EBME Forums Forums Management Modernisation (Formerly, Controls Assurance) JCI Accreditation

... better keep them out of NHS hospitals, then!

They are paid anyway and nobody comes to fail you. Its a win-win situation and a well paid holiday for 5 nights.... well day time got to work.

Today is my second day of the JCI recertification audit.

A lot of walking to do ....... and yes the surveyor went up looking above the false ceiling for wall penetration. When he goes round the patient care areas, he picks up a few kits for tracing the maintenance records. Surveyor site many examples and practices in US hospital .......just suggestion and recommendation.

Sounds like the kind of job that I could handle ... travelling around the world finding snags in hospitals. Better ask the guy whether he has any vacancies, Roger!

PS: I hope it all goes well for you.

You can do it as well but you have to base yourself in US for a change, I guess.

BTW we have passed with flying colors. Not a single EBME findings.

Well done. Time and money well spent then, or not?

PS: if it were just a simple matter of relocation, I would have left this country for good many years ago, believe me.

Money aside, the preparation has been well worth for the result.

Hi Joby,
I m rahim,
u r approaching JCI standard,
Joint Commission International Accreditation Policies
Health care organizations wishing to be accredited by Joint Commission International (JCI) must meet the
following requirements.
General Eligibility Requirements for Survey
Any health care organization (also see Glossary) may apply for JCI accreditation (also see Glossary) if it meets the
following requirements:
• The organization is currently in operation as a health care provider in the country, and licensed (if required).
• The organization assumes, or is willing to assume, responsibility for improving the quality of its care and
services.
• The organization provides services addressed by JCI standards.
Purpose of an Accreditation Survey
An accreditation survey (also see Glossary) assesses an organization’s compliance with JCI standards and their
intent statements. The survey evaluates the organization’s compliance based on
• interviews with staff and patients and other verbal information;
• on-site observations of patient care processes (also see Glossary) by the surveyors;
• policies, procedures, and other documents provided by the organization; and
• results of self-assessments when part of the accreditation process.
The on-site survey process, as well as continued self-assessment, helps organizations identify and correct
problems and improve the quality of care (also see Glossary) and services. In addition to evaluating compliance
with standards and their intent statements, surveyors spend time in providing education in support of the
organization’s quality improvement activities.
Scope of Accreditation Surveys
The scope of the JCI survey includes all standards-related functions of an applicant organization and all patient
care settings. Applicable standards are selected by JCI from this manual based on the scope of services (also see
Glossary) provided by an organization applying for survey.
The on-site survey will consider specific cultural and/or legal factors which may influence or shape decisions
regarding the provision of care and/or policies and procedures in an organization.
Outcomes of Accreditation Surveys
The Accreditation Committee of JCI makes accreditation decisions (also see Glossary) based on the findings of
the survey. An organization can receive one of the following two accreditation decisions:
Accredited: An accreditation decision that results when an organization demonstrates
• acceptable compliance with each JCI standard (a score of at least “5” on each standard);
• acceptable compliance with the standards in each chapter (an aggregate score of at least “7” for each
chapter);
• overall acceptable compliance (an aggregate score of at least “8.5” on all standards); and
• acceptable compliance with all International Patient Safety Goals (a score of at least “5” on all goal
requirements).
Accreditation Denied: An accreditation decision that results when an organization is consistently not in
compliance with JCI standards and International Patient Safety Goals, including

Hi Abdul, welcome to the Forum! May I just add this - read below for more information http://www.jointcommissioninternational.org/and http://www.24x7mag.com/issues/2008-01.asp

And this How to get started with JCI as well.