JCI standards and mental health

1. CHALLENGES IN
QUALITY
ACCREDITATION IN
MENTAL HEALTHCARE
COL. DR. EHAB ELBAZ
MEDICAL DIRECTOR OF PSYCHIATRY HOSPITAL
MAADI MEDICAL COMPOUND

2. Healthcare reform in egypt

3. Why accreditation?
• Helps organize and strengthen patient safety efforts
• Strengthens community confidence in the quality and safety of care, treatment
and services
• Improves risk management and risk reduction
• May reduce liability insurance costs
• improve business operations
• Enhances staff recruitment and development
• Provides a framework for organizational structure and management
• Provides practical tools to strengthen or maintain performance excellence
• Aligns health care organizations with one of the most respected names in health
care

4. Advantages and Disadvantages of Health Care Accreditation Models. (JAFAR et al,
2011)

5. JCI STANDARDS
8
6
2

6. INTERNATIONAL PATIENT
SAFETY GOALS
• Patient identification
• Tow unique identifiers
• How can you identify violent and
agitated patient ?

7. PATIENTS NAD FAMILY RIGHTS
• Patient complaints
• How can you measure patient satisfaction after involuntary
admission ?

8. ASSESSMENT OF PATIENTS
• Initial assessment
• Outpatient – inpatient – physician - nursing
• This is not what we have learned………..
• Checklist – written
• Involuntary admission

9. ANASTHESIAAND SURGICAL CARE
• ELECTROCONVULSIVE THERAPY
• Preanasthetic assessment
• Documentation
• Consent form

10. QUALITY IMPROVEMENT AND
PATIENT SAFETY
• Quality department (qualified individual)
• Who will be the quality coordinator ?

11. PREVENTION AND CONTROL OF
INFECTION
• Qualified individual
• Reuse of single use
• Patient with airborne infections and negative pressure rooms
• Disinfectants

12. GOVERNANCE LEADERSHIP AND
DIRECTION
• Leadership commitment and involvement

13. FACILITY AND SFETY
MANAEGMENT
• Fire safety
• Hazardous material
• Disaster preparedness

14. STAFF QUALIFICATION AND
EDUCATION
• Shadow file
• Resuscitation
• Vaccination
• Credentials (primary source verification
• Ongoing professional performance evaluation

15. MANAGEMENT OF INFORMATION
• Abbreviation
• Medical record
• Time and date

16. QUALITY IS A TEAM SPORT