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Accreditation: Making The Leap From Ambition To Reality
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Ashraf Ismail, MD, MPH, CPHQManaging Director, Middle EastJoint Commission International
22 - 23 October 2014, Dubai, UAE
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UAE Healthcare Sector
Witnessed rapid development over the past few years
Attracted major international healthcare players in the
market
Growth of smaller health care clinics and ambulatory
centers
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o The region is building large medical cities and complexes,
with billions of dollars of investments lined up, to not only o Raise the supply of medical infrastructure but alsoo Raise the quality of healthcare services
o Governments’ increasing investments in technological
advancements and health awareness
o Conti..
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UAE Healthcare Sector
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Strong medical tourism industry
UAE is the second-largest GCC healthcare services market
& is expected to be the fastest growing markets, going
forward.
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UAE Healthcare Sector
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Making The Leap From Ambition To Reality
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Role Of Government & Regulatory Bodies
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His Highness Sheikh Mohammed bin Rashid Al Maktoum,
Vice President and Prime Minister of the UAE and Ruler
of DubaI urged stakeholders in the public and private
healthcare sector to unify their efforts to develop the
medical services, construct a quality healthcare
system and provide best services
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As laid out in the seven-year UAE National Agenda announced in JanuaryBy 2020, only accredited healthcare providers will be allowed to operate in the UAE
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MoH facilities across Emirates opt for JCI
accreditation
President, His Highness Shaikh Khalifa bin Zayed Al Nahyan, is keen on providing state-of-the-art healthcare services that ensure the wellbeing of all UAE residents.
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Vision of His Highness Sheikh Mohammed Bin Rashid Al Maktoum
Seeking international accreditations for the
health sector of Dubai is in line with the
vision of His Highness Sheikh Mohammed
Bin Rashid Al Maktoum, Vice President and
Prime Minister of the UAE and Ruler of Dubai
as envisaged in the Dubai Strategic Plan 2015.
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Specific Initiatives Of DHA
o Promote international accreditation for all public or private healthcare facilities
o Strengthen building standards and introduce international best-practice to the design, construction and physical environment of healthcare facilities– DHA Published guidelines for the Planning,
Design, Commissioning and Construction of the Health Facilities
o DHA in collaboration with the JCI conducted the 1st Regional Conference for Sharing Best Practices in Implementing JCI Standards
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o In the UAE, JCI Accreditation is a goal set by Health Authority-Abu Dhabi (HA-AD) for all hospital providers in the emirate
o HAAD Health Regulations have been drafted in collaboration with international healthcare experts including JCI to help drive compliance and improve quality and cost-effectiveness across the system
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Health Authority-Abu Dhabi
Vision
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UAE Ministry of Health
o One of the Strategic Goal of MOH is to
Deliver health services to UAE
community as per International
standards
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UAE Vision 2021
The Joint Commission International (JCI) was appointed
by DHCC to accredit hospitals operating within DHCC.
This selection demonstrates the commitment by DHCC to
provide safe and high-quality care.
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Accreditation : Ambition to Reality Accreditation : Ambition to Reality
Human Resources
Human Resources
For Improving Quality & Safety, Healthcare Organizations invested in
LeadershipLeadership InfrastructureInfrastructure
Building, Equipment &
Supplies
Building, Equipment &
Supplies
Safety & Quality Culture
Safety & Quality Culture
Operating Systems
Operating Systems
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UAE made a great leap in Improving quality and safety
of healthcare services
– Moving towards international accreditation for all
healthcare facilities
• Tremendous growth of international accreditation for
governmental and public organizations by JCI.
• UAE is No.1 country in the world that has the highest
number of accredited organizations
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Accreditation : Ambition to Reality
Accreditation : Ambition to Reality
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Classification of Organizations Accredited by JCI in UAE
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Type of Accreditation
No of Organizations Accredited
Hospitals 52Laboratories
22Ambulatory Care Centers 11
CCPC 2
Ambulatory Care Network 2Primary Healthcare Centers 1Long Term care
1Medical Transport
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Classification Of Accredited Organizations in UAE
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Type of Organization No. Accredited
DHA Hospitals 3DHA Ambulatory care centers 2
DHCC CCPC Certified programs 1
SEHA Hospitals 6SEHA Ambulatory care centers 2
SEHA Primary care centers 1
MOH Hospitals 3Private Hospitals 40
Private Ambulatory Care Centers 8
MOI Ambulatory Care center 1
Private Clinical Laboratories 22
Private CCPC Certified Programs 1
Private Long Term Care Facility 1
Private Medical Transport Program 1
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o The private and public healthcare providers suffer from a
chronic shortage and turnover of qualified medical staff
o Part of the challenge deals with compensation and
maintenance of competitive pay scales to attract top
healthcare professionals.
o The attraction/retention of staff is also hampered by a lack
of continuing education
Attraction, Retention And Development Of Qualified Healthcare Professionals
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Cost And Complexity Of Regulation Requirements And Licensing
o Healthcare sector suffers from a lack of standardization in
regulations across the countryo Inconsistencies in facilities and licensing of professionalso Limited staff mobility: doctors licensed in one Emirate are
restricted from working in others before issuing a local license, and licensing requirements are different
o Non uniform record-keeping of diseaseo Medical complaints managemento Cost of regulatory implementation - implementation of new
billing systems in Abu Dhabi based on DRG and E&M is very costly
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Quality And Standardization Of Services
Managing staff from different cultures, medical approaches and
practices and creating patient care standards that all the staff
can adopt is one of the major challenges
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Insurance Providers
Health insurance sector remains faced with a number of
pressing challenges including
Over-utilization Of Health Services
Over-prescription Of Drugs
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Outbound Medical Tourism
o UAE is one of the biggest markets for outbound
medical tourism in the Middle East
o High treatment cost are the main sources of UAE
outbound medical tourism
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Specialty Care Centers
o Opportunities for medical providers in the UAE reside
in highly specialized care and centers of excellence
o Healthcare providers are increasingly differentiating
themselves by providing specializations that cover the
entire disease cycle from diagnosis to rehabilitation
Examples :Establishment of the Imperial College Diabetes Center, Dubai
Bones and Joint Center and Abu Dhabi Knee and Sports Center.
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Inbound Medical Tourism
o As per Deloitte‘s 2011 Survey of the UAE health care
sector, Dubai is considered a major medical
destination hub
o However Competition within the region is fierce with
other competing nations including Lebanon and
Jordan.
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Long-term Care Facilities
o There are currently very few long-term care facilities in the
UAE
o Demand for long term care facilities will grow due to growing
aging population and the explosion of chronic diseases
o Long term facilities should be set up to serve patients
requiring preventive, therapeutic and rehabilitative nursing
care services for non-acute, long-term conditions
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Home Care Services
o UAE government highly supports the development of
homecare services
o The Abu Dhabi government recently launched the “Al Bir
Wal Ehsan’ campaign that aims to provide homecare
services to elderly and chronic disease patients in the
emirate.
o Private providers have begun to open home care services
across the country
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Partnerships Between Healthcare Providers
Creating partnerships between healthcare providers will
improve quality of healthcare and patients’ access to
advanced medical equipment in the country
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It requires and will continue to require leadership commitment,
serious work, continuous improvement