External audits

Meeting quality and safety standards - certification / accreditation

All Waikato DHB hospitals and inpatient facilities are certified and audited to ensure we provide safe, appropriate care for our patients and meet the standards set out in the Health and Disability Services (Safety) Act 2001.  These standards are outlined in NZS8134:2008 Health and disability services Standards.

As a legislative requirement our hospitals and facilities must:

  •  be certified by the Director-General to provide the health care services
  •  meet all relevant service standards and,
  •  be in compliance with the Act.

A certification audit is undertaken every three years to assess whether we are meeting the Health and Disability service standards.
A surveillance audit is undertaken part-way through our period of certification to assure the Ministry of Health that we continue to meet all relevant standards. 

External assurance audits

In February 2016 the Ministry of Health designated audit agency, the DAA Group, conducted a certification audit of all inpatient areas across the organisation, encompassing Waikato Hospital, Thames, Tokoroa, Taumarunui, Te Kuiti hospitals and Rhoda Read and Matariki continuing care facilities plus inpatient mental health services - Henry Rongomau Bennett Centre, Puna Whiti and Older Persons and Rehabilitation OPR1 inpatient facilities.

Result:  These services remain largely compliant with the standards.  The audit evidence highlighted considerable quality improvement activity.  23 improvement requests (none of which were designed as high risk) were reported in the audit, and work is underway to address these requests. 

In addition to certification and surveillance audits there are a number of other external audits that occur throughout the year.   These audits measure and maintain our commitment to providing the best quality care possible for our patients.

  • In October 2015 a certification audit of the colposcopy service at Waikato Hospital was undertaken by HDANZ.  We await the report following this audit, but initial indications are that we will have 7 improvement requests, and actions are underway to address these.
  • Annual audits are undertaken by International Accreditation New Zealand (IANZ) of the laboratory services at Waikato, Thames, Taumarunui, Te Kuiti and Tokoroa hospitals.  The November 2015 audit of Waikato Hospital laboratory “confirmed that the laboratory generally meets the requirements of accreditation as defined in ISO 15189:2012 and supporting criteria documents, with good evidence that continual improvement was occurring”.
  • Annual National Radiation Laboratory C5 audits will occur in 2016 for Waikato Hospital and the rural hospitals.
  • NZ Blood service biennial audit due mid-2016