This document discusses the usefulness and value of JCI standards and accreditation. It notes that JCI works with healthcare organizations to improve patient outcomes and safety culture. JCI provides strategies to help organizations achieve high standards through accreditation, education, and technical assistance. Studies have found that JCI accreditation can reduce errors and drive improvements in patient safety.

1. Usefulness of JCI standards
David Marx, MD, PhD

4. “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

6. So how dangerous is HC?
Error problem

8. Emerging Infectious Diseases
• Hospital associated infections
• SARs and Coronavirus

9. Data Use and Management
• Clinical and management decisions guided by
valid data
• Collection, validation, analysis and use of data is
everyone’s role

10. Safety Culture
Trust
ReportImprove
High
Reliability
SAFETY CULTURE

11. Your partner in the 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
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

14. 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.

15. What Is a Standard?
A statement of the safety
and
quality expected

16. 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

17. Components of Standards
1
2
3

18. ACC
AOP
COP
ASC
MMU
PFE

19. 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)

20. 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.

21. Basic priciples of JCI accreditation
• Process based
• Data driven
• Non prescriptive
• Risk preventing

22. Process based
• Standardization of processes across the
institution
• Selection of processes
– Risk
– Legal background
– Volume
– Financial aspects
• Policies and procedures

23. Data driven
• Clinical data
• 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
• International Patient Safety Goals
• Hazard Vulnerability Analysis
• Risk assessment
– Facilities
– Services
– Care flow

26. 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

27. 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

28. 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

29. 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

30. 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

31. 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

32. 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

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 brand by promoting
JCI accreditation
WORLDHOSPITALSEARCH.ORG
JCI-sponsored website helps patients find and choose JCI-accredited
hospitals and academic medical centers

35. Connect with a worldwide network of support
Where JCI-accredited organizations are located: % by region

36. 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

37. 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

38. 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