The Joint Commission International Accreditation Process: A Rare and Challenging Experience of Hamad Medical Corporation in Its Strive for Re-Accreditation

2.50
Hdl Handle:
http://hdl.handle.net/10755/154151
Type:
Presentation
Title:
The Joint Commission International Accreditation Process: A Rare and Challenging Experience of Hamad Medical Corporation in Its Strive for Re-Accreditation
Abstract:
The Joint Commission International Accreditation Process: A Rare and Challenging Experience of Hamad Medical Corporation in Its Strive for Re-Accreditation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Carbonu, Dora Maria, EdD, RN
P.I. Institution Name:Hamad Medical Corporation
Title:Policies and Procedure Specialist
Co-Authors:Badriya Sulaiman Al Ali, PhD, RN; Salama Dokhis Sultan Al Rumaihi, BScN, RN
[Evidence-based Practice Session Presentation] Purpose: Hamad Medical Corporation (HMC), the major health care provider in the State of Qatar, gained a Joint Commission International (JCI) accreditation in 2006, and has been striving to meet the standard requirements for the triennial re-evaluation in 2009. The Quality Management Department collaborated with JCI in the conduct of mock surveys, tracer methodology, on-site observations, review and revision of policies and procedures, and other related accreditation activities, as preparatory measures toward the re-accreditation process. Evidence from the various results suggested that the Corporation lacked in preparedness in several standards-related functions for a successful re-accreditation within the scheduled time frame. Methods: The organization embarked on an ambitious and challenging exercise of assigning its Corporate Clinical Committee, under the direction of the Quality Management Department, in mobilizing all the staff, including corporate and facility administrative and managerial leadership, in all five (5) accredited facilities - to work in collaboration with an assigned JCI Consultant, from October 26 to November 13, 2008, in reviewing and revising all the priority JCI- and HMC-required policies, developing new policies, merging duplicates, and deleting obsolete ones. Results: This demanding yet challenging project resulted in several rewarding experiences for the staff, organizational leadership, and all sectors of HMC; it promoted, enhanced and enriched (1) staff awareness, understanding and appreciation of policies and procedures as requirements unique to the organization's vision, mission and values; (2) multidisciplinary team approach and commitment to policy and procedure-related issues; quality care, safe care and services, continuous improvement, and external recognition of HMC as a reputable international health care organization. Conclusion: The outcome of this project was the demonstration of a positive staff attitude to organizational preparedness toward a successful triennial re-accreditation in 2009.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Joint Commission International Accreditation Process: A Rare and Challenging Experience of Hamad Medical Corporation in Its Strive for Re-Accreditationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154151-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Joint Commission International Accreditation Process: A Rare and Challenging Experience of Hamad Medical Corporation in Its Strive for Re-Accreditation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Carbonu, Dora Maria, EdD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Hamad Medical Corporation</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Policies and Procedure Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">afimawuko@hotmail.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Badriya Sulaiman Al Ali, PhD, RN; Salama Dokhis Sultan Al Rumaihi, BScN, RN</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session Presentation] Purpose: Hamad Medical Corporation (HMC), the major health care provider in the State of Qatar, gained a Joint Commission International (JCI) accreditation in 2006, and has been striving to meet the standard requirements for the triennial re-evaluation in 2009. The Quality Management Department&nbsp;collaborated with JCI in the conduct of mock surveys, tracer methodology, on-site observations, review and revision of policies and procedures, and other related accreditation activities, as preparatory measures toward the re-accreditation process. Evidence from the various results suggested that the Corporation lacked in preparedness in several standards-related functions for a successful re-accreditation within the scheduled time frame. Methods: The organization embarked on an ambitious and challenging exercise of assigning its Corporate Clinical Committee, under the direction of the Quality Management Department, in mobilizing all the staff, including corporate and facility administrative and managerial leadership, in all five (5) accredited facilities - to work in collaboration with an assigned JCI Consultant, from October 26 to November 13, 2008, in reviewing and revising all the priority JCI- and HMC-required policies, developing new policies, merging duplicates, and deleting obsolete ones. Results: This demanding yet challenging project resulted in several rewarding experiences for the staff, organizational leadership, and all sectors of HMC; it promoted, enhanced and enriched (1) staff awareness, understanding and appreciation of policies and procedures as requirements unique to the organization's vision, mission and values; (2) multidisciplinary team approach and commitment to&nbsp;policy and procedure-related issues;&nbsp;quality care, safe care and services, continuous improvement, and external recognition of HMC as a reputable international health care organization. Conclusion: The outcome of this project was the demonstration of&nbsp;a positive staff attitude to organizational&nbsp;preparedness toward a successful triennial re-accreditation in 2009.</td></tr></table>en_GB
dc.date.available2011-10-26T12:46:56Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:46:56Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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