Joint Commission International (JCI)

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Joint Commission International (JCI)
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22/01/2552
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Accreditation A World Trend

• The U.S., Canada, and Australia have the oldest
  accreditation systems
• In Europe, Germany, France, Ireland and Spain
  have new accreditation systems
• In Japan, Korea, Malaysia, and Thailand there are
  new systems with government role
• The WHO, World Bank and development banks
  recognize and endorse the accreditation model

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About JCI
The Joint Commission International (JCI) Is a
Major Subsidiary of Joint Commission
Accreditation of Healthcare Organizations (JCAHO)

Mission of JCI
To Improve the Safety and Quality of Care in the
International Community Through the Provision of
Education, Publications, Consultation and
Evaluation Services
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JCAHO - History

• 1910 1913 Concerned for the Quality of
  Hospital Care in the U.S.A.
• 1910 Ernest A Codman Focused on Results
• 1918 American College of Surgeons Began a
  Hospital Standardization Program
• 1951 Joint Commission on Accreditation of
  Hospitals Formed to Continue the Challenge

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Joint Commission on Accreditation

• Non-profit Affiliate of JCAHO
• Separate Board with International Members
• Accreditation Committee with International
  Members
• Advisory Structure with International Members
• International Division Is Known As Joint
  Commission International (JCI)

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Origin and Content of JCI
Standards
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International Hospital Standards

• International Principles and Standards
  Development Task Force Formed February 1998
• First Meeting of the Task Force in June 1998
• Meeting Held in Chicago, Budapest, Barcelona in
  1998 and 1999
• Publication of Standards in October 1999

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Standards Subcommittee Members

• Brazil
• China
• Czech Republic
• Germany
• Ireland (pending)

• Italy
• Poland
• Portugal (pending)
• Republic of South Africa
• Saudi Arabia

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ACCREDITATION
Benefits and Characteristics
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Benefits for the Hospital

• Improves Care and Enhances Public Confidence
• Stimulates Continuous Improvement
• Demonstrates Commitment to Quality Care
• Raises Community Confidence
• Comparison with Self and Other Similar
  Organization

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Benefits for the Medical Nursing Staff

• Improves Professional Staff Development
• Provides Education on Consensus Standards
• Provides Leadership for Quality Improvement
  within Medicine and Nursing
• Increases Satisfaction with Working Conditions,
  Leadership and Accountability

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Benefits for Hospital Employees

• Values Employee Opinions
• Measures Employee Satisfaction
• Involvement in Quality Activities
• Improved Employee Safety and Security
• Clearer Lines of Authority and Accountability
• Promotes Teamwork

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Benefits for Patients

• Access to a Quality Focused Organization
• Rights Are Respected and Protected
• Understandable Education and Communication
• Satisfaction Is Evaluated
• Involvement in Care Decisions and Care Process
• Focus on Patient Safety

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Characteristics

• Usually a VOLUNTARY Process by Which a
  Government or Non-Government Agency Grants
  RECOGNITION to Health Care Institutions Which
  Meet Certain STANDARDS That Require Continuous
  IMPROVEMENT in Structures, Processes, and Outcomes

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JCIA
Definition of Standards

• Requirements That Define Performance
  Expectations with Respect to STRUCTURE, PROCESS,
  and OUTCOMES That Must Be Substantially in Place
  in an Organization to Enhance the Safety and
  Quality for Patient Care

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Performance Components

• STRUCTURE Resources
• E.g. Adequate Staff, Supplies, Building
• PROCESS Activities
• E.g. Patient Education, Nursing Assessment
• OUTCOMES Results
• E.g. Infection Rates, Maternal Mortality

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Standards

• A System Framework (i.e. Policy, Procedures,
  Indicators, Monitor, Feed-Back)
• Address All the Important Managerial and
  Clinical Functions of a Healthcare Organization
• Focus on Patient in Context of Their Family
• A Balance of Structure, Process and Outcomes
  Standards
• Set Optimal, Achievable Expectations
• Set Measurable Expectations

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Components of Standards Development

• Multiple Information Sources
• Scientific Literature
• Survey Compliance Data
• Research Findings
• Individual Input from Field Experts and Key
  Stakeholders

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JCI Standards
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Patient-Centered Standards

• Access to Care and Continuity of Care (ACC)
• Patient and Family Rights (PFR)
• Assessment of Patient (AOP)
• Care of Patients (COP)
• Anesthetic and Surgical Care (ASC)
• Medical Management and Use (MMU)
• Patient and Family Education (PFE)

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Health Care Organization Management Standards

• Quality Improvement and Patient Safety (QPS)
• Prevention and Control of Infection (PCI)
• Government, Leadership Direction (GLD)
• Facility Management Safety (FMS)
• Staff Qualification Education (SQE)
• Management of Information (MOI)

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Quality Improvement Patient Safety
(QPS) Facility Management Safety
(FMS) Prevention Control of Infections
(PCI) Access to Care and Continuity of Care
(ACC) Patient and Family Rights (PFR) Assessment
of Patients (AOP) Care of Patients (COP) Patient
and Family Education (PFE)
Cause - Effect
Driver
System
Results
Staff Qualifications Education (SQE)
Governance, Leadership, and Direction (GLD)
Performance Review
Patient and Family Rights (PFR)
Priority Focus Process
Management of Information (MOI)
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Cause - Effect
1. Risk, Safety, and Quality Management 2.
Professional Governance 3. Physical Structure and
Environment of Care 4. Prevention and Control of
Infection 5. Medical Record System 6. Medication
Management System 7. Diagnostic Investigation and
Related Services 8. Disease and Health Hazard
Surveillance 9. Working with Community
1. Entry 2. Patient Assessment 3. Planning of
Care 4. Patient Care Delivery 5. Information and
Empowerment 6. Discharge Planning Continuity of
Care
Driver
System
Results
5. Staff Focus (HR)
1. Leadership
2. Strategic Management
1. Health Care Results 2. Patient and Other
Customer-focused Results 3. Financial
Results 4. Staff and Work System Results 5.
Organizational Effectiveness Results 6.
Governance and Social Responsibility Results 7.
Health Promotion Results
3. Focus on Patients/Customers
6. Process Management
4. Information and Knowledge Management
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HA 2006
JCIA 2008
Clinical Tracer of Quality
Tracer Methodology/DSC
HA-Thailand PSGs
2007 IPSGs
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