Accreditation

Jul 20 2009

A voluntary process by which a government or non-government agency grants recognition to health care
institutions which meet certain standards that require continuous improvement in structures, processes,
and outcomes.

Accreditation Accomplishes:

1. Stimulate continuous improvement in patient care processes and outcomes
2. Increase efficiency/reduce costs
3. Strengthen the public confidence
4. Improve the management of health services
5. Provide education on better or best practices
6. Provide recognition for excellence

Accreditation Standards of JCI:

ƒ International Standards for Hospitals
ƒ International Standards for the Care Continuum
ƒ International Standards for Medical Transport Organizations
ƒ International Standards for Clinical Laboratories
ƒ International Disease/Condition-specific Care Standards
ƒ International Ambulatory Care Standards
ƒ Organized around important hospital functions and processes
ƒ Focus on the patient care and safety
ƒ Designed to match the cultural and legal frameworks of countries
ƒ Total of 368 standards ƒ “Core” standards represent 54%

Patient-Centered Standards:
1. Access to Care and Continuity of Care (ACC)
2. Patient and Family Rights (PFR)
3. Assessment of Patients (AOP)
4. Care of Patients (COP)
5. Patient and Family Education (PFE)

Hospital Organization Standards:
6. Quality Improvement & Patient Safety (QPS)
7. Governance, Leadership, and Direction (GLD)
8. Facility Management & Safety (FMS)
9. Staff Qualifications & Education (SQE)
10. Prevention & Control of Infections (PCI)
11. Management of Information (MOI)

So, Are you ready for Accreditation?
Can you manage to fulfill all these points?