The document provides information on the Joint Commission International (JCI) accreditation program. It discusses that JCI was started in 1994 based on quality standards developed by the Joint Commission for hospital accreditation in the US. The JCI accreditation process involves hospitals conducting self-assessments and on-site surveys to evaluate compliance with JCI's standards. Over 1000 international organizations across 90 countries have received JCI accreditation. The document outlines the four sections of JCI standards and provides details on the accreditation process and comparison between JCI and India's National Accreditation Board for Hospitals.

1. PRESENTATION ON:
JOINT COMMISSION INTERNATIONAL
ACCREDITATION PROGRAM(JCI)
BY, RADHA V. DEOSTHALEE
BHA 5TH SEM

2. • JCAHO i.e. Joint Commission on Accreditation of Healthcare Organization is
the oldest and pioneer organization who started the hospital accreditation
program in USA.
• They developed the quality standards for compliance by hospitals.
• The system of accreditation was based essentially on assessment of compliance
of these standards through self assessment as well as on site surveys by an
external team of surveyors appointed by JCAHO.
• JCAHO is a continuous data driven approach that focuses on the operational
system critical to the safety of patients and quality of patient care.
JCAHO :

3.  INTRODUCTION:
• Head quarters are in Oakbrook Terrace, Illinois USA.
• JCI Accreditation of hospitals was started by JCAHO in the year 1994 with
the purpose of accreditation of hospitals across the globe.
• The program involves accreditation of hospitals in any country of the world
on the basis of uniform quality standards called the JCI standards, designed
for international application.
• At present JCI Accreditation Program has been conducted in 1084
international organizations amongst which India includes 38 organizations.

4.  MISSION STATEMENT:
The mission of JCI is to improve the
safety and quality of care in the
international community through the
provision of education, publications,
consultation, and evaluation services.

5.  HISTORY:
• Founded in 1994by The Joint Commission (JCAHO) , JCI has touched
more than 90 countries.
• Today, the organization helps patients in five continents and fields a well-
trained team of international accreditation surveyors and consultants.
• JCI enjoys a 20 percent annual growth in the number of accredited
organizations, just one metric of how we help health care leaders to
improve quality, safety, and efficiency as a shared goal.

6.  JCI 6TH EDITION INCLUDES :
Accreditation
Participation
Requirements
Patient-
Centered
Standards
Health Care
Organization
Management
Standards
Academic
Medical Center
Hospital
Standards
SECTION 1 SECTION 2
SECTION 3 SECTION 4

7.  Section 1: ACCREDITATION PARTICIPATION
REQUIREMENTS (APR) INCLUDES 11
STANDARDS:
1: The hospital meets all requirements for timely submissions of data and
information to Joint Commission International (JCI).
2 :The hospital provides JCI with accurate and complete information
throughout all phases of the accreditation process.
3: The hospital reports within 30 days of the effective date of any
change(s) in the hospital’s profile (electronic database) or information
provided to JCI via the E-App before and between surveys.

8. 4 :The hospital permits on-site evaluations of standards and policy
compliance or verification of quality and safety concerns, reports, or
regulatory authority sanctions at the discretion of JCI.
5: The hospital allows JCI to request (from the hospital or outside
agency) and review an original or authenticated copy of the results and
reports of external evaluations from publicly recognized bodies.
6: Currently not in effect.
7: The hospital selects and uses measures as part of its quality
improvement measurement system.

9. 8:The hospital accurately represents its accreditation status and the programs and
services to which JCI accreditation applies.
9: Any individual hospital staff member (clinical or administrative) can report
concerns about patient safety and quality of care to JCI without retaliatory action
from the hospital
10: Translation and interpretation services arranged by the hospital for an
accreditation survey and any related activities are provided by qualified translation
and interpretation professionals who have no relationship to the hospital.
11: The hospital notifies the public it serves about how to contact its hospital
management and JCI to report concerns about patient safety and quality of care.

10.  Section 2 :PATIENT CENTRED STANDARDS:
SL. NO CHAPTERS STANDARDS OBJECTIVE ELEMENTS &
CLAUSES
1. International Patient Safety Goals
(IPSG)
6 7
2. Access to Care and Continuity of
Care (ACC)
6 15
3. Patient and Family Rights (PFR) 6 9
4. Assessment of Patients (AOP) 6 27
5. Care Of Patients (COP) 9 16
6. Anaesthesia and Surgical Care 7 11
7. Medication Management and Use
(MMU)
7 13
8. Patients and Family Education
(PFE)
4 5

11.  Section 3: HEALTH CARE ORGANIZATION
MANAGEMENT STANDARDS
SL.NO CHAPTERS STANDARDS OBJECTIVE
ELEMENTS
1 Quality Improvement and Patient
Safety (QPS)
4 11
2 Prevention and Control of
Infections (PCI)
9 11
3 Governance, Leadership, and
Direction (GLD)
11 19
4 Facility Management and Safety
(FMS)
9 11
5 Staff Qualifications and Education
(SQE)
7 16
6 Management of Information (MOI) 4 14

12.  Section 4: ACADEMIC MEDICAL CENTER
HOSPITAL STANDARDS
1.Medical Professional Education (MPE) 7 objective
elements
MPE.1 The hospital’s governing body and leadership of the hospital approve
and monitor the participation of the hospital in providing medical education.
MPE.2 The hospital’s clinical staff, patient population, technology, and
facility are consistent with the goals and objectives of the education program.
MPE.3 Clinical teaching staff are identified, and each staff member’s role
and relationship to the academic institution is defined.

13. HRP.1 Hospital leadership is accountable for the protection of human
research subjects.
HRP.1.1 Hospital leadership complies with all regulatory and
professional requirements and provides adequate resources for effective
operation of the research program.
HRP.2 Hospital leadership establishes the scope of the research program.
HRP.3 Hospital leadership establishes requirements for sponsors of research to
ensure their commitment to the conduct of ethical research.
2.Human Subjects Research Programs (HRP) 7 objective
elements

14. STEPS IN THE PROCESS TIME PRIOR TO THE SURVEY
1. Obtain JCI Manual and begin Accreditation
process
12-24 months
2. Submit Application for survey to JCI &
schedule the surveys date with JCI
6-9 months
3. Receive & complete JCI survey contract and
travel instructions
4-6 months
4. JCI survey team leader contacts your
organization to determine the survey agenda
2 months before survey
5. JCI accreditation survey takes place Survey dates
 JCI ACCREDITATION PROCESS:

15. 6. Receive accreditation decision and
official survey findings report within 2
months after survey
If Accreditation is awarded
7. Submit revised application schedule
triennial JCI Accreditation resurvey
6-9 months prior to the triennial due date
If Accreditation is not awarded
8. JCI informs about the deficiencies to be
made up and requirement to resurvey
After making up the deficiencies, on dates
scheduled

16. •The final accreditation decision is based on an organizations
compliance with JCI Standards.
•When an organization successfully meets the JCI requirements,
it will be awarded with the certificate.
•The Process is essentially the same as for NABH Accreditation,
Except that the survey is carried out by an international team of
consultants, from the countries other the applicant country.

17.  COMPARISON OF NABH WITH JCI:
1. NABH is propagated by QCI an Indian Product, whereas JCI is the
international arm of American JCAHO.
2. Both are divided into patients and administrative sections of healthcare.
3. Majority standards for both are same. In JCI not all object elements are
mandatory whereas for NABH they are mandatory which makes it tougher to
achieve.
4. A comparative study shows that NABH standard is at par with JCI and other
international standards accredited by ISQua.
5. The Certification Of JCI and NABH has a 3 years of Accreditation cycle.

18. 6. JCI standards are with 14 chapters, 289 standards and 1400+ objective
elements. NABH standards are with 10 chapters, 105 standards and 600+
objective elements.
7. JCI is more than 65 years old and globally accepted as the Gold Standard
In Healthcare for Patient Safety.
8. When more patients are satisfied, word of mouth spreads, and more
patients then come to the hospital.
9. Due to adherence of NABH & JCI there comes training of doctors, nurses
and all the staff of the hospital which leads the quality process compliance
which results in better patient satisfaction.

19. CONCLUSION:
• Considering the criterions mentioned, JCI accreditation appears to be a
very costly process.
• From the point of view of health tourism JCI accreditation may have an
edge over NABH accreditation but its cost effectiveness and benefits are
yet to be seen.
• Perhaps, it would be prudent for an Indian Hospital to first achieve
NABH standards and then further improve to meet the JCI standards.

20. REFERENCES:
• JCI_Standards_Only_6th_Ed_Hospital.pdf
• Quality Management in Hospitals- Author S K Joshi
• www.jointcommission.org
• https://www.jointcommissioninternational.org/

21. THANK YOU…