What Is JCI Accreditation?

JCI is an affiliate of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) used to certify medical institutions outside the United States. JCI is made up of international experts in healthcare, nursing, administration, and public policy. They come from Western Europe, the Middle East, Latin America and Central America, Asia Pacific, North America, Central Europe, Eastern Europe, and Africa. At present, JCI has conducted guidance and review to public and private medical and health institutions and government departments in more than 40 countries around the world, and 89 medical institutions in 13 countries (including China) have passed international JCI certification.

JCI

JCI is an affiliate of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) used to certify medical institutions outside the United States. JCI is made up of international experts in healthcare, nursing, administration, and public policy. They come from Western Europe, the Middle East, Latin America and Central America, Asia Pacific, North America, Central Europe, Eastern Europe, and Africa. At present, JCI has conducted guidance and review to public and private medical and health institutions and government departments in more than 40 countries around the world, and 89 medical institutions in 13 countries (including China) have passed international JCI certification.

Chinese name

International

Standards are recognized worldwide

JCI certification is a rigorous system. The philosophy of the JCI standard is to achieve the achievable standard to the maximum extent. It takes the patient as the center and establishes corresponding policies, systems and procedures to encourage continuous quality improvement and conform to local culture. The JCI standard covers 368 standards (including 200 core standards and 168 non-core standards), each of which contains several measurement elements, with a total of 1033 sub-items.

The principle of the standard is: require the hospital's management system to be based on the standard, doctors, nurses, and managers must be authorized, all employees must have job evaluation and performance evaluation, and require the hospital's management to reach a corresponding level, especially the hospital Evaluation basis. Experts evaluate that the focus of the assessment of the hospital is different from the domestic method. The hospital's documents, accounts, and hardware construction are not the focus, but the focus is on the hospital's system construction \ medical process \ continuous improvement of quality \ medical safety. Although the JCI quality standards are internationally unified standards, but also take into account the national conditions of specific countries, most of his standards only provide a framework for action, leaving the task of establishing quality goals and indicators to the hospital. JCI's hospital The goal is to provide patients with services that meet their health needs, coordinate the various service processes to improve the treatment effect of patients, and maximize the use of medical resources. The core values of the review are: reducing risk, ensuring safety, and continuous correction of medical quality.

As of March 7, 2013, a total of 23 hospitals in China have passed JCI certification: Guangzhou Clifford Hospital, Beijing United Family Hospital, Shao Yifu Hospital Affiliated to Zhejiang University School of Medicine, Shanghai United Family Hospital, Tianjin Teda International Heart Vascular Disease Hospital, Huashan Hospital Affiliated to Fudan University, Shanghai Blue Cross Brain Hospital ^[2]

The inspection team consists of a doctor, a nurse, and an administrator, each on a rotating system. They are all experts in their field and have international work experience. Each certification officer is responsible for checking the compliance of the standards he is responsible for and scoring.

The time required for certification is not fixed, about 3 to 5 days, and generally includes the following steps:

1. Document review (usually every morning) Review the hospital's relevant policies, meeting records, etc. There are 8 documents that must be written translated before the arrival of the certification officer.

2. Meet with the leaders to feedback their daily certification inspection knowledge and discuss the need for improvement and links.

3. After visiting the medical and nursing unit, generally after inspecting the hospital facilities and environment, the certification officer will review the inpatient medical records with the medical and nursing staff, generally reviewing 8 to 10; random interviews with lower-level staff, and in some departments, talk with patients to understand The quality of medical services; when inspecting the hospital's functional departments, mainly check the hospital's infection control, quality improvement, and patient safety, etc .; inspect the environment and hospital facilities, including

The purpose of JCI assessment and accreditation is to propose management standards for hospitals and medical staff from the standpoint of patient interests. The scope includes:

Patient care

Patient evaluation

Infection management and control

Rights and education of patients and their families

Facility Management and Environmental Safety

Qualifications and education of caregivers

Quality improvement

Hospital decision-making and leadership

Information management

In simple terms, JCI's standard is to ensure that the right people do the right thing at the right time. Therefore, in addition to the hardware and software equipment, it is also necessary for the hospital departments and staff to cooperate closely while performing their duties, in order to give the patients the best and safest care and care.

The characteristics of JCI International Hospital Accreditation can be summarized as follows: using internationally recognized standards as the basis for certification; the basic concept of the standard is based on the principle of promoting continuous improvement in medical quality and patient safety; medical institutions that require review must meet Standards are listed as "core standards" (in standard text, printed in bold type, a total of 197 articles). These core standards relate to how medical institutions maintain the basic rights of patients and their families, provide safe and reliable medical facilities, and reduce patients. Risks in the medical process; Fully consider the standard system and certification assessment to adapt to the laws, religions, cultures, and industries of the country in which they are located; Certification emphasizes authenticity, reliability, and objectivity

What does JCI certification bring to the hospital

What JCI brings to the hospital is not only the improvement of hospital service quality and patient safety, but also the core competitiveness of the hospital. The JCI justification process is designed to create a safety and quality culture within the hospital, enabling the hospital to:

1 Strengthen public trust in hospitals' concern for patient safety and medical quality.

2 Provide a safe and efficient work environment to improve employee satisfaction

3 Negotiating with payers using medical quality data

4 Listen to the voices of patients and family members, respect their rights, and participate in the medical process as partners

5 Develop an open culture to learn from timely reports of adverse events and safety issues

6 Establish cooperative leadership and set priorities for continuous leadership at all levels of quality and patient safety

The core of JCI certification is medical quality and medical safety. It has formed an atmosphere that promotes continuous improvement of medical quality and patient safety. Within the hospital, we will never let go of any small hidden dangers that may affect the safety of patients and employees. The hospital emphasizes that all employees are involved in the management of medical quality and safety. In the hospital quality improvement committee system, hospital managers, doctors, medical technicians and nursing staff perform their respective responsibilities and work together to make continuous improvements in the quality of hospital management. For example, in the past, outpatient and ward nurses had hidden dangers in dispensing liquids, the hospital set up an infusion allocation center. In the past, multiple oral medications for an inpatient were mixed and distributed. The dispensing center filled each of them into a small bag to facilitate doctors to adjust medication ; In order for patients to receive homogeneous services in the hospital, the hospital strictly stipulates the doctor's authority and specifies what surgeons can only perform first-class operations. If second-class operations are to be performed, they must be assessed to meet the corresponding standards. Therefore, in the hospital, patients can get the same level and quality of services when they see any doctor of the same level.

In addition to medical quality, ensuring the personal safety of patients is also an important content of the JCI standard. The hospital shall formulate a number of emergency plans, including fire plans, water outage plans, power outage plans, elevator failure plans, communication failure plans, medical gas failure plans, typhoon plans, boiler emergency plans, bomb and suspicious items plans, and public order hazards Plans, group trauma plans, and infectious disease emergency plans, etc., at the same time, training of medical personnel to master the skills of various plans, also repaired more than 1,000 holes on the fire wall, all fire doors are completely rectified to eliminate hidden dangers.

Continuous improvement of medical processes becomes the focus of management

During the implementation of the JCI, all staff in the hospital have established this awareness: "Process is the focus of management." They believe that systems and processes are the starting point for quality improvement. To this end, the hospital has established a system committee, which is responsible for the establishment, education, regular review and modification of the whole hospital system.

The emphasis on work processes has prompted medical staff to renew their perceptions, especially the correct understanding of errors. In the past, medical personnel who made mistakes would do everything possible to conceal and not report. After the implementation of the JCI standard, everyone gradually realized that many of the causes of errors originate from problems in the service process. It is important to analyze the causes, find out the defects, and continue to improve. The hospital encourages medical staff to report errors in an active manner, and requires the parties and relevant personnel to carefully find the defects of the process and propose improvement measures. The hospital emphasized that if there is a problem in the process, the parties are not responsible, but the parties will not be liable if they do not report new errors.

Unique performance of tracking inspection

It is understood that the JCI certification assessment and evaluation of the overall condition of the hospital will never be a bit tricky, and there is no formalism at all. International organizations carry out JCI certification for hospitals, adopting the "tracking method", which is a comprehensive follow-up inspection of all aspects of the medical process, paying particular attention to those processes that seriously affect patient safety and quality of medical services. During the inspection, the international JCI inspector completely tracked several newly admitted patients from the entrance of the hospital to the ward for medical treatment without any knowledge of the patients and staff, and tracked the whole process, involving dozens of services. .

1. Create a suitable management system

Most of JCI's standards and assessment and measurement elements focus on the most important links in the medical and nursing process. Because medical activities must be completed by all employees, this means that to reach the world-recognized level of hospital management, we must rely on the strength of all employees to jointly create a new hospital quality management system.

2. Provide quality services to patients

JCI certification focuses on medical quality and medical safety. The hospital has formed an atmosphere that promotes continuous improvement of medical quality and patient safety, emphasizing full participation in medical quality and safety management. In the hospital JCI committee system, hospital managers, doctors, medical technicians and nursing staff each do their part to make the hospital management quality Get continuous improvement.

In addition to medical quality, protecting the personal safety of patients is also an important content of the JCI standard.

3.Continuous improvement of medical processes as a management center

From patient entry to discharge, the process system has formulated a series of prescribed actions to regulate all medical behaviors. Medical personnel should consciously standardize their behaviors in accordance with process requirements, and minimize the occurrence of medical errors.

4. Emphasize details management

Evaluate the safety of details, effectively prevent the occurrence of adverse events, and effectively protect the safety of customers. During the first JCI training in Shenzhen and Midea, Frederick, the director of the global project department, said: Passing the JCI certification is to change the passive mentality of traditional hospitals in responding to various inspections, assessments, and evaluations to do "work". The concept of "I should and must do this" is the only way for hospital management to pay attention to details.

5. Improving the construction of the hospital's information system

JCI evaluation standards also put forward higher requirements for the construction of hospital information systems. Effective identification of patients and drug management processes are important links. The use of the hospital management system (HIS) can collect information in a timely and effective manner, and make feedback comparisons to ensure the collection of first-hand information and avoid the loss of information in data transmission. The use of information is convenient for medical personnel to share various related data, so that work efficiency and methods are in line with international standards.

Dr. Paul Chang (MBBS, MPH, CPHQ) Asia-Pacific Office Management Director

Dr. Paul Chang is the Managing Director of the Asia Pacific Regional Office of the International Joint Commission. In this role, he is responsible for promoting the further development of JCI's relationship with medical institutions in the Asia-Pacific region, and working with regional ministries of health, other government agencies, NGOs, hospitals, laboratories and other medical institutions to help them reduce risk and improve medical effect.

Prior to this role, Dr. Chang oversaw the clinical treatment, risk management, quality improvement and JCI review of Changi General Hospital, a 800-bed Singapore public hospital, and was a member of the hospital management team, The leading hospital passed the JCI accreditation in June 2005 and the JCI specialty certification (acute myocardial infarction management and heart failure management) for two cardiac programs in January 2007. Dr. Chang also has experience working in the Singapore Ministry of Health and various Singapore hospitals. Dr. Chang holds a Bachelor of Medicine degree and a Master of Public Health degree from the National University of Singapore. He is a certified expert in the medical quality category and a specially trained JCI review inspector.

JCI certification is a certification system designed by the International Commission of the United States Medical Institutions Joint Commission to assist the world's best hospitals in integrating into the international quality review and insurance system. JCI-accredited medical institutions will receive JCI Accreditation.
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JCI: Summary for Johnson Controls Inc

Johnson Controls, Inc. is the world's first thermostat manufacturer and the world s largest independent supplier of automotive parts and seats. In 1885, Warren Johnson Johnson The professor founded the company to produce the distribution room thermostat he developed, which is the first thermostat manufacturer in the world. The company is headquartered in Milwaukee, Wisconsin (MILWAUKEE, WISCONSIN, USA). Since then, Johnson Controls Co., Ltd. started from an invention and has developed into a company with an output value of hundreds of millions of dollars. It has a world-leading position in automotive parts and construction facilities.