Usefulness of JCI standards
David Marx, MD, PhD
“Medicine used to be simple, ineffective and
relatively safe. Now it is complex, effective
and potentially dangerous.”
Sir Cyril Chantler, former Dean
Guy’s, King and St. Thomas’s
Medical and Dental School,
Lancet 1999
So how dangerous is HC?
Error problem
Emerging Infectious Diseases
• Hospital associated infections
• SARs and Coronavirus
Data Use and Management
• Clinical and management decisions guided by
valid data
• Collection, validation, analysis and use of data is
everyone’s role
Safety Culture
Trust
ReportImprove
High
Reliability
SAFETY CULTURE
Your partner in the quality
improvement journey
JCI works with you to:
- Reach performance goals
- Improve patient outcomes
- Empower staff for long-term success
19% MBAs 35% Physicians 35% Nurses 16% PhDs
700+JCI-accredited organizations
60+
JCI consultant credentials
Data as of 30 May 2015
Setting international standards for 20+ years
Countries with JCI-accredited organizations,
encompassing 5.3 billion people
JCI strategies deliver
sustainable results
We focus on the highest patient-care standards and
results-oriented process improvement.
We are considered the “gold standard” for patient safety
and quality improvement in the global health care
community.
Our experts assist organizations in three ways:
- Accreditation and certification
- Education
- Technical assistance
Accreditation – A Definition
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.
What Is a Standard?
A statement of the safety
and
quality expected
Standards Content
Each JCI standard contains three
components:
– The standard represents the principle
– The intent describes the rationale of the
standard
– The measurable elements are the
detailed requirements from the standard
and intent that are scored
1
2
3
Components of Standards
1
2
3
ACC
AOP
COP
ASC
MMU
PFE
The JCI accreditation advantage
Only JCI provides a premier set of international standards that
- Meet the highest international benchmarks for accreditation entities
- Have been developed by a prestigious international standards technical
committee
- Ensure local and cultural relevance due to the oversight of expert
regional
advisory councils
JCI’s standards and accreditation programs are accredited by the
International Society for Quality in Health Care (ISQua)
The JCI accreditation advantage
JCI’s standards and evaluation methods are uniquely designed
to provide meaningful
metrics and improve outcomes.
JCI surveyors work with organizations pursing accreditation to
- Improve quality and safety
- Embrace continuous performance improvement
- Seek international recognition of their efforts
JCI-accredited organizations receive Gold Seal of Approval®
recognition for meeting
the highest standards.
Basic priciples of JCI accreditation
• Process based
• Data driven
• Non prescriptive
• Risk preventing
Process based
• Standardization of processes across the
institution
• Selection of processes
– Risk
– Legal background
– Volume
– Financial aspects
• Policies and procedures
Data driven
• Clinical data
• Non clinical data
• Institutional trajectory,
departmental path
• Benchmarking
Non-prescriptive
• Legal specifics
• Traditions
• Culture
• JCI standards requirements as basic template
with local content
Risk prevention
• International Patient Safety Goals
• Hazard Vulnerability Analysis
• Risk assessment
– Facilities
– Services
– Care flow
Leading practices
shared with the world
- Our international team of experts makes JCI uniquely positioned to adapt
international leading practices for the delivery of local care
- JCI provides high-value, cost-effective services to organizations of all sizes
and at every stage in their quality improvement journey
- JCI collaborates with Ministries of Health, public health agencies,
government agencies and others to evaluate and improve patient care
throughout entire regions
- JCI works with international organizations to focus worldwide attention on
leading practices that can reduce safety risks to patients and to coordinate
international efforts to spread these solutions
Educational tools spur success
JCI’s educational tools deliver relevant,
practical training on
- How to prepare for accreditation
and/or certification
- How to maintain continuous
compliance with JCI standards
JCI’s educational products and tools are
timely, affordable,
and easily accessible
- Face-to-face education, distance
learning, and electronic or web-based
resources mean thousands of
“touches” with international health
care community daily.
- Our standards manuals have been
translated in more than 16 languages
Technical assistance builds
staff knowledge and support
Organizations turn to JCI Consulting for help in performance
improvement and sustainable solutions in
- Accreditation and Certification Preparation
- Infection Prevention and Control
- Medication Management
- Multidrug-resistant Organism Prevention
- Safe Health Design
Collaboration
that produces results
JCI is dedicated to making health care safer throughout the world
through:
- Establishing strategic alliances with a variety of leading
organizations, innovators, governments, and Ministries of Health
- Developing national accreditation programs and
self-assessment systems
- Providing education and training to health care professionals
- Assisting in developing standards and evaluation methodologies
- Understanding and making accommodations for any
specific legal, religious, and cultural factors within a country
The value
of JCI Accreditation and Certification
- Create a culture of safety and quality that focuses on continuous
improvement
- Earn public trust and recognition by clinicians
- Involve patients and families as partners in the care process
- Enhance safety and efficiency in the work environment that
contributes to
staff satisfaction
- Negotiate for payment using quality data
- Establish collaborative leadership that strives for excellence
Your pathway to accreditation
success
JCI ACCREDITATION
STEP1START-UP
Become familiar with JCI's accreditation
standards and survey process
STEP 2 PLAN Conduct gap analysis and build action plan
STEP 3 PROCESS Update policies and procedures
STEP 4 FOCUS Target improvements where needed
STEP 5 FIX BARRIERS Work with staff to overcome obstacles
Your pathway to accreditation
success
JCI ACCREDITATION
STEP 6 READINESS Assess your readiness at midpoint
STEP 7 TRAINING Continue training for sustainable changes
STEP 8 Evaluate and refine processes
STEP 9 MOCK SURVEY Use a mock survey to access your readiness
STEP 10 FINAL STAGE Make final modifications
MONITOR
& ADJUST
Thorough survey process
- Typical survey team consists of a physician, nurse, and
administrator
- 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
JCI Accreditation helps organizations
achieve the apex of safe, quality care
Build your brand by promoting
JCI accreditation
WORLDHOSPITALSEARCH.ORG
JCI-sponsored website helps patients find and choose JCI-accredited
hospitals and academic medical centers
Connect with a worldwide network of support
Where JCI-accredited organizations are located: % by region
Independent Studies
Numerous studies point to the value of accreditation:
 Longo study: “Accreditation Improves Patient Safety”1
 Health Affairs: “Accreditation requirements influenced
hospitals’ efforts toward implementing patient safety
initiatives”2
 Health Affairs: “Hospital leaders ranked Joint Commission as
most important driver of patient safety”2
 Hospital Topics: “Accreditation is effective in driving efforts to
reduce errors”3
Brandeis Value and Impact Study
• Brandeis University examined this question in a
forthcoming pilot study
• Three study hospitals matched with three control
hospitals
• Designed to control for the changes within a country that
may influence standards compliance
Value and Impact Study
• The study has not been published yet.
• Early analysis suggests significant findings:
Metric
•Reduced rate of return to
ICU within 24 hours
•Staff turnover
Savings
•$34,000 per year
•$53,000 per year
Д.Маркс "Практическая ценность стандартов Jci в области качества оказания медицинских услуг и безопасности пациентов"

Д.Маркс "Практическая ценность стандартов Jci в области качества оказания медицинских услуг и безопасности пациентов"

  • 1.
    Usefulness of JCIstandards David Marx, MD, PhD
  • 4.
    “Medicine used tobe simple, ineffective and relatively safe. Now it is complex, effective and potentially dangerous.” Sir Cyril Chantler, former Dean Guy’s, King and St. Thomas’s Medical and Dental School, Lancet 1999
  • 6.
    So how dangerousis HC? Error problem
  • 8.
    Emerging Infectious Diseases •Hospital associated infections • SARs and Coronavirus
  • 9.
    Data Use andManagement • Clinical and management decisions guided by valid data • Collection, validation, analysis and use of data is everyone’s role
  • 10.
  • 11.
    Your partner inthe quality improvement journey JCI works with you to: - Reach performance goals - Improve patient outcomes - Empower staff for long-term success
  • 12.
    19% MBAs 35%Physicians 35% Nurses 16% PhDs 700+JCI-accredited organizations 60+ JCI consultant credentials Data as of 30 May 2015 Setting international standards for 20+ years Countries with JCI-accredited organizations, encompassing 5.3 billion people
  • 13.
    JCI strategies deliver sustainableresults We focus on the highest patient-care standards and results-oriented process improvement. We are considered the “gold standard” for patient safety and quality improvement in the global health care community. Our experts assist organizations in three ways: - Accreditation and certification - Education - Technical assistance
  • 14.
    Accreditation – ADefinition 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.
  • 15.
    What Is aStandard? A statement of the safety and quality expected
  • 16.
    Standards Content Each JCIstandard contains three components: – The standard represents the principle – The intent describes the rationale of the standard – The measurable elements are the detailed requirements from the standard and intent that are scored 1 2 3
  • 17.
  • 18.
  • 19.
    The JCI accreditationadvantage Only JCI provides a premier set of international standards that - Meet the highest international benchmarks for accreditation entities - Have been developed by a prestigious international standards technical committee - Ensure local and cultural relevance due to the oversight of expert regional advisory councils JCI’s standards and accreditation programs are accredited by the International Society for Quality in Health Care (ISQua)
  • 20.
    The JCI accreditationadvantage JCI’s standards and evaluation methods are uniquely designed to provide meaningful metrics and improve outcomes. JCI surveyors work with organizations pursing accreditation to - Improve quality and safety - Embrace continuous performance improvement - Seek international recognition of their efforts JCI-accredited organizations receive Gold Seal of Approval® recognition for meeting the highest standards.
  • 21.
    Basic priciples ofJCI accreditation • Process based • Data driven • Non prescriptive • Risk preventing
  • 22.
    Process based • Standardizationof processes across the institution • Selection of processes – Risk – Legal background – Volume – Financial aspects • Policies and procedures
  • 23.
    Data driven • Clinicaldata • Non clinical data • Institutional trajectory, departmental path • Benchmarking
  • 24.
    Non-prescriptive • Legal specifics •Traditions • Culture • JCI standards requirements as basic template with local content
  • 25.
    Risk prevention • InternationalPatient Safety Goals • Hazard Vulnerability Analysis • Risk assessment – Facilities – Services – Care flow
  • 26.
    Leading practices shared withthe world - Our international team of experts makes JCI uniquely positioned to adapt international leading practices for the delivery of local care - JCI provides high-value, cost-effective services to organizations of all sizes and at every stage in their quality improvement journey - JCI collaborates with Ministries of Health, public health agencies, government agencies and others to evaluate and improve patient care throughout entire regions - JCI works with international organizations to focus worldwide attention on leading practices that can reduce safety risks to patients and to coordinate international efforts to spread these solutions
  • 27.
    Educational tools spursuccess JCI’s educational tools deliver relevant, practical training on - How to prepare for accreditation and/or certification - How to maintain continuous compliance with JCI standards JCI’s educational products and tools are timely, affordable, and easily accessible - Face-to-face education, distance learning, and electronic or web-based resources mean thousands of “touches” with international health care community daily. - Our standards manuals have been translated in more than 16 languages
  • 28.
    Technical assistance builds staffknowledge and support Organizations turn to JCI Consulting for help in performance improvement and sustainable solutions in - Accreditation and Certification Preparation - Infection Prevention and Control - Medication Management - Multidrug-resistant Organism Prevention - Safe Health Design
  • 29.
    Collaboration that produces results JCIis dedicated to making health care safer throughout the world through: - Establishing strategic alliances with a variety of leading organizations, innovators, governments, and Ministries of Health - Developing national accreditation programs and self-assessment systems - Providing education and training to health care professionals - Assisting in developing standards and evaluation methodologies - Understanding and making accommodations for any specific legal, religious, and cultural factors within a country
  • 30.
    The value of JCIAccreditation and Certification - Create a culture of safety and quality that focuses on continuous improvement - Earn public trust and recognition by clinicians - Involve patients and families as partners in the care process - Enhance safety and efficiency in the work environment that contributes to staff satisfaction - Negotiate for payment using quality data - Establish collaborative leadership that strives for excellence
  • 31.
    Your pathway toaccreditation success JCI ACCREDITATION STEP1START-UP Become familiar with JCI's accreditation standards and survey process STEP 2 PLAN Conduct gap analysis and build action plan STEP 3 PROCESS Update policies and procedures STEP 4 FOCUS Target improvements where needed STEP 5 FIX BARRIERS Work with staff to overcome obstacles
  • 32.
    Your pathway toaccreditation success JCI ACCREDITATION STEP 6 READINESS Assess your readiness at midpoint STEP 7 TRAINING Continue training for sustainable changes STEP 8 Evaluate and refine processes STEP 9 MOCK SURVEY Use a mock survey to access your readiness STEP 10 FINAL STAGE Make final modifications MONITOR & ADJUST
  • 33.
    Thorough survey process -Typical survey team consists of a physician, nurse, and administrator - 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 JCI Accreditation helps organizations achieve the apex of safe, quality care
  • 34.
    Build your brandby promoting JCI accreditation WORLDHOSPITALSEARCH.ORG JCI-sponsored website helps patients find and choose JCI-accredited hospitals and academic medical centers
  • 35.
    Connect with aworldwide network of support Where JCI-accredited organizations are located: % by region
  • 36.
    Independent Studies Numerous studiespoint to the value of accreditation:  Longo study: “Accreditation Improves Patient Safety”1  Health Affairs: “Accreditation requirements influenced hospitals’ efforts toward implementing patient safety initiatives”2  Health Affairs: “Hospital leaders ranked Joint Commission as most important driver of patient safety”2  Hospital Topics: “Accreditation is effective in driving efforts to reduce errors”3
  • 37.
    Brandeis Value andImpact Study • Brandeis University examined this question in a forthcoming pilot study • Three study hospitals matched with three control hospitals • Designed to control for the changes within a country that may influence standards compliance
  • 38.
    Value and ImpactStudy • The study has not been published yet. • Early analysis suggests significant findings: Metric •Reduced rate of return to ICU within 24 hours •Staff turnover Savings •$34,000 per year •$53,000 per year