How JCI Standards are playing
vital role in Patient and Employee Safety:
Joint Commission International
(JCI) is one of the world’s leading non-profit patient safety organizations.
JCI seeks a world where every patient receives the highest quality of care
possible.
The most visible way we pursue
this goal is through our accreditation program. To that end, JCI regularly
publishes a demanding set of standards that represent the most current thinking
in patient safety and quality improvement. Health care organizations that are
capable of meeting these standards must undergo a comprehensive and rigorous
on-site survey conducted by JCI in order to achieve accreditation. Once
accredited, organizations must continue to meet our standards and are regularly
assessed through periodic re-survey. JCI is completely independent from the
organizations we accredit.
JCI also works to improve the
quality of care within all hospitals, not just those that are capable of
meeting our accreditation standards. Our global experts regularly assist
hospitals, municipal governments, and ministries of health as they pursue their
own quality goals and patient care outcomes.
History
Founded in 1994 by The Joint
Commission, JCI works with health care organizations from more than 100
countries. Today, JCI fields a well-trained team of international accreditation
surveyors and consultants who work in five continents.
Mission
The mission of JCI is to
continuously improve the safety and quality of care in the international
community through education, advisory services, and international accreditation
and certification.
JCI Accredited Organization in
India:
Only 34 Hospitals and 4
ambulatory centres in India are JCI accredited.
What is accreditation?
Accreditation is a process in
which an entity, usually nongovernmental, assesses the health care organization
to determine if it meets a set of requirements (standards) designed to improve
the safety and quality of care.
Types of JCI Accreditation
programs:
- Hospitals
- Academic Medical Centre Hospitals
- Ambulatory Care Facilities
- Clinical Laboratories
- Home Care Facilities
- Long Term Care Facilities
- Medical Transport Organizations
- Primary Care Centres
- Accreditation has gained worldwide attention as an effective quality evaluation and management tool.
- Improve public trust that the organization is concerned for patient safety and the quality of care;
- Provide a safe and efficient work environment that contributes to worker satisfaction;
- Most Prestigious Healthcare Accreditation in the World
- Ensure that we are doing the right things and doing them well
- Significantly reduce the risk of harm in the delivery of care
- Continuous Learning for Staffs
- Competent and privileged healthcare staff
- International Identity
- What are the benefits to patients?
- A patient who chooses a facility that has received one or more CCPCs can have confidence that the facility has met strict criteria in patient safety, delivery of clinical care, overall patient support, and more.
- When you choose a health care organization that is JCI accredited, you know you are receiving care from a leading practice organization.
- Here are five major reasons to select a JCI-accredited facility. They have all demonstrated:
- A deep commitment to high-quality care
- A culture of safety for patients, visitors, and staff
- A willingness to undergo rigorous preparation and a survey
- Care delivery based on leading, evidence-based practices
- Leadership in continuous compliance with exacting standards
The standards will be revised
and published at least every three years.
JCI Accreditation Surveys:
- survey team consists of a physician, nurse, and administrator
- Interview with staff and patients and other verbal information;
- On-site observations of patient care processes by surveyors;
- Policies, procedures, clinical practice guidelines, and other documents provided by the organization
- Surveyors evaluate various units within an organization and meet to discuss their finding
- Surveys conduct a complete system analysis on integration and coordination of care processes
- Surveyors evaluate various units within an organization for 5 days Surveyors shall review 1294 measurable elements in your hospital
- One to One Interview with Clinical Department Directors/HODs
Section 1: consists of
accreditation participation requirements APR
Section 2: Patient cantered
standards
- IPSG (International Patient Safety Goals)
- ACC (Access to care and continuity of care)
- PFR (Patient and Family Rights)
- AOP (Assessment of Patients)
- COP (Care of Patients) ambulatory
- ASC (Anaesthesia and Surgical Care)
- MMU (Medication Management and Use)
- PFE (Patient and Family Education)
- QPS (Quality improvement and Patient Safety)
- PCI (Prevention and Control of Infections) laboratory
- GLD (Governance, Leadership and Direction) for hospitals and academic medical institutions
- FMS (Facility Management and Safety)
- SQE (Staff qualification and education)
- MOI (Management of Information)
- MPE (Medical profession education)
- HRP (Human subjects research Programs)
Information about JCI 6th edition:
- 6th edition of the Hospital Standards contains
- 323 Standards
- 1294 Measurable Elements criteria measured during the
survey/evaluation process
JCI Requirement Categories: JCI requirements are described
in these categories:
- Accreditation Participation Requirements (APR)
- Standards
- Intents
- Measurable Elements (MEs)
The Accreditation
Participation Requirements (APR) chapter is composed of specific requirements
for participation in the accreditation process and for maintaining an
accreditation award. Hospitals must be compliant with the APRs at all times
during the accreditation process. However, APRs are not scored like standards
during the on-site survey; hospitals are considered either compliant or not
compliant with the APRs.
When a hospital is not
compliant with a specific APR, the hospital will be required to become
compliant or risk losing accreditation.
Standards:
JCI standards define the
performance expectations, structures, or functions that must be in place for a
hospital to be accredited by JCI. JCI’s standards are evaluated during the
on-site survey.
Intents:
A standard’s intent helps
explain the full meaning of the standard. The intent describes the purpose and
rationale of the standard, provides an explanation of how the standard fits
into the overall program, sets parameters for the requirement(s), and otherwise
“paints a picture” of the requirements and goals. The bulleted lists in the
intent statement are considered advisory and serve as a helpful explanation of
practices that might meet the standard. Numbered or lettered lists in the
intent statement include required elements that must be in place in order to
meet the standard.
Measurable Elements (MEs):
Measurable elements (MEs) of a
standard indicate what is reviewed and assigned a score during the on-site
survey process. The MEs for each standard identify the requirements for full
compliance with the standard.
The MEs are intended to bring
clarity to the standards and help the organization fully understand the
requirements, educate leadership, department/service leaders, health care
practitioners, and staff about the standards, and guide the organization in
accreditation preparation.
Other Sections Included in
This Manual:
- General Eligibility Requirements
- Summary of Changes to the Manual
- Summary of Key Accreditation Policies
Scoring Pattern for the JCI
Accreditation Survey Results:
- Each standard must have a scoring of at least 5
- Each chapter must have a score of at least 8
- All standards must together average for at least 9
- All measurable elements are averaged to obtain the score for the standard
JCI Tracer Methodology:
- Patient tracer methodology is what makes JCI different from NABH
- In Patient Tracer Surveyor assesses an organization’s system and processes by following the treatment path an individual patient has taken in the hospital from admission to discharge Or Following a process in the hospital from a beginning to an endpoint.
Written by:
Dr. Praveen Bajpai
Director of Ingenious Healthcare Consultants Pvt. Ltd.
Founder of Skill Sathi
MBA in Hospital administration, PG Diploma in Quality Accreditation, PG Diploma in Medico Legal System, M. Phil in Hospital Mgmt. from BITS Pilani, P.hD in Management, Certified NABH Auditor, Certified NABL Auditor, Certified Auditor for Clinical Audits, Green Belt in Six Sigma, Certified in Hospital Infection Control Practices, Certified trainer for International Patient Safety Goals, Certified Auditor for JCI 7th Edition Standards
www.skillsathi.in
Comments
Post a Comment