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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 7 © 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. 10 © 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