciplinary Diabetes HRFS across Australia in an effort to meet key goals under the National Diabetes Strategy 2016-2020, namely, practices and procedures resulting in improved care, improved quality of life among people with diabetes, and a reduction in the prevalence of diabetes-related complications.

Applicability of the Interdisciplinary Diabetes HRFS Standards

The NADC Interdisciplinary Diabetes HRFS Accreditation Standards have been written to set a benchmark level for Interdisciplinary Diabetes HRFS within Australia however they can be used as a guide by any foot services aiming to benchmark and improve the quality and range services provided to people with diabetes receiving foot care.

Overlap with other standards

Many Interdisciplinary Diabetes HRFS are already accredited in their affiliation with a larger hospital or health service. There are deliberate synergeries and overlap with existing accreditation systems to ensure a robust accreditation framework.

Who needs to complete the NADC Collaborative Interdisciplinary Diabetes HRFS accreditation?

An Interdisciplinary Diabetes HRFS provides coordinated multidisciplinary treatment for people with limb threatening diabetes-related foot complications primarily foot ulcerations, Charcot neuroarthropathy and foot infections. Interdisciplinary Diabetes HRFS provide care in a patient centred, continuing, comprehensive and coordinated manner. The Accreditation Standards are wholly relevant to all Interdisciplinary Diabetes HRFS that meet this definition.

Benefits of NADC Collaborative Interdisciplinary Diabetes HRFS accreditation

There are wide-ranging benefits to achieving such accreditation. This includes, but is not limited to:

Recognition - Interdisciplinary Diabetes HRFS that complete accreditation will have their status updated to indicate ‘Accredited NADC Collaborative Interdisciplinary Diabetes HRFS’, which will be promoted on the NADC website, in NADC member lists, HRFS maps published on the website, and in information provided to other health professional organisations.

Knowledge-sharing – the ability to leverage knowledge from other accredited Interdisciplinary Diabetes HRFS to improve service delivery and care

Far reaching quality improvement – the opportunity for your Interdisciplinary Diabetes HRFS to become part of a broader goal of improving diabetes related foot services nationwide, including by mentoring and educating smaller services

Benchmarking – the opportunity for your Interdisciplinary Diabetes HRFS to compare performance against other peer centres and to identify opportunities for improvement

Business expansion – opportunity to broaden your Interdisciplinary Diabetes HRFS’ reputation and patient base

Status and Reputation – opportunity to benchmark your Interdisciplinary Diabetes HRFS against peer services

Service improvement – opportunity to utilise the evidence gained from the accreditation process to lobby for increased funding and resourcing in areas where your Interdisciplinary Diabetes HRFS can be enhanced

The NADC Collaborative Interdisciplinary Diabetes High Risk Foot Service Accreditation Program had a successful pilot phase. Seven High Risk Foot Services throughout Australia have completed the accreditation process, with the aim to assess their service and to also provide feedback on the accreditation process.

We are now accepting HRFS Accreditation Expressions of Interest (EOI)

HRFS Standards Workable Gap Analysis Template is available to service looking to undergo the NADC HRFS Accreditation Program. 
 
It is a word document that allows a gap analysis to be undertaken –
  • allowing for in-depth service review
  • the collection and gathering of supporting evidence
  • identify any areas for improvement, both short and long term.  
 
This gap analysis is designed to be undertaken at any time prior to applying for accreditation.  This will allow for a smooth undertaking of the accreditation program once the service is ready to apply.   

Accreditation costs

$65 Core Standards
$95 Centre of Excellence

HRFS accreditation will be awarded for a period of 4 years, after which time, reapplication is required to retain HRFS accreditation status.

To register your High Risk Foot Services Expression of Interest (EOI) in the NADC Collaborative Interdisciplinary Diabetes HRFS Accreditation program, download the Expression Of Interest (EOI) form. You may also download the NADC Collaborative Interdisciplinary Diabetes High Risk Foot Services (HRFS) Standards HERE

Once completed, please send the EOI form to the NADC via email at: admin@nadc.net.au with the email subject title: “HRFS Accreditation EOI *name of service*”

Any further questions in regard to the process can be emailed to: admin@nadc.net.au

Royal Prince Alfred

High Risk Foot Clinic

Centre of Excellence

Areas of Excellence

  • True interdisciplinary team.
  • Integration of orthopaedic and vascular surgery.
  • Strong links with education and upskilling other services.
  • Patient focussed management and continuity of care.
  • Strong research profile, data collection and auditing.

Royal Melbourne Hospital

Diabetic Foot Unit

Centre of excellence

Areas of Excellence

  • Comprehensive service
  • There is evidence of excellent continuity of care across the inpatient, outpatient and community settings
  • Strong research and conference presenting profile
  • Access to a vast range of specialists.
  • On-site orthotist and plaster technician is a fantastic addition to the foot service.

View Website

Monash Health

High Risk Foot Service

Centre of Excellence

Areas of Excellence

  • Monash Health High Risk Foot Service is a comprehensive service, that has an equal mix of inpatient and outpatient services to support High Risk Foot patients.
  • Strengths include integration with the vascular team.
  • Two HRFS coordinators
  • Research projects within the team is to be commended, the assessors note the collaboration between Monash Health and Monash University is a great initiative.
  • There is evidence of significantly experienced clinicians contributing to the HRFS’s development and research projects.
  • Monash Health HRFS are clear leaders in education and research
    Patient involvement and patient care goals.
  • Development of clinical pathways.
  • Strong leadership group coordinating and contributing that has led to a wealth of experience and knowledge within the HRFS team and therefore service setting.
  • Auditing of the potential missed patients within the inpatient setting and the patient centred care focus

View Website

Fiona Stanley Hospital

Multidisciplinary Diabetic Foot Unit

Centre of Excellence – Dec 2018

Areas of Excellence 

  • Comprehensive service with exceptional availability of specialist care.  
  • Provision of footwear for patients.
  • Clear role delineation for clinicians in HRFS
  • Research
  • Medical photographer.

View Website

Mater Hospital

High Risk Foot Service

Core Accreditation

Areas of Excellence

  • The Mater Hospital High Risk Foot Service offers a comprehensive service despite its inception only two years ago.
  • Mater Hospital High Risk Foot Service is recognised as a service leader in the local area.
  • The service is to be congratulated on the regular and detailed service review processes and quality of documentation.
  • There is evidence of sharing of knowledge both externally and internally within the hospital with a particular focus on student education.
  • Strengths include the variety and access to medical specialities and the incorporation of these into the service.
  • There is strong evidence of patient-centred care and holistic service provision.
  • There is also evidence of a well-established multidisciplinary service embedded within a tertiary hospital setting.
  • Referral pathways support the service and work well, for example, the emergency department to admission pathway.
  • Data collection and service review is embedded within the patient-centred service

View Website

Cairns Diabetes Centre

High Risk Foot Clinic

Core Standards

Areas of Excellence

  • Interdisciplinary team
  • Regular auditing that direct improvement projects.
  • High frequency of outpatient clinics
  • Podiatry prescribing is supported and evaluated.
  • Patient goal setting.
  • The prevention outpatient Clinic
  • Data collection and auditing
  • Telehealth
  • Excellent processes are established to detect foot issues in patients admitted to hospital with aid of an inpatient HRFS coordinator.
  • Patient Resources

View Website

Northern Adelaide Local Health Network

Interdisciplinary High Risk Foot Service Lyell McEwin Hospital

Core Standards

Areas of Excellence

  • Strong research and research involvement.
  • Grant funding and links with UniSA.
  • Links with the local general practitioners, and community health professionals.
  • Telehealth

Foot Procedure Unit Northern Health

Core Standards

Areas of Excellence:

  • The Foot Procedure Unit is a comprehensive service that provides a high level of care from acute to sub-acute outpatient and inpatient
    management, with clinics available for efficient follow up of patients within the interdisciplinary High Risk Foot Service (iHRFS).
  • There is evidence of a highly organised interdisciplinary service with strong administrative support that is well integrated within the team.
  • Strengths include the use of depression and nutrition screening tools for holistic patient care.
  • The undertaking of general practitioners and nursing staff training to raise the awareness of diabetes related foot pathologies within this cohort
    is commended.
  • The assessors recognised the team’s participation in many research projects which have been presented at a number of conferences and some in development for future publication.
  • Access to comprehensive clinics across the weekly timetable with daily access to urgent appointments are valuable initiatives.
  • Areas of Excellence include the defined referral pathways and urgent referrals to other medical and surgical specialists, casting clinics and
    orthotics. There are pathways in place for consultants to refer to other health professionals assisting patient care.

Western Health

Diabetes Foot Service

Core Standards

Areas of Excellence

  • Strong community partnerships and commitment to education.
  • Credentialing of clinicians with regards to Total Contact Casting.
  • Regular audits KPIs including amputation rates and time to first clinic appointments.
  • Access to a variety of specialists and a true interdisciplinary team.

Royal Perth Hospital

High Risk Foot Service

Core Standards

Areas of Excellence

  • Range of specialists involved in team
  • HRFS bed card
  • Dedicated plaster clinic
  • Footwear and orthoses provisions
  • Extensive patient information leaflets.
  • Research, education
  • Video conferencing and the ability to connect with regional patients and support staff in remote communities.

View Website

Flinders Medical Centre

Multi-Disciplinary High Risk Foot Service

Core Accreditation

Areas of Excellence

  • The Flinders Medical Centre – High Risk Foot Service is a newly developed service.
  • Relationship with the vascular team aiding early intervention for revascularisation, admission pathway and an emergency bypass protocol and guidelines.
  • Onsite Pedorthist clinic and an endorsed podiatry prescriber as part of the team. This represents and facilitates strong patient centre care.
  • Breadth of patient education resources are commendable.
  • Access to a wide variety of allied health professionals including dietitian, social workers, indigenous health worker and exercise physiologist is admirable
    The collection of quality of life data throughout the episode of care.

View Website

Central Adelaide Local Health Network

Multidisciplinary Foot Service

Core Standards

Areas of Excellence

  • The Central Adelaide Local Health Network Multidisciplinary Foot Service is a comprehensive service that is currently providing a high standard of evidence-based care for patients with diabetesrelated foot disease.   
  • Strengths include rapid access to the HRFS for individuals with both urgent and non-urgent referrals, including strong triage systems and the capacity to manage rural patients. 
  • There is evidence of a strong multidisciplinary team with excellent access to vascular and podiatry reviews.  
  • Access to and collaboration with a range of health care providers optimising patient care.   
  • Areas of Excellence include: Adherence to evidence-based guidelines, pressure offloading protocols and wound management policies, as well as having access to advanced wound care therapies.