JCI Compliance & Accreditation Tools
- Achieve a globally recognized JCI golden seal approval through evidence-based practices in healthcare quality and patient safety.
- Assess the baseline readiness for JCI on-site survey accreditation and come up with improvement action plans for the identified gaps.
- Develop monitoring tools /scorecards for regular measuring and reporting the progress of JCI Standards compliance.
- Educate and train the leadership and the staff on various levels using the unique tracer methodology.
- Build the welling and commitment to continuous quality improvement, patient-centered care and quality excellence.
Quality Management Program
- Develop, implement and manage a successful quality program complies within the national international standards to improve the quality of care and the patient safety.
- Standardize the process of Measuring and monitoring KPIs covering development, definition, template, data collection, aggregation, analysis, validation and visualization.
- Prioritize data driven opportunities covering high risk, high volume, problem-prone and high cost processes.
- Achieve sustainable improvements in a systematic manner; using a standardize, and interdisciplinary approach
- Develop well trained collaborative and committed champion teams to promote culture of quality and patient safety.
Patient Safety & Risk Management
- Develop an integrated risk management and patient safety program through a systematic, coordinated and ongoing proactive approaches to link safety priorities into all relevant organization
- processes, functions and services.
- Establish a supportive, no blame and learning culture encouraging staff to anonymous report error through an appropriate channel including adverse events, near misses and good catches.
- Streamline the incident reporting by set up systems for reporting, investigating, analysing, trending, tracking, communicating the feedback and the lessons learned.
- Sustain a culture of patient safety as foundation built on a just culture using effective techniques and tools such as RCA, FMEA, AHRQ and peer reviews
- Educate and train the leadership and the staff on various levels using the risk management and patient safety tools and techniques.
Documents Management & Control
- Standardize documents management process through an effective and sustainable system.
- Develop, implement, maintain, up to date, standard driven and best practice policies, procedures,plans, program and any other documents that strengthen the delivery of high-quality patient care
- Establish mechanisms for tracking, review, approval, authorization and communication.