Promoting Excellence in Diabetes Care

NADC ACCREDITATION

NADC ACCREDITATION PROGRAM

Who can apply for NADC Accreditation?

It’s important to note:

NADC Accreditation is not mandatory, however…

Successful accreditation is required in order to be recognised as an “NADC Accredited Centre” in the following categories: Centre of Excellence, Tertiary, Secondary, Primary Care, Affiliate member or Pharmacy

In Australia…

Diabetes centres are generally accredited via overarcning hospital or RACGP accreditation, however…

Some services can miss out as not all hospital-based diabetes services are involved in the accreditation process. Diabetes centres which operate in the community or in a medical centre/pharmacy are not specifically assessed against diabetes accreditation standards.

NADC has filled the accreditation gap; providing all diabetes centres the opportunity to participate in quality and safety improvement

The NADC accreditation is the only one of its kind to offer comprehensive diabetes-specific accreditation aimed at the improvement of quality and safety. The accreditation model is focused on a multi-pronged approach combining governance, educational and clinical criteria.

Undertaking NADC accreditation adds enormous value to the service and provides insights into improvements that can be made. Accreditation is awarded for a period of 4 years

MEET THE NADC ACCREDITED SERVICES

Applicability of the Standards for Diabetes Services

The NADC Accreditation Standards have been written for Diabetes Services of all models and sizes in Australia. One of the great strengths of diabetes care is its diversity. If your service provides diabetes care, even if it seems to have an unusual or unconventional structure, then these Standards are applicable.

The Standards also apply to primary health care services that are not specifically focused on diabetes care but which nevertheless provide diabetes care to a distinct community (eg. Aboriginal diabetes services, community health services, or mobile clinics caring for homeless people).

Overlap with other standards

Many NADC services are already accredited in their affiliation with a larger hospital, community health service or General Practice. There are deliberate synergies and overlap with existing accreditation systems to ensure a robust accreditation framework.

Who needs to complete NADC accreditation?

The NADC defines a Diabetes Service as an organisation that provides diabetes care in a patient centred, continuing, comprehensive and coordinated manner. The Accreditation Standards are wholly relevant to all services that meet this definition.

Service teams that complete accreditation will have their status updated to say ‘Accredited NADC Service’, which will be promoted on the NADC website, in NADC member lists, maps published on the website, and in the information provided to other health professional organisations. Service teams that choose not to participate in accreditation will not be elevated to accredited status.

Organisations planning to apply for Centre of Excellence (COE) status are required to be accredited as a Tertiary Care Diabetes Service prior to being eligible to apply for COE status.

Royal Prince Alfred Hospital

Diabetes Centre

Centre of Excellence

Areas of Excellence

  •  National and international leadership established and maintained over several decades
  • Contribution made by the RPA team in the capacity of serving on professional bodies, participation/formulation of national and international policies and guidelines. 
  • High Risk Foot Service and benchmarking nationally. 
  • The number of diverse topics and methods of delivery for external HCP education activities provided that includes NSW, Australia and overseas. 
  • Involvement in innovation of education and clinical support – diabetes-related apps. 
  • Research and peer reviewed publications.  
  • Ongoing and continued nurturing of partnership and shared care with primary care.  
  • Involvement in Sydney Diabetes Strategic Plan 2019 The model of care remains forward thinking and best practice.
  • The ongoing emphasis on research, academic excellence and contributions to the wider diabetes agenda nationally is admirable.
  • The diabetes database
  • Service strategic plan

St. Vincent's Hospital - Sydney

Diabetes Service

Centre of Excellence

Areas of Excellence

  • Excellent governance
  • Substantial effort in inpatient management
  • Academic excellence

Royal Melbourne Hospital

Department of Diabetes and Endocrinology

Centre of Excellence

Areas of Excellence

  • Established national leader in the areas of diabetes foot care, inpatient services and transition care   
  • International leader in clinical research  
  • Use of Biogrid 
  • QI Plan is extensive 
  • Some of the future plans of the service have been addressed, outlining potential to further improve  
  • The Standards in Action monthly gap analysis is impressive 
  • Robust governance  
  • Foot Clinic 
  • Inpatient Diabetes Management 

Canberra Hospital

ACT Health Diabetes Service

Centre of Excellence

Areas of Excellence

  • The contribution to diabetes prevention and management in pregnancy
  • Outreach service
  • Participation in professional bodies, committees and working parties
  • Research
  • The strategic investment strategy for IT needs and a workforce plan
  • The number and variety of QI activities
  • GDM and paediatric database
  • The team is trying to address the National Diabetes Strategy goals and National Implementation Plan
  • Comprehensive service to people of all ages with diabetes, inclusive of other chronic conditions causing hyperglycaemia e.g. cystic fibrosis clinic
  • GDM services, including related research projects
  • Rapid access clinics
  • High Risk Foot Service
  • ‘’Tuning into Kids’’ program
  • ​Outreach indigenous care – for complex case management and to provide upskilling to healthcare teams

Perth Children's Hospital (Princess Margaret Hospital)

Diabetes Service

Centre of Excellence

Areas of Excellence

  • Early adopter of technology in IPT and able to as a team and organisation, embrace the rapid uptake of CGM
  • Advocate and supporter for technology for all patients
  • Diabetes Patient Management System holding clinical data of 99% of paediatric diabetes patients in WA and the ability for this repository to engage, benchmark and compare with ADDN and SWEET data networks
  • Consumer engagement initiatives and outreach services from the website to the consumer conversation forums
  • Number of peer review publications
  • CDC website
  • Clinical leadership in Australia and ISPAD – international guidelines and consensus position statements
  • Research and Development
  • Contribution to staff training and stakeholder engagement – comprehensive
  • Staff profiles – both national and international standing
  • Excellent examples of high-quality models of care underpinned by evidence.

Liverpool Hospital

High Risk Foot Service

Centre of Excellence

Areas of Excellence

  • The Illawarra Shoalhaven Local Health District (ISLHD) High Risk Foot Service is a comprehensive service providing a high level of patient centred care for a high risk cohort.  
  • Strengths include patient-reported outcome measures and patient involvement in their care from the initial appointment.  
  • The utilisation of standardised documentation templates for clinicians to promote consistency within the team, to enhance patient management.  
  • There is evidence of a high standard of data collection engrained within the service. 
  • High level of patient engagement with the provision of information and brochures to utilise during their treatment journey.     
  • Access by the multidisciplinary team to the PEDAR system and throughout the patient management process.  

Mater Health Queensland

Diabetes & Endocrinology Centre

Standard Accreditation

Areas of Excellence

  • The emphasis on services for young people is marvellous, including the Young Adult Transitional Services
  • Lead Centre for OzDAFNE – fantastic!
  • Availability of psychology and psychiatry services on site is excellent
  • High Risk Foot Clinic
  • High profile in providing continuing professional development for health professionals
  • Planned used of BIOGRID for psychosocial assessment in July 2018 will be very beneficial

Kyabram District Health Service

Diabetes Centre

Standard Accreditation

Areas of Excellence

  • Impressive application with clear detail and description of the service and its activities
  • The service appears very proactive as well as reactive in order to meet its goals of high level patient centred care
  • There is a clear priority to empower with the LIFE coaching
  • The service has a lifestyle emphasis including services to people with pre-diabetes
  • With the addition of regular CGMS services, Kyabram District Health Service are meeting the needs of more patients
  • The plans to develop patient resources to meet local language needs is commendable
  • The plan to now add ANDA as an audit tool is pleasing
  • Excellence range of guidelines
  • Very good multidisciplinary integrated services
  • Strong emphasis on quality improvement
  • Strong collaboration
  • Empowerment philosophy

Geelong Endocrinology & Diabetes

Diabetes Service

Standard Accreditation

Areas of Excellence

  • Multidisciplinary team
  • Electronic record keeping
  • Training of administrative staff
  • Broad range of services
  • Use of telehealth is a great service to their consumers, as well as the provision of outreach services
  • Strong focus on teamwork and professional development, as well as offering professional development to some healthcare providers

Western Health

Diabetes and Endocrinology Centre

Standard Accreditation

Areas of Excellence

  • Very strong and well written application
  • This is an impressive and busy Diabetes Service. Innovative and progressive.
  • The Steering Committee is a great model for others
  • Areas of excellence include the Diabetes in Pregnancy Service, Pump and CGM Service and the Type 1 service
  • Active and busy service with a wide range of service delivery and a strong education focus – patients, staff from wide range of hospital services (general and specialist including ED/surgery/obstetrics) and local GP’s
  • Efforts to liaise with other hospital services commendable given the longer term benefits to improving diabetes service provision to their patients.

Ballarat Health Service

Diabetes Centre

Standard Accreditation

Areas of Excellence

  • Providing a comprehensive multidisciplinary service
  • Partnering with Diabetes Victoria for the school education program is a great initiative
  • Teacher education in particular is impressive
  • The extensive and thorough contribution to professional development and upskilling of other healthcare providers across the region looks to be a great service to the community
  • The use of ‘diabetes champions’ is impressive
  • Integrated care partnerships are commended
  • Group sessions on advanced pump use are creditable

Baker IDI Heart and Diabetes Institute

Diabetes Services

Standard Accreditation

Areas of Excellence

  • Very strong application – high level of multidisciplinary service, quality assurance, education of staff, clinical service and education for patients and families. Service to wider community noted as well with development and provision of resources readily available by download.
  • Keeping abreast of technology developments with use by staff and patients.
  • Strong governance structure and organisational map clearly presented.
  • Professional education, Translating research into clinical practice eg AUSrisk tool and Innovative Patient education programs

Bankstown-Lidcombe Hospital

Diabetes Service

Standard Accreditation

Areas of Excellence

  • Eye service plan looks sound in terms of developing partnerships and processes for referral
  • This centre has some excellent programs and seems to have particular strengths in diabetes in pregnancy and CALD patients

Rockingham General Hospital

Diabetes Centre

Standard Accreditation

Areas of Excellence

  • The strongest area would appear to be the co-location with the paediatric service that should facilitate smoother transition.
  • Clinical services that involve technology are of a high standard.
  • Transition service for paediatrics is a strength
  • QI plans for retinal camera will complete the complication assessment service
  • Peroperative guidelines are very important as more and more people with DM are admitted to hospital for procedures

Sunshine Coast

Diabetes and Endocrinology Service

Standard Accreditation

Areas of Excellence

  • Well-presented report from a high level tertiary centre that clearly strives to provide high level services.
  • A pro-active organisation that is looking for service gaps and identifies areas where quality improvement can be undertaken and the undertakes appropriate service amendments.
  • Very good Quality Improvement Plan
  • Commendable services in perioperative care, pregnancy and foot services.
  • The organisation has an excellent multi-disciplinary team with a wide range of services
  • The organisation is using ANDA to employ a psychologist which adds another layer to the organisation.

Brisbane South Complex

Diabetes Service (Inala Primary Health)

Standard Accreditation

Areas of Excellence

  • The use of a retinal camera is an excellent initiative.
  • Data sharing with Princess Alexandra Hospital demonstrate collaboration.
  • Taking the time to complete the application is evidence of aiming for excellence in diabetes care.
  • Collaboration for the Diabetes Educator to maintain professional contact with colleagues at PAH journal club and leadership meetings is excellent.
  • Ongoing evaluation and publications on the innovative model of care Beacon Clinics, is a credit to the service.

Healthy Living NT

Diabetes Service

Standard Accreditation

Areas of Excellence

  •  The application is very thorough and well written, with an excellent quality improvement plan clearly aimed at addressing areas for improvement or modification.
  • Tailoring of service model and delivery to meet local needs
  • Excellent development of local diabetes management and nutrition resources for specific communities.
  • Community education and support including urban services to Darwin, Alice Springs and remote services to indigenous communities across the NT.
  • Strong online and social media profile of the service.
  • The connection between diabetes and cardiac rehabilitation services is of credit.

Fiona Stanley Hospital

Endocrinology Department

Standard Accreditation

Areas of Excellence

  • The organisation offers a large number of services including gestational diabetes, and many group programs.
  • Multidisciplinary foot ulcer service- inpatient and outpatient tertiary referral service.
  • Taking the time to complete the application is evidence of aiming for excellence in diabetes care.
  • Research- internationally recognised research and researchers Prof Tim Davis ad Prof Bu Yeap
  • A comprehensive multidisciplinary team for management of multiple aspects of diabetes and its associated physical and psychological complications for adults.
  • Up-skilling of GPs to manage complex type 2 diabetes in the community setting.

Goulburn Valley

Diabetes Centre

Standard Accreditation

Areas of Excellence

  • Multidisciplinary team – well resourced
  • ANDA audit and using information to improve services
  • On call program to reduce hospital admission
  • A model demonstrating NPs leading the diabetes service
  • Active in health professional education
  • Broad range of services

GP Plus Noarlunga ICS

Diabetes Service

Standard Accreditation

Areas of Excellence

  • The service appears to be operating at an acceptable level for a community centre attached to a hospital. The risk assessment matric is comprehensive and realistic. The plan to participate in ANDA in 2018 is commendable. The QI improvement plan is realistic and will be useful.
  • ICSdiabetes are applying as a Tertiary Care Diabetes Service. They illustrate a holistic multidisciplinary healthcare service for their patients with diabetes, with a role in upskilling other healthcare providers.

North West Diabetes Centre

Tasmanian Health Service

Standard Accreditation

Areas of Excellence

  • Range of clinical services
  • Breadth of a multidisciplinary team
  • After hours service
  • Diabetes in pregnancy service
  • Oncology Service
  • Multidisciplinary Diabetes High Risk Foot Service
  • AMOS Clinic – innovative initiative that utilised extensive stakeholder engagement
  • Retrospective audit of obesity prevalence in early pregnancy study

John Morris Diabetes Centre

Launceston General Hospital

Standard Accreditation

Areas of Excellence

  • The team seems to be enthusiastic and keen to actively assess and improve their work practices and service delivery. A wide range of services is provided and they are clearly striving to provide an excellent service
  • Type 1 diabetes service with CGM and pumps

Lyell McEwin Hospital

Diabetes Education Centre

Standard Accreditation

Areas of Excellence

  • Very sound and strong application.
  • A real focus on the gathering of clinical data, auditing and benchmarking
  • Apparent that a culture of review exists allowing changes to the way clinical care is provided following review of services ie group insulin starts, Multidisciplinary foot service, TV screening of health education in the DEC waiting room and the planned streaming for the foot clinic.
  • Very practical QI initiatives
  • Clearly detailed application with excellent description of services, evidence of multidisciplinary work, and quality improvement projects already underway and/or planned.
  • Service appears very enthusiastic with clear vision for excellent service delivery and team interaction.

Greater Newcastle (GNS Community)

Diabetes Service

Standard Accreditation

Areas of Excellence

  • GNS Community and Acute Diabetes Service is a comprehensive multidisciplinary service spanning six geographic sites
  • Strong and in-depth service that has a universal patient focus crossing a diverse range of endocrinology pathologies
  • Extensive and robust clinical guidelines supporting evidence-based practice
  • Group education for family and carers demonstrates the focus on patient centre care and support for patients by engaging their home team.
  • Integrated care partnerships are commended, especially the Alliance program, Masterclasses, CGM clinic and CF clinic
  • Extensive and sound collaboration is practised with strong links to coordinated care with external services

Princess Alexandra Hospital

Diabetes & Endocrine Department

Standard Accreditation

Areas of Excellence

  • Research
  • Innovative models of care such as the BEACON model – partnerships with primary care has set a standard nationally that all diabetes service could aspire to
  • Use of apps
  • Innovative telehealth models
  • Electronic health records
  • Availability and use of big data

Royal Hobart Hospital

Diabetes Centre

Standard Accreditation

Areas of Excellence

  • Diabetes fast track clinic
  • Oz DAFNE, and a variety of Type 1 services
  • Impressive presentation of the excellent services provided
  • The additional detail in the comment sections was extremely helpful and illustrated the high level of comprehensive multidisciplinary services available
  • The service appears to be responsive to the needs of its patients and has developed new services/adjusted existing services to try to meet these needs
  • The plans to develop and assess perioperative management pathways are to be commended

Barwon Health l

Diabetes Centre

Standard Accreditation

Areas of Excellence

  • Well-presented application from a high-level tertiary service
  • Wide-ranging clinical service and multidisciplinary approach
  •  Enhancement plans for improvement of the information provided to the community on the website as well as clinical discharge plans in place
  • The use of technology in patient care was commendable
  • Their service is willing to share your diabetes policies with other services
  • Use of technology in patient care, fitness to drive system, telephone service, clinical research and annual study day.