by Joint Commission International (JCI) The State of Global Health Care Each year 1 million people die from complications following major surgery Nearly 1 in 10 patients is harmed as a result of a medical error Estimated that 50% of complications and
deaths could be avoided if certain basic standards of care were followed
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Adverse Events in Healthcare – The problem of adverse events in health care is serious – 10% of hospital patients suffer an adverse event each year (UK, New Zealand, Canada and Europe) – 16.6% of hospital patients suffer an adverse event (Australian study) – 98,000 hospital deaths every year through error (USA) – 1.4 million hospital patients worldwide acquire HAI (at any
publications, consultation, evaluation, and accreditation services
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How We Meet Our Mission Accreditation of health care organizations worldwide Assisting Ministries of Health and governmental agencies to strengthen the role of quality oversight at the country level
Better allocate resources to improve quality and safety
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Essentials System Design Essentials was designed for use by: –Governmental organizations (Ministries of Health, regional or municipal health authorities) –Multinational organizations, such as international insurance providers
–Hospital systems –Intergovernmental organizations
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How Essentials Is Applied Essentials will help an organization to: –Identify the risks that have the greatest impact on safety –Design an approach for addressing these risks –Implement changes
insurance companies to direct patients to lower risk healthcare settings
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Why JCI Developed Essentials – Many healthcare organizations frequently lack the fundamentals to begin the quality journey – Essentials helps provide direction and a framework for implementing other JCI quality improvement and patient safety
JCI Methodology / Framework – Builds upon scientific research, best practices and Joint Commission experience in developing evidence based standards for evaluating level of risk in its organizations – JCI uses a similar approach in
development of other solutions based programs and services
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How Essentials & Accreditation Differ – Essentials is different from JCI accreditation, which recognizes hospitals meeting the highest standards for care – Essentials is a resource for developing organizations working on more fundamental elements of quality and safety
Client name/ Presentation Name/ 12pt - 16 Essentials Address Five Risk Areas – Developed from extensive international healthcare literature and experience – Ten Criteria for each Risk Area provide clear and achievable risk reduction strategies – Progressive “Levels of Effort” are
Overview of Five Risk Areas Five widely recognized domains of risk 1. Leadership Process and Accountability 2. Competent and Capable Workforce 3. Safe Environment for Staff and Patients 4. Clinical Care of Patients
Risk Area #1: Leadership Process and Accountability
– Responsibilities and accountabilities
identified – Leadership for quality and safety – Collaboration and cooperation at all levels – Quality requirements in contracts – Quality, patient safety, and risk
Risk Area #2: Competent and Capable Workforce – Personnel files and job descriptions – Review of credentials of physicians – Review of credentials of nurses – Review of credentials of other health professionals
Risk Area #3: Safe Environment of Staff and Patients – Regular inspection of buildings – Control of hazardous materials – Fire safety program – Biomedical equipment safety – Stable water and electricity sources
Client name/ Presentation Name/ 12pt - 21 Risk Area #4: Clinical Care of Patients
– Correct patient identification
– Prior to medication or blood administration, procedures, surgery – Informed consent – Before surgery, anesthesia, use of blood products, and other high risk procedures
– Guidance on uniform documentation and care planning – Monitoring data are used to improve care
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Clinical Care of Patients continued – Anesthesia and sedation are used appropriately – Policies and procedures – Data on complications and incidents used to improve – Surgical services appropriate to patient needs – Medication use is safely managed – Complex set of processes; selection, storage,
prescribing, dispensing, administration, and monitoring – Patient are educated to participate in their care
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Risk Area #5: Improvement of Quality and Safety – There is an adverse event reporting system – Adverse events are analyzed – High risk processes and high risk patients are monitored
Client name/ Presentation Name/ 12pt - 26 How Can JCI Help? – JCI will assist organizations through education programs, and if needed, expert assistance and advice – JCI will help organizations collect their data and compare it with other similar organizations