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©
Joint
Commission
International
JCI Accreditation –
International Standards of
Excellence for Primary Care
John Sweeney, Director HCI
Partner, Ireland
©
Joint
Commission
International
1910
©
Joint
Commission
International
1. Each hospital should have a medical staff.
2. The members of the medical staff should be
chosen based on graduation from medical
school, competency, and character.
3. There should be regular staff meetings to
review cases.
Ernest Codman
©
Joint
Commission
International
4. Medical records should be written and filed
for all cases.
5. Each hospital should have a clinical
laboratory and radiology section.
Ernest Codman
©
Joint
Commission
International
 Waldorf Astoria New York
 89 of 692
 Burned
 Unable to demonstrate Quality of Care
 No framework for what that is ….
 50 years….
Ernest Codman
©
Joint
Commission
International
Today
©
Joint
Commission
International
Building Control Authority Environmental Protection Agency Radiological Protection Institute of Ireland
Health & Safety Authority of Ireland Food Safety Authority of Ireland (EHO's)Pharmaceutical Society of
Ireland Health Services Executive CORU - Health and Social Care Professionals HIQA - Infection
Control Mental Health Commission National Disability Authority Clinical Indemnity Scheme Irish Medical
Council An Bord Altranais Opticians Board Dental Council Irish Medicines Board Irish Blood Transfusion
Service Royal College of Physicians in Ireland Faculty of Occupational Medicine Faculty of Paediatrics
Faculty of Public Health Medicine Institute of Obstetricians & Gynaecologists Royal College of
Surgeons in Ireland Faculty of Dentistry Faculty of Radiologists Irish College of Anaesthetists Irish
College of General Practitioners in Ireland Irish College of Psychiatrists Irish College of
Ophthalmologists Irish Society of Chartered Physiotherapists National Treatment Private Health
Insurance Purchase Fund Joint Assessment Group (GI )HIQA Pre-Hospital Emergency Care Council
Fire Officers Excellence Ireland National Standards Authority of Ireland Joint Commission International
CHKS Accreditation Centre for the Development of Nursing Policy and Practice, University of Leeds
Irish National Accreditation Board Clinical Pathology Accreditation (UK) Academy of Medical Laboratory
Science National Council for the Professional Development of Nursing and Midwifery NERA - National
Employment Rights Authority
©
Joint
Commission
International
Gaps?
2006 – 75%
©
Joint
Commission
International
9
 Voluntary Process
 Centers of Excellence
 Framework for Clinical Care +
 Demonstrable Evidence of Quality (VHI)
 Not for all – NH – 3 of 700+
Accreditation – A Definition
©
Joint
Commission
International
10
JCI
•Quality, Risk and Regulation
•Ireland and Australia
•Team of 20 MD including R&D
•Compliance– HIQA, IMB, ISO, ACHS
•Founded in 2005
Health Care Informed (HCI)
JCI
Transforming
patient safety
and quality of
care
•Leading accrediting body for health
care institutions in the US
•Founded in 1951
•>19,000 accredited institutions
The Joint Commission
•JCI is the international arm of the Joint Commission
•Framework for Centers of Excellence
•Work with health care orgs, NGOs, and governments
•400+ JCI accredited organizations – 85 Countries
•Ireland 1999
©
Joint
Commission
International
 Mayo Clinic - Cleveland Clinic – John Hopkins -
Mount Sinai Medical Center – Mass. Gen Hospital
 Ireland (22 +)
– Mater Private, Hermitage Clinic, Blackrock,
Bon Secours, Galway Clinic, St Vincent’s UH,
VHI Homecare, Ambulance Services, LTC….
 Primary Care – Spain, Brazil, UAE, Singapore
JC Accreditation
©
Joint
Commission
International
12
Community Involvement and Integration
Management of the Processes of Care
Patient and Family Rights
Assessment of Patients
Care of Patients
Patient and Family Education
Management Structure and Leadership
Primary Care Accreditation
©
Joint
Commission
International
13
Management of Information
Facility Management and Safety
Staff Qualifications and Education
Surveillance, Prevention, and Control of Infection
Quality Improvement and Patient Safety
Adverse Event Identification, Analysis, and
Prevention
Primary Care Accreditation
©
Joint
Commission
International
14
©
Joint
Commission
International
International Patient Safety Goals
1. Identify Patients Correctly
2. Improve Effective Communications
3. Improve the Safety of High-Alert, High Risk
Medications
4. Eliminate Wrong-side, Wrong-patient, Wrong-
procedure Surgery
5. Reduce the Risk of Health Care-acquired Infections
6. Reduce the Risk of Patient Harm Resulting from Falls
©
Joint
Commission
International
Measures for Improvement
 Clinical Measure: associated with the delivery of health
care; may be diagnosis or procedure specific
 Health Status Measure: addresses the functional well-
being of specific populations
 Patient Satisfaction Measure: focus on the delivery of
clinical care from the patient’s, family’s or caregiver’s
perspective
 Financial/Administrative Measures: addresses
organisational structure, utilization rates, operations or
financial management
©
Joint
Commission
International
Tracer Evaluation
An effective way to assess a healthcare
organization’s performance of care and the
services provided as viewed or
experienced by the patient.
©
Joint
Commission
International
JCI Network
 Communication - Newsletters
 Education and Support
 Network Meetings
 Leadership Seminar – Patient Safety
 Information Exchange
 Quality Initiatives
 Promotion
©
Joint
Commission
International
What does it Accomplish?
 Improves Patient Care – Peer Review
 Continuous – Centres of Excellence
 Increase efficiency/reduce costs
 Improve the management of business services
 Enhance staff recruitment and retention
 Public Confidence - Reputation
 Other Stakeholders - Reputation
©
Joint
Commission
International
Does it Work?
“A better way of structuring how we
provide care and run our business”
Nicky Jermyn, CEO St Vincent’s University
Hospital
©
Joint
Commission
International
Tomorrow ..

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07jsweeneyprimarycare2012-121120044021-phpapp02 (1).pdf

  • 1. © Joint Commission International JCI Accreditation – International Standards of Excellence for Primary Care John Sweeney, Director HCI Partner, Ireland
  • 3. © Joint Commission International 1. Each hospital should have a medical staff. 2. The members of the medical staff should be chosen based on graduation from medical school, competency, and character. 3. There should be regular staff meetings to review cases. Ernest Codman
  • 4. © Joint Commission International 4. Medical records should be written and filed for all cases. 5. Each hospital should have a clinical laboratory and radiology section. Ernest Codman
  • 5. © Joint Commission International  Waldorf Astoria New York  89 of 692  Burned  Unable to demonstrate Quality of Care  No framework for what that is ….  50 years…. Ernest Codman
  • 7. © Joint Commission International Building Control Authority Environmental Protection Agency Radiological Protection Institute of Ireland Health & Safety Authority of Ireland Food Safety Authority of Ireland (EHO's)Pharmaceutical Society of Ireland Health Services Executive CORU - Health and Social Care Professionals HIQA - Infection Control Mental Health Commission National Disability Authority Clinical Indemnity Scheme Irish Medical Council An Bord Altranais Opticians Board Dental Council Irish Medicines Board Irish Blood Transfusion Service Royal College of Physicians in Ireland Faculty of Occupational Medicine Faculty of Paediatrics Faculty of Public Health Medicine Institute of Obstetricians & Gynaecologists Royal College of Surgeons in Ireland Faculty of Dentistry Faculty of Radiologists Irish College of Anaesthetists Irish College of General Practitioners in Ireland Irish College of Psychiatrists Irish College of Ophthalmologists Irish Society of Chartered Physiotherapists National Treatment Private Health Insurance Purchase Fund Joint Assessment Group (GI )HIQA Pre-Hospital Emergency Care Council Fire Officers Excellence Ireland National Standards Authority of Ireland Joint Commission International CHKS Accreditation Centre for the Development of Nursing Policy and Practice, University of Leeds Irish National Accreditation Board Clinical Pathology Accreditation (UK) Academy of Medical Laboratory Science National Council for the Professional Development of Nursing and Midwifery NERA - National Employment Rights Authority
  • 9. © Joint Commission International 9  Voluntary Process  Centers of Excellence  Framework for Clinical Care +  Demonstrable Evidence of Quality (VHI)  Not for all – NH – 3 of 700+ Accreditation – A Definition
  • 10. © Joint Commission International 10 JCI •Quality, Risk and Regulation •Ireland and Australia •Team of 20 MD including R&D •Compliance– HIQA, IMB, ISO, ACHS •Founded in 2005 Health Care Informed (HCI) JCI Transforming patient safety and quality of care •Leading accrediting body for health care institutions in the US •Founded in 1951 •>19,000 accredited institutions The Joint Commission •JCI is the international arm of the Joint Commission •Framework for Centers of Excellence •Work with health care orgs, NGOs, and governments •400+ JCI accredited organizations – 85 Countries •Ireland 1999
  • 11. © Joint Commission International  Mayo Clinic - Cleveland Clinic – John Hopkins - Mount Sinai Medical Center – Mass. Gen Hospital  Ireland (22 +) – Mater Private, Hermitage Clinic, Blackrock, Bon Secours, Galway Clinic, St Vincent’s UH, VHI Homecare, Ambulance Services, LTC….  Primary Care – Spain, Brazil, UAE, Singapore JC Accreditation
  • 12. © Joint Commission International 12 Community Involvement and Integration Management of the Processes of Care Patient and Family Rights Assessment of Patients Care of Patients Patient and Family Education Management Structure and Leadership Primary Care Accreditation
  • 13. © Joint Commission International 13 Management of Information Facility Management and Safety Staff Qualifications and Education Surveillance, Prevention, and Control of Infection Quality Improvement and Patient Safety Adverse Event Identification, Analysis, and Prevention Primary Care Accreditation
  • 15. © Joint Commission International International Patient Safety Goals 1. Identify Patients Correctly 2. Improve Effective Communications 3. Improve the Safety of High-Alert, High Risk Medications 4. Eliminate Wrong-side, Wrong-patient, Wrong- procedure Surgery 5. Reduce the Risk of Health Care-acquired Infections 6. Reduce the Risk of Patient Harm Resulting from Falls
  • 16. © Joint Commission International Measures for Improvement  Clinical Measure: associated with the delivery of health care; may be diagnosis or procedure specific  Health Status Measure: addresses the functional well- being of specific populations  Patient Satisfaction Measure: focus on the delivery of clinical care from the patient’s, family’s or caregiver’s perspective  Financial/Administrative Measures: addresses organisational structure, utilization rates, operations or financial management
  • 17. © Joint Commission International Tracer Evaluation An effective way to assess a healthcare organization’s performance of care and the services provided as viewed or experienced by the patient.
  • 18. © Joint Commission International JCI Network  Communication - Newsletters  Education and Support  Network Meetings  Leadership Seminar – Patient Safety  Information Exchange  Quality Initiatives  Promotion
  • 19. © Joint Commission International What does it Accomplish?  Improves Patient Care – Peer Review  Continuous – Centres of Excellence  Increase efficiency/reduce costs  Improve the management of business services  Enhance staff recruitment and retention  Public Confidence - Reputation  Other Stakeholders - Reputation
  • 20. © Joint Commission International Does it Work? “A better way of structuring how we provide care and run our business” Nicky Jermyn, CEO St Vincent’s University Hospital