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Joint Commission International
Risk Management in Ospedale
tra Governance e Assicurazioni
Carlo Ramponi,
Joint Commission International,
European Office, via Ripamonti 44, Milano
© Joint Commission International
Cineas, Milano 21 giugno 2012
Accreditation – A Definition
 A government or non-government agency
grants recognition to health care institutions
which meet certain standards that require
continuous improvement in structures,
 Usually a voluntary process
2
© Joint Commission International
processes, and outcomes
1. Greater clarity to leadership structure and quality oversight
2. More efficient, cost effective work processes
3. Better preventive maintenance program – longer life of
biomedical equipment
4. Improved care – fewer complications
5. More satisfied staff – better retention and lower recruitment
and training costs
6. Better safety management, and risk reduction – reduced
liability exposure
7. Special recognition from payment sources and insurance
companies
8. Better reputation -- increased number of new patients
© Joint Commission International
Potential Return on Investment
FUNCTIONS
PCI
ASC
MMU
GLD
QPS
IPSG
PFE
PFR
COP
ACC
MCI
AOP
SQE
© Joint Commission International
FMS
The Systemic Approach
FMS
MMU
COP
QPS
ASC
IPSG
PCI
PFE
PFR
AOP
SQE
MCI
© Joint Commission International
ACC
GLD
International Patient Safety Goals
since 2007
© Joint Commission International
1. Identify Patients Correctly
2. Improve Effective Communications
3. Improve the Safety of High-Alert, High Risk
Medications
4. Eliminate Wrong-side, Wrong-patient, Wrongprocedure Surgery
5. Reduce the Risk of Health Care-acquired
Infections
6. Reduce the Risk of Patient Harm Resulting
from Falls
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© Joint Commission International
Type of Sentinel Events: TJC USA database
8
© Joint Commission International
Sentinel Events Outcomes
© Joint Commission International
Most Frequently Identified Root Causes
International Library of Measures
The International Perspective
 Ongoing self-evaluation as a mandatory requirement
for accreditation recognition
 5 out of 11 clinical measures drawn from ILM
 International Comparison based on ILM collected by
JCI from JCI accredited hospitals
 The Adverse Events International data-base.
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© Joint Commission International
 ILM development based on JCI accredited hospitals
suggestions and international experience
Thank you
For more information:
• On JCR products and services
• www.jcrinc.com
• +1630-268-7400
• On JCI accreditation and advisory services
• www.jointcommissioninternational.org
• +1630-268-4800
• Carlo Ramponi, MD JCI Europe
• [email protected]
© Joint Commission International
• +393477295364