Download Accreditation and certification services Offered by JCI

CUSTOMER_CODE
SMUDE
DIVISION_CODE
SMUDE
EVENT_CODE
JULY2016
ASSESSMENT_CODE MH0053_JULY2016
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
15214
QUESTION_TEXT
What do you mean by Hospital Information System? Add a note on the
advantages & qualities of the same
Hospital information system is defined as an open system, which
attempts to integrate and communicate the outside and inside flow of
information within a hospital and provide the function common for all
applications.
(2 marks)
SCHEME OF
EVALUATION
Advantages
●Helps to track the patient
●Ensures timely action at various levels
●Reduces the cost of patient care
●Is useful in future planning
●Significantly reduces the need of manpower
●Significantly increases the efficiency of the system
(4 marks)
Qualities
●Economical
●Efficient
●Effective
●Expandable
●Educative
●Reliable
●Flexible
●Friendly to users
●Fast – Less time consuming
●Secure
(4 marks)
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
15215
QUESTION_TEXT
Briefly explain the following with regard to the phases of new
computerized system development:
a. System Analysis
b. System Designing
c. System Testing
d. System Implementation
e. System Evaluation
SCHEME OF
EVALUATION
a.System Analysis: IT is the process of collecting, organizing and
evaluating facts about information system requirements and the
environment in which the system will operate.
b.System Designing: It is the creative technical process of converting
information system requirements into a detailed set of specifications for
a system.
c.System Testing: It is the critical process for the program development.
The objective is to prove that there are no errors in the programs.
d.System Implementation: Once a thorough system analysis has been
completed, a design approach selected and system designing
specifications prepared and approved, then implementation of the
hospital information system can be proceed.
e.System Evaluation: It is one of the important tasks to be performed
after the implementation phase.
(2 marks each)
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
73156
QUESTION_TEXT
Write briefly about the various Hospital Support Services?
Key: Each Service = 2 marks X 5 = 10 marks
Dietary service
Social service
SCHEME OF EVALUATION
Pastoral care service
Patient escort service
Patient ombudsman or patient representative services
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
118004
QUESTION_TEXT
Discuss the organizational arrangements for the HMIS in India.
A. central level
SCHEME OF
EVALUATION
1. central bureau of health intelligence (CBHI)
2. statistics division in the department of health and family
welfare
3. the sample registration system
B. state level organisation – an example from andhra pradesh
C. organisation at the district level (with explanition)
QUESTION_TYPE
DESCRIPTIVE_QUESTION
QUESTION_ID
118008
QUESTION_TEXT
Describe the significance of Health Information Systems in nursing
education.
Health Information Systems in nursing education.helps the future nurses
to analyse, how this type of an information syatem would assist them in
their day today activities, which we discussed in the previous section.
SCHEME OF
EVALUATION
Health information system is defined as “ A combination of health
statistics from verios sorces, used to derive information about health
status, health care, provision and use of service, and impact on
health…..
QUESTION_TYPE DESCRIPTIVE_QUESTION
QUESTION_ID
118011
QUESTION_TEXT Explain JCI & NABH.
JCI/JACHO
(5marks)
Joint Commission International (JCI)
SCHEME OF
EVALUATION
Joint Commission International (JCI) was formerly known as Joint
Commission on Accreditation of Healthcare organization (JACHO) and
Joint Commission on Accreditation of Hospitals (JACH) Let us have a
look at the history of JCI.
In 1994 the JACHO implemented several important changes:
 A revised survey process applying performance focused standards
organised around patient care functions
 Data collection for initial indicator sets for the indicator measurement
system

Accreditation for healthcare networks
Release of organisation specific performance reports
Accreditation and certification services Offered by JCI
The Joint Commission provides evaluation and accreditation services for the
following types of organizations:

General, psychiatric, children’s and rehabilitation hospitals

Critical access hospitals
 Medical equipment services, hospice services and other home care
organizations

Nursing homes and other long term care facilities

Behavioral healthcare organizations, addiction services
 Rehabilitation centers, group practices, office-based surgeries and
other ambulatory care providers

Independent or freestanding laboratories
In 2007 JCI established a few patient safety goals to improve the
quality of care they are:

Improve the accuracy of patient identification

Improve the effectiveness of communication among caregivers.

Improve the safety of using medications.

Reduce the risk of healthcare-associated infections.

Accurately and completely reconcile medications across the
continuum of care to prevent medication errors.

Reduce the risk of patient harm resulting from falls.

Reduce the risk of influenza and pneumococcal disease in
institutionalized older adults.

Reduce the risk of surgical fires.

Implementation of applicable National Patient Safety Goals
and associated requirements by components and practitioner sites.

Encourage patients’ active involvement in their own care as a
patient safety strategy.

ulcers).
Prevent healthcare-associated pressure ulcers (decubitus
The organization identifies safety risks inherent in its patient population.
NABH
(5 marks)
National Accreditation Board for Hospitals and Healthcare Providers (NABH)
The National Accreditation Board for Hospitals and Healthcare Providers
(NABH) is a constituent board of the Quality Council of India, set up to establish
and operate accreditation programmes for healthcare organizations. The board
is structured to cater to much desired needs of the consumers and to set
benchmarks for the progress of the health industry.
NABH standards for hospitals have been drafted by Technical committees of
NABH and contain a complete set of standards for evaluation of hospitals for
grant of accreditation. The standards provide framework for quality assurance
and quality improvement for hospitals. The standards focus on patient safety
and quality of care. The standards call for continuous monitoring of sentinel
events and comprehensive corrective action plan leading to building of quality
culture at all levels and across all the functions. The standards are equally
applicable to hospitals and nursing homes in the government as well as in the
private sector.
Outline of NABH Standards includes

Access, Assessment and continuity of Care (AAC)

Patient Rights and Education (PRE)

Care of Patient (COP)

Management of Medication (MOM)

Hospital Infection control (HIC)

Continuous Quality Improvement (CIQ)

Responsibility of Management (ROM)

Facility Management and Safety (FMS)

Human Resource Management (HRM)

Information Management System
Ten steps to NABH accreditation:
1.
Obtain copy of NABH standards
2.
Carry out self assessment on status of compliance with the NABH
standards.
3.
Identify gap areas and prepare action plan to bridge the gaps.
4.
Ensure that NABH standards are implemented and integrated with
hospital functioning.
5.
Obtain copy and submit application form for assessment.
6.
Pay the accreditation fee.
7.
Receive from NABH the assessment programme including dates
and names of assessors.
8.
Facilitate the assessment.
9.
Receive recommendation on accreditation.
10. Maintain quality improvement programme based on continuous
monitoring of patient care services.