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1
The value of JCI Accreditation By Dr.Mahboob Ali Khan Phd
What is JCI Accreditation?
Each hospital and health care organization that applies for JCI accreditation
takes about two years to prepare. During this time, the entire organization works
together to develop and implement the new high quality and patient-safe
policies, practices, and procedures that are required to meet our standards.
During our on-site evaluation, a team of expert JCI physicians, nurses, and
health care administrators visits the organization and evaluates more than a
thousand measurable elements. Through interviews with staff, patients, and
leadership, along with physical inspections and reviews of records, our survey
touches every part of the organization and provides a complete evaluation of the
effectiveness of the organization's patient safety and quality system.
JCI accredits hospitals and academic medical centers. It also accredits clinics,
laboratories, ambulance services and emergency transport organizations, home
care, long term care, and primary care facilities.
Why is JCI Accreditation the World's Gold Standard?
Accreditation is a long-term process that demands commitment. There is a great
deal of preparatory work leading up to a survey and then subsequent
performance and improvement work is done to ensure those accreditation
standards are maintained. Organizations that achieve and maintain JCI
accreditation are dedicated to providing their patients the best level of care
possible.
JCI standards and evaluation methods stand alone in the world as unique tools
designed to drive positive change. Its standards and evaluation methods are:
Designed to stimulate and support sustained quality improvement
Created to reduce risk
Focused on building a culture of patient safety
Developed by health care experts from around the world—and tested in
every world region
Developed by health professionals specifically for the health care sector
Applicable to individual health care organizations and national health
care systems
2
I have stressed the importance of choosing a hospital that is accredited by the
Joint Commission on Accreditation of Healthcare Organizations (JCAHO).
While the American designation is known as JCAHO, the international
equivalent is called JCI, or Joint Commission International. Why is this
designation important? The reason is simple. JCI-accredited hospitals in other
countries must meet practically the same standards as U.S. hospitals, which are
also Joint Commission accredited. I say “practically” because laws in other
countries vary and have to be taken into account when accrediting the hospitals
in those countries. Still, such differences should be very minor.
The Joint Commission is the accrediting body for most acute care hospitals in
the United States. Most states in the U.S. require that their hospitals be
accredited by JCAHO in order to meet licensure requirements and to be eligible
for Medicaid reimbursement. Simply put, without JCAHO accreditation, they
will likely go out of business. Having worked in the hospital industry for 18
years, I remember when Joint Commission came to town. Just about everything
except that which was necessary for taking care of patients was put on hold for
a few weeks in order to meet with JCAHO officials and provide them with
whatever they needed to make their assessment.
The types of standards created by the Joint Commission include those for
patient rights, patient safety, medical staff credentialing, performance
improvement, patient confidentiality, pain management, informed consent, and
a whole lot more. While the JCI designation does not guarantee quality service,
it is definitely a good indicator than you can expect high quality. It is a tough
designation to achieve. Out of the thousands of hospitals in India, for instance,
only twelve of them have it. The ones who have earned it have undergone
intense inspections, testings, and interviews. That’s why I would be very
hesitant to choose a facility without it.