Joint Commission International
From World Top MD
The Joint Commission International (JCI) was established in 1997 as a division of the Joint Commission Resources, Inc. (JCR), a private, non-profit affiliate of the Joint Commission. JCI main focus, as stated in its mission, is to extend the Joint Commission’s mission into the world. In order to accomplish this, JCI assist international health care organizations, public health agencies, health ministries and others in the process of improving their quality and safety of patient care. JCI worldwide operation covers more than 80 countries. International hospitals seek accreditation to demonstrate quality, and JCI accreditation is considered a seal of approval by medical travelers from the U.S.
In 2007, JCI was accredited by the International Society for Quality in Health Care (ISQua). ISQA is a non-profit, independent organization, that accredits accrediting bodies, with members in more than 70 countries. With the approval of ISQua, we can be assured that the standards, training and processes used by JCI to survey the performance of health care organizations, meet the highest international benchmarks for accreditation entities.
| The declared mission of the organization:
"To continuously improve the safety and quality of care in the international community through the provision of education and consultation services and international accreditation and certification."
In fact, the world’s first World Health Organization (WHO) Collaborating Centre, dedicated exclusively to patient safety solutions, is a joint partnership between the WHO, The Joint Commission, and JCI.
In 1999, JCI accredited the first hospital outside the US, Hospital Israelita Albert Einstein, a private, non-profit, non-governmental facility in Sao Paulo, Brazil. Since then, more than 300 public and private health care organizations have been accredited by JCI.
Through JCI accreditation and certification, health care organizations have access to a variety of resources and services that connect them with the international community: an international quality measurement system for benchmarking; risk reduction strategies and best practices; tactics to reduce adverse events, and the annual Executive Briefing Programs.
WHO Collaborating Center for Patient Safety Solutions
In 2005, the World Health Organization (WHO) designated JCI as the world’s first and only WHO Collaborating Center dedicated solely to patient safety. By working collaboratively with ministries of health, national patient safety organizations and experts, health care professional organizations, and patient/consumer groups, the Collaborating Center focuses worldwide attention on Patient Safety Solutions, Patient Safety Practices and other issues related to reducing safety risks to patients.
High 5s Project: This project was established in 2007 by the Collaborating Center to implement innovative, standardized operating protocols for five patient safety solutions over five years. This initiative seeks to leverage the implementation of solutions that would have broad impacts in preventing avoidable catastrophic adverse events - such as death or serious injury - in hospitals.
The following five solution areas have been selected as the focus of the High 5s Project:
- Prevention of patient care hand-over errors
- Prevention of wrong site/wrong procedure/wrong person surgical errors
- Prevention of continuity of medication errors
- Prevention of high concentration drug errors
- Promotion of effective hand hygiene practices
Australia, Canada, Germany, the Netherlands, New Zealand, the United Kingdom and the United States are participating. Within each country, a designated lead technical agency enrolls approximately 10 hospitals to implement standardized operating protocols for up to five patient safety solutions. These hospitals comprise an international learning laboratory in which the solutions’ effect upon health care delivery and patient safety can be monitored.
Over time, the project will encourage participating countries to use their established relationships with other nations — particularly developing and transitional countries — to transfer the knowledge necessary to facilitate the systematic implementation of patient safety solutions in these countries.
International accreditation and certification
JCI’s Accreditation Program was launched in 1999. The standards were developed by international experts and set uniform, achievable expectations for structures, processes and outcomes for health care organizations. The requirements for accreditation also include international patient safety goals that highlight problematic areas in health care and describe evidence and expert-based consensus solutions to these problems. The survey process is designed to accommodate specific legal, religious and cultural factors within a country. JCI offers accreditation for hospitals, ambulatory care facilities, clinical laboratories, care continuum services, medical transport organizations and primary care services; and certification in disease- or condition- specific care.
Currently, JCI has two international partners for the purpose of offering both a national and international accreditation award at the same time. The Fundación para la Acreditación y Desarrollo Asistencial (FADA) in Spain and the Associação Brasileira de Acreditação de Sistemas E Servicos De Saude (known as CBA) in Brazil use the same standards, survey process and accreditation decision rules as JCI, and the accreditation decisions are jointly decided. In addition, these international partners provide surveyors and staff who understand the national health care systems, language and culture.
JCI’s Disease- or Condition-Specific Care Certification Program was launched in 2006. This program differs from accreditation in that it is a comprehensive evaluation of disease- or condition-specific services, while accreditation is a comprehensive evaluation of the overall quality and safety of an entire organization. Certification standards apply to a variety of health care programs, including: primary stroke, maternal and well child care, chronic kidney disease, HIV/AIDS, oncology care, cardiac disease, and diabetes care.
Since 1994, JCI Consulting has provided education and technical assistance services to health care organizations, ministries of health, accrediting bodies, and other entities outside of the United States. During the last 15 years, JCI has established a solid record of assisting health care organizations and governmental agencies in more than 80 countries. JCI provides practical solutions to help develop clinical services, improve the quality of care, enhance patient safety, reduce and manage risk, and reach international standards and other goals. JCI consultants offer the following services:
- Developing and improving operations
- Developing a national or regional quality evaluation system
- Networking and education
- Measuring performance and developing an ongoing program of quality improvement that is essential to achieving and maintaining standards compliance.
The International Essentials for Quality and Patient Safety™
The Essentials Framework is a guide to the hospital risk points that have the greatest impact on patient care. It helps organizations design and implement a risk reduction program to improve patient safety. The Essentials Framework highlights five main areas of risk. Under each main area, 10 criteria have been identified to help organizations drill down into specific risk practices. The main categories are:
- Leadership process and accountability
- Competent and capable workforce
- Safe environment for staff and patients
- Clinical care of patients
- Improving quality and safety
The Essentials Framework is provided free of charge. To receive a copy, go to http://184.108.40.206/acreg.aspx.