Introduction to Homecare Standards of JCI

1. First Response Healthcare
8/19/2019 1
Introduction to JCI Homecare Standards
Dr Amrish Kamboj
Chief Operating Officer & Director of Clinical Services

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4. Accreditation Training
&
……..We Will DO It
We Did It……

5. What is Accreditation
Certification of
• 1. competency
• 2. authority
• 3. credibility
Voluntary Process

6. Accreditation
JCI
Accreditation provides a visible commitment by an organization to
- Improve the safety and quality of patient care
- To ensure a safe care environment and
- To continually work to reduce risks to patients and staff
Accreditation has gained worldwide attention as an effective
quality evaluation and management tool.

7. What are the benefits of Accreditation
The accreditation process is designed to create a culture of safety and quality within an
organization that strives to continually improve patient care processes and results. In doing so,
organizations
• 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;
• Negotiate with sources of payment for care with data on the quality of care;
• Listen to patients and their families, respect their rights, and involve them in the care process as
partners;
• Create a culture that is open to learning from the timely reporting of adverse events and safety
concerns; and
• Establish collaborative leadership that sets priorities for and continuous leadership for quality and
patient safety at all levels.
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8. What is the Mission of JCI ?
• Improved patient care & safety
• Employee safety
• Continuous quality improvement
In the international community through the provision of education,
publications, consultation, and evaluation services.

9. What are the benefits of Accreditation
The accreditation process is designed to create a culture of safety and quality within an
organization that strives to continually improve patient care processes and results. In doing so,
organizations
• 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;
• Negotiate with sources of payment for care with data on the quality of care;
• Listen to patients and their families, respect their rights, and involve them in the care process as
partners;
• Create a culture that is open to learning from the timely reporting of adverse events and safety
concerns; and
• Establish collaborative leadership that sets priorities for and continuous leadership for quality and
patient safety at all levels.
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10. Introduction to JCI Homecare Standards
What is JCI?
• Joint Commission International
• Non-governmental
• Not for profit USA corporation
2012 1st Edition
JCI was created in 1998 as the international
arm of The Joint Commission (United States)

11. Introduction to JCI Homecare Standards
• First edition of the international standards for
home care organizations.
• Formerly the accreditation of home care
organizations was under the international care
continuum standards.
• As the home care field grows with the aging of
populations in many countries it was time to draw
these standards out into a separate manual.
12 Chapters – Standards are Optimal & Achievable
Audit is one time in 3 years
Focus is on patient safety, employee safety and CQI

12. Introduction to JCI Homecare Standards
• First edition of the international standards for
home care organizations.
• Formerly the accreditation of home care
organizations was under the international care
continuum standards.
• As the home care field grows with the aging of
populations in many countries it was time to
draw these standards out into a separate
manual.
• JCI standards are truly international in their
development and revision. The process of
developing standards is actively overseen by an
expert international task force

13. Introduction to JCI Homecare Standards
JCI Standards are Optimal and
Achievable
•JCI Standards
•12 Chapters
•Statement of Standard
• Intent Statement
• Measurable Elements
Measures taken have to be in place for 4 months (1 year with
reaccreditation) - Accreditation is valid for 3 years

14. What are the “measurable elements” of a
standard?
• The measurable elements (MEs) of a standard are those requirements of
the standard and its intent statement that will be reviewed and assigned a
score during the accreditation survey process.
• The MEs simply list what is required to be in full compliance with the
standard.
• Each element is already reflected in the standard or intent statement.
• Listing the MEs is intended to provide greater clarity to the standards and
help organizations educate staff about the standards and prepare for the
accreditation survey.
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15. Why was the care continuum manual retired and replaced
with the first edition of the home care manual?
• The JCI care continuum standards are designed to address the care of patients
with chronic diseases, those undergoing rehabilitation needs, and those at the
end of life.
• They are organized around providing care in a wide range of settings, from the
patient’s home to long term care facilities, to assisted living settings.
• Although the processes used in each setting may be somewhat similar, the
missions and services provided in each of these settings are different.
• Therefore, the decision was made to develop individual standards for each
setting, beginning with long term care and home care.
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16. Section 1
Patient Centered Standards
Section 2
Health Care Organization
Management Standards
JCI HOMECARE STANDARDS

17. Patient centered Standards
•International Patient Safety Goals (IPSG)
•Patient Access and Assessment (PAA)
•Patient Rights and Responsibilities (PRR)
•Patient Care and Continuity of Care (PCC)
•Patient Medication Management (PMM)
•Patient and Family Education (PFE)
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18. Health Care Organization Management
Standards
•Improvement in Quality and Patient Safety (IQS)
•Infection Prevention and Control (IPC)
•Management and Safety of the Environment (MSE)
•Staff Qualifications and Education (SQE)
•Governance and Leadership (GAL)
•Communication and Information Management (CIM)
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19. Patient Access and Assessment (PAA)
•ACCESS
•ASSESSMENT
•CLINICAL LABORATORY SERVICES
•DIAGNOSTIC IMAGING SERVICES
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20. PAA – 6 STANDARDS
ACCESS PAA 1 Patients have access to services based on their identified health care needs and the home
care organization’s mission, resources, and scope of services.
ASSESSMENT PAA 2 An initial assessment process that includes an evaluation of physical, psychological,
social, and economic factors is used to identify the care and services necessary to support the patient’s
needs.
PAA 3 All patients are reassessed at appropriate intervals to determine their response to care and services
and to plan for continued care and services or discharge.
PAA 4 Assessment findings are documented in the patient’s record and are readily available to those
responsible for the patient’s care and services.
CLINICAL LABORATORY SERVICES PAA 5 Policies and procedures for ordering tests and collecting,
identifying, handling, safely transporting, and disposing of specimens are followed.
DIAGNOSTIC IMAGING SERVICES PAA 6 The home care organization provides access to diagnostic imaging
services within a time frame to meet patient needs.
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21. With your cooperation
Nothing is Impossible…….
………….Sky is the Limit
We will Prove it………
Thank You