JCI Accreditation Consultants

Our Scope of JCI Consulting Service Includes:-

Pre-Survey

  • Organizational Gap Assessment Study
  • JCI Sensitization Program for hospital staffs
  • Collaborative development of Joint Work Plan
  • Documentary System Preparation (policies / plans / Manuals)
  • Formulation of clinical pathways & clinical practice guidelines
  • Development & Monitoring of KPIs and International Library Measures
  • Implementation of quality tools (FMEA, HVA, 5S etc.)
  • Designing the program for ongoing practice evaluation for doctors
  • Design of clinical and non clinical training modules
  • Train the trainers program
  • Support in filing an application to JCI
  • Periodical readiness assessment
  • Various Internal AudiLs (Safety, Infection control, Medical record etc.)
  • System tracer activities
  • Individual patient tracer activities
  • IPSG Tracer Activities
  • Mock JC I Survey (by external Surveyor)
  • Mock group discussions (by external Surveyor)

During Survey

  • Management of Survey Command center
  • Post Survey briefing session (Daily)
  • Real—time assistance to survey coordinator and the team

Post Survey

  • Detail Analysis of ’Partial Mets” and “Not Mets
  • Submission of “Strategy into Plan” (SIP) to JCI Authority
  • Preparation of Focus Survey (If asked for}

Program Structure

Sensitization Session
Our experienced JCI consultants shall conduct a sensitization session about JCI Accreditation and the mock survey methodology for your staff/ representatives of all departments in the hospital.
Mock Survey
Our JCI experts shall conduct the mock survey with the methodology of "system tracer' and Individual patient tracer' based on the 6th edition of JCL standard. Joint Commission International Survey agenda pattern shall be followed by our consultants to make the staff aware of what to expect during an actual survey.

Debriefings Session

Our surveyors will integrate all the findings of the survey exercise into one comprehensive debriefing session for better understanding for your executive leaders, medical staff leaders, department leaders, and staff as desired, regarding the deficiencies in their department / work area impacting JCI accreditation Compliance
Interim Staffing Solution
If you find yourself preparing for survey with a staffing or knowledge deficit, we can step up to direct & manage your quality in survey preparation initiatives with onsite knowledgeable staff support.
Clarification of Adverse Decisions
Our Consultants are expert in the complexity of these clarifications & any JCI appeal process. We have successfully helped organizations move from a preliminary adverse decision to the road of successful accreditation.
Accreditation Maintenance Program
In the world of unannounced JCI Accreditation surveys, continuous readiness & standard based leadership is a must. This is an unique consulting service for the maintenance of the same.