Japan Council for Quality Health

Care (JQ)

Mission
To perform business activities from a neutral, scientific standpoint, holding ethics and
autonomy in high regard, for the improvement of quality and safety in health care, and to
ensure reliable healthcare system, as a way to contribute to the betterment of our
nation's health and welfare.

Hospital Accreditation Standards

Category I Patient-centered Healthcare

Category II Quality Medical Practice I

Category III Quality Medical Practice II

Category IV Organizational Management

Category I Patient-centered Healthcare

Measures for
Collaboration
Patients continuous
with
Wishes quality
Community
improvement

Measures for
Enhancement
Measures for control of
aconvenience
patient safety healthcare-
of medical care
assurance related
environment
infections
Category II Quality Medical Practice I

Quality and Safety Assurance in Medical Treatment

A system of management/responsibility for medical treatment/care is clearly established.
Medical records are adequately described.
Measures for prevention of misidentification of patients/sites/samples are taken.
Preventive measures against communication errors are implemented.
Measures are taken for the safe use of medications.
Preventive measures for falls are taken.
Medical equipment is used in a safe manner.
Patients who experience a sudden change in their condition are properly treated.
Activities are conducted for control of healthcare-related infections.
Antibiotics are used properly.
Ethical issues of patients/families are identified and addressed faithfully.
Medical treatment/care is given through multidisciplinary collaboration.

Implementation of Medical Treatment Through a Team Approach

Outpatients can receive medical
Drug administration/injection treatment
is given smoothly.
reliably and safely.
The hospital properly provides outpatient
Transfusion/blood product administration is performedtreatment as areliably
function of safely.
and primary
care.
Perioperative management is conducted properly.
The hospital accepts
Management patients
of severely smoothly
ill patients from healthcare/medical/nursing-
is performed properly.
care/welfare facilities in the local community.
Preventive measure for decubitus ulcer and treatment thereof are performed
Diagnostic
properly. testing is performed securely and safely.
Patients aremanagement
Nutritional referred to appropriate
and dietaryfacilities.
instruction are performed properly.
Hospitalization is decided
Symptoms etc. are alleviated properly.
properly.
A treatment plan
Rehabilitation is preparedsecurely
is performed after appropriate
and safely.diagnosis and evaluation.
The
Physical restrictions are applied properly forfor
hospital properly responds to requests medical
safety consultation from
assurance.
patients/families.
Support for hospital discharge is properly given to patients/families.
Patients can be
The hospital giveshospitalized
continuedsmoothly.
medical treatment/care at home etc. to patients
Physicians perform
who require it. ward duties appropriately.
Nurses
Terminalperform wardare
stage cases duties appropriately.
handled properly.
Category II Quality Medical Practice II

Functions Comprising Quality Medical Practice 1

Drug control function is fulfilled properly.
The laboratory test function is properly fulfilled.
The function of diagnostic imaging is properly fulfilled.
The function of nutritional management is properly fulfilled.
The rehabilitation function is properly fulfilled.
The function of medical information management is properly fulfilled.
The function of medical equipment management is properly fulfilled.
The function of cleaning and disinfection is properly fulfilled.

Functions Comprising Quality Medical Practice 2

The function of pathological diagnosis is properly fulfilled.
The function of radiotherapy is properly fulfilled.
The function of transfusion/blood management is properly fulfilled.
The function of operation/anesthesia is properly fulfilled.
The function of intensive care is properly fulfilled.
The function of emergency medical treatment is properly fulfilled.
Category IV Organizational Management

Administration of
hospital organization
Human Resources/Labor
and leadership of Education/Training
Nanagement
administrators
Or executives

Business Management Facilities/Equipment Hospital Crisis

Management Management
TAIWAN

HA
Medical
Care

STANDARDS
Hospital
Managem
Teaching ent
Capability
 Hospital
Managem
ent

Management strategy
Staff management and support system
Human resources management
Employee education and training

Medical records & information management

Safe environment and equipment
Patient-oriented services
Crisis management and disaster response
 Medical
Care

Communication, informed Specialized medical

consent, privacy care/safety
Health care quality ER, ICU, psychiatric,
management dialysis, respiratory
General medical care
care/safety Medication safety
Anesthesia and surgical
safety
Infection control and
antibiotic use
Lab work, pathology and
radiology safety
 Teaching
Capability

Resource, facilities, and management

Trainers training programs
Cross-specialty training and teamwork
Teaching and research performance
Resident, PGY and intern training programs
Other medical workers training programs
THAILAND
 Category I Category II Category III

Coorporate Risk, Safety and Service and

Leadership Quality Access
Strategic Management Patient
Management Nursing assessment
Focus on Professional Planning
Patients/ Supervision Patient Care
Recipients Tool, Utilities, and Informing and
Measurement, Environtment empowering
analysis and Prevention and patients / families
knowledge Control Continuing Care
management Medical Record
Human Resource Systems
Focus Drug Magement
Process Systems
Management Clinical
Laboratory
Working with
communities