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6th International Health Tourism Congress

Global Hospital Accreditation Trends and Turkey

6th International Health Tourism Congress

Global Hospital Accreditation Trends and Turkey

Thomas Kozlowski PhD Senior JCI Consultant Certified Change Management

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ObjectiveUnderstand the JCI structure and history of

global services

Understand the Ministry of Health (MoH) of Turkey, and JCI accredited hospitals in Turkey for providing services in Global Health Tourism

Understand how MoH of Turkey and JCI entered

into collaboration focusing on Quality Outcome and Patient Safety Standards of Care

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The world’s leading practices

delivered

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Who JCI is

Joint Commission Resources (JCR)

- Nonprofit affiliate of The Joint Commission

- Founded in 1986

- Quality and safety innovations

- Accreditation resources, tools for reducing quality and safety risk areas

The Joint Commission

- Leading accrediting body for health care institutions in the U.S.

- 19,000+ accredited organizations

- Founded in 1951

Joint Commission International (JCI)

-More than 600 accredited or certified organizations in 51 countries

- Founded in 1994

Transformingpatient safetyand quality

of care

Transformingpatient safetyand quality

of care

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Transforming Patient Care Across the Globe….

Working with the MoH of Turkey, private Hospitals, and other healthcare facilities for healthy solutions…

To improve quality and patient safety

To achieve peak performance in the international health care community

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Transforming Patient Care Across the Globe…Our JCI team:

World headquarters in North America

Regional offices in Asia-Pacific, Europe, and the Middle East

A full service headquarters staff

More than 200 international consultants and accreditation surveyors

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We focus on the highest patient-care standards and results-oriented process improvement.

We are considered the “gold standard” for patient safety and quality improvement in the global health care community.

Our experts assist organizations in three ways:

- Accreditation and certification

- Education

- Technical assistance

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Our international team of experts makes JCI for the delivery of local care

JCI provides high-value, cost-effective services to organizations of all sizes and at every stage in their quality improvement journey

In Turkey, JCI collaborated with the MoH Turkey, private hospitals, and other healthcare facilities since 2002.

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JCI Accreditation Programs International Accreditation Programs and

Start Dates: Hospitals – 1997

*5th Edition effective April 2014 as a part of demand on Global Trends with change in Medical technology / informatics.

Ambulatory Care Clinics– 1998 Clinical Laboratories – 1998 Medical Transport – 2003 Primary Care Centers – 2009 Home Care – 2012 Long Term Care - 2012 Academic Medical Centers - 2013

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JCI Other Initiatives with Global Medical Tourism in Mind International Patient Safety Goals – 2007 Tracer Methodology – 2007 Clinical Care Program Certification (CCPC) for

Disease & Condition Specific Care – 2010 Academic Diploma in Quality Management – 2012 Academic Diploma in Infection Control Management

– 2012 JCI Library of 36 Measures – 2013 Academic Medical Center & Research - 2013

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JCI Clinical Care Program Certification (CCPC)

15 areas of clinical care are eligible for CCPC:

- Heart Failure

- Acute Myocardial Infarction

- Primary Stroke

- Chronic Kidney Disease

- Palliative Care (all types)

- HIV/AIDS Management

- Pain Management

- Joint Replacement (all types)

-Traumatic Brain Injury

-Chronic Obstructive Pulmonary

Disease

- Diabetes Mellitus (Types 1 and 2)

- End-stage Renal Disease

- Cancer (all types)

- Asthma

- Transplantation (all types)

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JCI Accreditation helps organizationsachieve the apex of safe, quality care

Accreditation for every settingJCI has accredited or certified more than 600 organizations in 51 countries

Turkey has 47 JCI Accredited Organizations, with accreditation programs in:

- Ambulatory care – Turkey 1- Clinical Laboratory – Turkey 2- Home Care- Hospital – Turkey 43- Long Term Care- Medical Transport – Turkey 1- Primary Care

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Locations of Turkey- JCI Accreditations

Hospitals ---- Adana, Ankara, Antalya, Bursa, Istanbul, Izmir, and Kocaeli

Ambulatory ----- Istanbul

Clinical Laboratory ----- Ankara

Medical Transport ----- Istanbul

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MoH Turkey with JCI Collaboration 2008-2013:

An Initial Quality Education, Assessment and Gap Analysis designed to identify both strengths and weaknesses in the delivery of care in selected MoH Turkey organizations were performed in 2008

With the local MoH Turkey leaders, JCI Senior Consultants extended those activities to other MoH Hospitals in the cities as below:

Trabzon ,

Denizli

Erzurum

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Selection and Training of Surveyors for the Accreditation Process – Completed in 1st QTR 2008 More than 300 surveyors held an advanced degree

Some had 20 years and more of health care experience Most were physicians, nurses, and administrators

MoH Turkey and JCI began their continuous quality improvement journey in 2008 with the following steps:

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Healthcare Organizations in Turkey worked with JCI consultation team for improvement and sustainable solutions in 2008:

- Safe Health Design - Infection Prevention and Control - Medication Management - Medical Transport Services - Multidrug-resistant Organism Prevention - Policy Development - Root Cause Analysis - Licensure Redesign Project

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MoH Turkey and JCI continue their journey in 2013 with the following steps:– Unique tracer methodology hands on training

Developed by the Joint Commission and first used internationally by JCI to assist organizations

– achieve the apex of safe, quality care Utilized and adopted by MoH Turkey Hospital

Accreditation’s new process

Evaluates the actual care a patient receives

Tests and verifies an organization’s survey readiness and performance improvement in several quality-driven areas

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MoH Turkey and JCI continue their journey in 2013 with the following steps:

Thorough survey process becomes Operational:

Typical survey team consists of a physician, nurse, and administrator

Surveyors evaluate various units within an organization and meet to discuss their finding

Surveys conduct a complete system analysis on integration and coordination of care processes

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JCI provided support to the Ministry of Health in Turkey in 2013 in several areas:

Accreditation and Certification Preparation - Development of Hospital Accreditation Standards - Organizational Assessment - Training and education of surveyors on Hospital Standards - Simulated Survey

Quality and Safety Improvement Workshops Refinement and Linkage to Turkey National Hospital Accreditation - Safe Health Design - Infection Prevention and Control - Multidrug-resistant Organism Prevention - Policy development - Medication Management

JCI Enhanced 2013 Technical assistance

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MoH Turkey and JCI Position for Global Medical Tourism

Quality and Safety Improvement

JCI advisors assisted MoH Turkey’s performance improvement efforts in these quality-driven areas:

Safe Health Design —  Integrates architectural design and facility engineering with clinical safety and quality to create optimal physical environments

Infection Prevention and Control — Build and sustain a strong infection prevention and control program with our tools, techniques and education

MDRO Prevention — Implements leading edge, evidence-based processes to prevent and control MDROs in the hospital

Medication Management — Prevents medication errors and deaths by understanding the complex medication systems and identifying their risk points

Quality Improvement and Management — Incorporates relevant quality measures to achieve your continuous improvement goals

Policy Development and Management —  Develops a results-oriented policy structure that guides staff to deliver higher quality care

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MoH Turkey and JCI partnership 2013 resulted in:

Design and Development of Turkey’s 1st Hospital Accreditation Standards with the support and involvement of MoH Kamu Hastaneleri Kurumu (KHK) senior leadership and departments

Intensive Competency based training on Turkey’s new Hospital Accreditation [classroom & field observation] of 60 consultants / surveyors to be finished by the end of 4 th QTR 2013.

Operational Success is credited to MoH KHK senior leadership and project leader coupled with the department chairs and team members from MoH

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Hospital Accreditation Preparation – MoH Turkey- Kamu Hastaneleri Kurumu- design with JCI on Hospital accreditation included:

Introduction Consultation How to design an accreditation for trends in Turkey and globally

Analysis of JCI’s preparation process and what criteria could be applied to the Turkish healthcare system for the global patient

Preliminary analysis of Turkey’s healthcare delivery system strengths and weaknesses

Prepare a plan to move forward

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10-14 Months

National Accreditation of Turkey Preparation Process

Organizational

Assessment

Ongoing

Technical

Assistance

Off-site

Document

Review

Mock Survey

Turkey Hospital

Accreditatio

n

Survey

Ongoing

Technical

Assistance

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The Value of Accreditation and CertificationCreate a culture of safety and quality that focuses on continuous improvement

Earn GLOBAL RECOGNITION with the standardized Hospital accreditation approach to the delivery of healthcare service/treatment. This approach links to medical tourism fostering public trust from the global patient and recognition by clinicians

Involve patients and families as partners in the care process

Enhance safety and efficiency in the work environment that contributes to staff satisfaction

Negotiate for payment reimbursement using quality data

Establish collaborative leadership that strives for excellence

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Collaboration that Produces Results

JCI is dedicated to making health care safer throughout the world through:

- Establishing strategic alliances with a variety of leading organizations, innovators, governments, and Ministries of Health

- Developing national accreditation programs and self-assessment systems

- Providing education and training to health care professionals

- Assisting in developing standards and evaluation methodologies

- Understanding and making accommodations for any specific legal, religious, and cultural factors within a country

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JCI used diverse services in many ways during their activities in Turkey, from on-site assistance to distance advising with tools including:-Lean-Six- Sigma-Change Management

Technical assistance

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Future Planning for the Global Hospital Environment – Does it make the patient feel safe

and comfortable Patient Flow – How quickly can patient be seen by

doctor and supportive departments like laboratory, radiology and pharmacy.

Communication - Doctors will need be fluent in another language – like English

Medical Equipment - may need replacement with state-of-art equipment

Billing for service - Patients will be seeking an affordable health safety net

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Headquarters and regional offices

Middle East OfficeP.O. Box 505018Bldg 27, Suite B503Dubai Healthcare CityDubaiUnited Arab EmiratesVoice +971 4369 4930Fax +971 4362 4951

Asia-Pacific Office37th FloorSingapore Land Tower50 Raffles PlaceSingapore 048623Voice +65 6829 7208Fax +65 6829 7070

HeadquartersOak Brook, ILUSAVoice +1 630 268 7400

Joint Commission InternationalConsultingVoice +1 630 268 2900

Joint Commission InternationalAccreditationVoice +1 630 268 4800

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JCI is there for YOU

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