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“Essentials”

Joint Commission International’s
Essentials of Health Care Quality and
Patient Safety

© Copyright, Joint Commission Resources
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

© Copyright, Joint Commission Resources
deaths could be avoided if certain basic
standards of care were followed

Client name/ Presentation Name/ 12pt - 2

Joint Commission Resources given time) – UK: 100. 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.4 million hospital patients worldwide acquire HAI (at any © Copyright.000 hospital deaths every year through error (USA) – 1.000 cases of HAI lead to 5.6% of hospital patients suffer an adverse event (Australian study) – 98.3 . New Zealand. Canada and Europe) – 16.000 deaths a year – USA: 1 out of every 135 hospital patients acquires HAI Client name/ Presentation Name/ 12pt .

Economic Impact of Patient Safety Problems – The economic impact is important: – UK: costs as high as US $6 billion a year – USA: about US $29 billion a year – The problem of adverse events in health care is even more serious in © Copyright. – Less data is available Client name/ Presentation Name/ 12pt .4 . Joint Commission Resources developing countries.

and accreditation services Client name/ Presentation Name/ 12pt . © Copyright. consultation.5 . evaluation. JCI Mission  Improve the safety and quality of care in the international community –through the provision of education. Joint Commission Resources publications.

Joint Commission Resources  “Essentials” Client name/ Presentation Name/ 12pt .6 .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 © Copyright.

non-profit. Organizational Base – Joint Commission International (JCI) is the international arm of The Joint Commission (USA).7 . JCI staff have worked in 80 © Copyright. Joint Commission Resources countries to provide education. non-governmental agencies – Since 1994. – Both organizations are independent. consultation. and/or accreditation services Client name/ Presentation Name/ 12pt .

8 . Joint Commission Resources – JCI can better serve organizations at every stage in their journey to higher quality care Client name/ Presentation Name/ 12pt . Essentials – Quality and safety improvement framework designed to help organizations focus on the risk areas that have the greatest impact on patient safety © Copyright.

Essentials Essentials can help to:  Determine levels of risk to patient safety in a health care organization  Develop strategies to mitigate risks © Copyright. Joint Commission Resources  Better allocate resources to improve quality and safety Client name/ Presentation Name/ 12pt .9 .

Joint Commission Resources –Hospital systems –Intergovernmental organizations Client name/ Presentation Name/ 12pt .Essentials System Design Essentials was designed for use by: –Governmental organizations (Ministries of Health.10 . such as international insurance providers © Copyright. regional or municipal health authorities) –Multinational organizations.

Joint Commission Resources –Periodically reassess the impact of these changes Client name/ Presentation Name/ 12pt .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 © Copyright.11 .

12 . Joint Commission Resources insurance companies to direct patients to lower risk healthcare settings Client name/ Presentation Name/ 12pt .Why JCI Developed Essentials – Provide objective information that will guide strategic and financing decisions – Provide the tools to gather and analyze the level of risk – Enable health care purchasers and © Copyright.

13 . Joint Commission Resources tools Client name/ Presentation Name/ 12pt .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 © Copyright.

Joint Commission Resources development of other solutions based programs and services Client name/ Presentation Name/ 12pt .14 .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 © Copyright.

given to hospitals using the Essentials framework Client name/ Presentation Name/ 12pt . Joint Commission Resources – No formal recognition – such as accreditation or certification -.15 . 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 © Copyright.How Essentials & Accreditation Differ – Essentials is different from JCI accreditation.

Joint Commission Resources Client name/ Presentation Name/ 12pt . Overview of International Essentials for Quality and Patient Safety © Copyright.16 .

Joint Commission Resources identified for each Criterion Client name/ Presentation Name/ 12pt .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 © Copyright.17 .

Leadership Process and Accountability 2. Improvement of Quality and Safety Client name/ Presentation Name/ 12pt .Overview of Five Risk Areas Five widely recognized domains of risk 1.18 . Competent and Capable Workforce 3. Safe Environment for Staff and Patients 4. Joint Commission Resources 5. Clinical Care of Patients © Copyright.

patient safety.19 . and risk © Copyright.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. Joint Commission Resources management are integrated Client name/ Presentation Name/ 12pt .

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 © Copyright.20 . Joint Commission Resources – Staff are oriented to their jobs Client name/ Presentation Name/ 12pt .

Joint Commission Resources Client name/ Presentation Name/ 12pt .21 .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 © Copyright.

procedures. use of blood products.22 . surgery – Informed consent – Before surgery.Risk Area #4: Clinical Care of Patients – Correct patient identification – Prior to medication or blood administration. and other high risk procedures © Copyright. anesthesia. Joint Commission Resources – Medical and nursing assessments for all patients – Standardized and timely Client name/ Presentation Name/ 12pt .

and reliable – Planned and provided care is written © Copyright.23 . Joint Commission Resources – Guidance on uniform documentation and care planning – Monitoring data are used to improve care Client name/ Presentation Name/ 12pt .Clinical Care of Patients continued – Laboratory services are available and reliable – Diagnostic imaging services available. safe.

selection. and monitoring – Patient are educated to participate in their care Client name/ Presentation Name/ 12pt . © Copyright.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. dispensing. Joint Commission Resources prescribing. administration.24 . storage.

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 © Copyright. comatose patients Client name/ Presentation Name/ 12pt . Joint Commission Resources – Examples: emergency care. resuscitation – Patient examples: immune-suppressed or .25 .

Joint Commission Resources Client name/ Presentation Name/ 12pt .Implementing the Essentials © Copyright.26 .

expert assistance and advice – JCI will help organizations collect their data and compare it with other similar organizations © Copyright.27 .How Can JCI Help? – JCI will assist organizations through education programs. and if needed. Joint Commission Resources – JCI will use an on-line collection and database tool Client name/ Presentation Name/ 12pt .

com Client name/ Presentation Name/ 12pt .com The Joint Commission International www.org cramponi@jcrinc. Joint Commission Resources www.jcipatientsafety.jcrinc.28 . For more information: The Joint Commission Resources Web Site www.org Joint Commission International Center for Patient Safety © Copyright.jointcommissioninternational.