She’s a marathon runner by destination. Elisabeth Calmon, 55, director of the Rambouillet (464 beds) and Houdan (292 beds) hospitals, in the Yvelines, runs. She runs against her agenda. It’s 8:30 a.m. this Wednesday at the end of June, and on her wedge sandals, she tumbles down the two floors leading to her office, goes up a street, groans about her arthritis but still trots in a decrepit underground of the establishment to join the umpteenth meeting of his week.
This time, it is a question of taking stock of the situation with 25 hospital executives (including 21 women) on the audit carried out by the High Authority for Health (HAS), the previous week, on its establishments. A broad smile on his lips, M.me Calmon warmly thanks all the service managers and the teams through them. After a week of investigation, “An inspector said he would come to our hospitals for treatment. It’s the best compliment you can give us.”she launches to her troops, enthusiastic.
A few minutes earlier, in her office, she was designing a plan of countermeasures to convince the HAS to grant her accreditation, “because there, our buttocks are hot”. Controlling risks, managing emergencies and often shortages without ever communicating stress, that’s the job of a hospital director.
Two missing criteria
To assess the quality of care in a facility, HAS inspectors carry out an audit of the care services based on 110 criteria. The Rambouillet hospital group obtained a score of 92% this year, a good mark. But where the shoe pinches is that there are fifteen criteria to validate to obtain certification. Two are missing: the traceability of emergency carts and the management of risky drugs.
10 hours. Back in her office, Elisabeth Calmon, accompanied by Marine Faure, quality engineer, is finalizing a response to be implemented in the field and another to be provided to HAS. A working group was quickly set up to understand why the procedure was not followed. There will come a cycle of training, reminders of good practices, then traceability and internal audits to ensure that the message has got through. “This action plan must be sent to HAS, with copies of the traceability sheets as evidence”concludes the director.
Is certification necessary for the operation of the hospital? “Would you get on a plane that doesn’t have an airworthiness certificate? », replies Pascal Dufour, deputy director. The mission of the inspectors makes or breaks the reputation of a hospital.
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