In the US, Europe and Australia, there is a shift from traditional quality assurance aproach to improving quality of care, to application of continous quality improvement theory to clinical process of care.
Quality is always described as a whole union characteristic from a care service that supports its ability to satisfy the costumer, which the ability to understand, accept, fulfill and exceed the expectation in satisfying costumer’s need continously.
To assurance the service quality given, the organization follows to the rules and regulation developed by outside organization to be able to run the care service for the community. Indonesian ministry of health themselves has established service care standards well known as hospital accreditation.
Hospital accreditation itself is defined as a process where an antity, seperate and distinct from the health care organization assesses the health care organization to determine whether it meets a set of requirements (standards) designed to improve the safety and quality of care. This accreditation process is a visible commitment by an organization to improve the safety and quality of patient care, to ensure a safe care environtment, and to continually work to reduce risk to patients and staff. Accreditation has also gained worldwide attention as an effective quality evaluation and management tool.
The accreditation process is designed to create a culture of safety and quality within an organization that strives to continually improve patient care processes and results. In doing so, organizations:
1. improve public trust that the organization is concerned for patient safety and the quality of care.
2. provide a safe and effecient work environment that contributes to worker’s satisfaction.
3. negotiate with sources of payment for care iwth data on the quality care.
4. listen to patients and their families, respect their rights, and involve them in the care process as partners.
5. create a culture that is open to learning from the timely reporting of adverse events and safety concerns.
6. establish collaborative leadership that sets priorities for and continous leadership for quality and patient safety at all levels.
The Joint Commission International for Accreditation (JCI) is the largest accreditor for health care organization in the world based in the United States. It surveys nearly 16.000 health care programs through a voluntary accreditation proces worldwide. For more than 75 years, The Joint Comission and its predecessor organization have been dedicated to improving the wuality and safety of health care services. JCI itself is the international arm of The Joint Comission with its mission to improve the wuality and safety of the health care in the international community.
Until now, JCI has been developing standards and accreditation programs for the following: ambulatory care, clinical laboratories, primary care centers, the care continuum (home care service, assisted living, long term care, hospice care), and medical transport organizations. JCI also provides certification for clinical care programs such as stroke unit, cardiac unit, or joint replacement unit. JCI accreditation programs are based on an international framework of standards adaptable to the local needs.
In Indonesia, 4 private hospitals has been accredited by JCI. Two hospitals were accredited in 2010 using 3rd edition, one was accredited in 2011, and the other achieved its trinnial accreditation.
Considering a popular demand of international standard for hospital care service, Indonesian Ministry of Health (MOH) has released a new draft for hospital accreditation in Indonesia. Focusing on patient safety, MOH addapted the standards and measureable elements from JCI to be implemented and addapted by the local rules and regulation for hospital accreditation. In the future, all hospitals in Indonesia are going to be measured and evaluated using the same standards ant methods as in JCI requirements. This accreditation will also be done by running the survey which will be vary depends on the organization’s size and type or services provided. This accreditation is also designed to be as valid, reliable, and objective as JCI accreditation.
A. International Patient Safety Goals Focused
1. International Patient Safety Goals (IPSG)
2. Prevention and Control of Infections (PCI)
B. Medical and Nursing Focused
1. Access to Care and Continuity of care (ACC)
2. Patient and Family Rights (PFR)
3. Assessment of Patients (AOP)
4. Care of Patients (COP)
5. Anesthesia and Surgical Care (ASC)
6. Patient and Family Education (PFE)
C. Ancilary Services Focused
1. Medication Management and Use (MMU)
2. Management of Communication and Information
D. Quality Focused
1. Quality Improvement and Patient Safety (QPS)
2. Governance, Leadership and Direction (GLD)
3. Staff Qualification and Education (SQE)
E. Occupational Health and Safety Focused
1. Facility Management and Safety
