Accreditation: Making The Leap From Ambition To Reality 22 - 23 October 2014, Dubai, UAE Ashraf Ismail, MD, MPH, CPHQ Managing Director, Middle East Joint Commission International

UAE Healthcare Sector Witnessed rapid development over the past few years Attracted major international healthcare players in the market Growth of smaller health care clinics and ambulatory centers

UAE Healthcare Sector The region is building large medical cities and complexes, with billions of dollars of investments lined up, to not only Raise the supply of medical infrastructure but also Raise the quality of healthcare services Governments’ increasing investments in technological advancements and health awareness Conti..

UAE Healthcare Sector Strong medical tourism industry UAE is the second-largest GCC healthcare services market & is expected to be the fastest growing markets, going forward.

Making The Leap From Ambition To Reality Role Of Government & Regulatory Bodies

As laid out in the seven-year UAE National Agenda announced in January By 2020, only accredited healthcare providers will be allowed to operate in the UAE His Highness Sheikh Mohammed bin Rashid Al Maktoum, Vice President and Prime Minister of the UAE and Ruler of DubaI urged stakeholders in the public and private healthcare sector to unify their efforts to develop the medical services, construct a quality healthcare system and provide best services

MoH facilities across Emirates opt for JCI accreditation President, His Highness Shaikh Khalifa bin Zayed Al Nahyan, is keen on providing state-of-the-art healthcare services that ensure the wellbeing of all UAE residents.

Vision of His Highness Sheikh Mohammed Bin Rashid Al Maktoum Seeking international accreditations for the health sector of Dubai is in line with the vision of His Highness Sheikh Mohammed Bin Rashid Al Maktoum, Vice President and Prime Minister of the UAE and Ruler of Dubai as envisaged in the Dubai Strategic Plan 2015.

Specific Initiatives Of DHA Promote international accreditation for all public or private healthcare facilities Strengthen building standards and introduce international best-practice to the design, construction and physical environment of healthcare facilities DHA Published guidelines for the Planning, Design, Commissioning and Construction of the Health Facilities DHA in collaboration with the JCI conducted the 1st Regional Conference for Sharing Best Practices in Implementing JCI Standards

Health Authority-Abu Dhabi Vision In the UAE, JCI Accreditation is a goal set by Health Authority-Abu Dhabi (HA-AD) for all hospital providers in the emirate HAAD Health Regulations have been drafted in collaboration with international healthcare experts including JCI to help drive compliance and improve quality and cost-effectiveness across the system

UAE Ministry of Health One of the Strategic Goal of MOH is to Deliver health services to UAE community as per International standards

UAE Vision 2021 The Joint Commission International (JCI) was appointed by DHCC to accredit hospitals operating within DHCC. This selection demonstrates the commitment by DHCC to provide safe and high-quality care.

Accreditation : Ambition to Reality For Improving Quality & Safety, Healthcare Organizations invested in Infrastructure Leadership Human Resources Building, Equipment & Supplies Safety & Quality Culture Operating Systems

Accreditation : Ambition to Reality UAE made a great leap in Improving quality and safety of healthcare services Moving towards international accreditation for all healthcare facilities Tremendous growth of international accreditation for governmental and public organizations by JCI. UAE is No.1 country in the world that has the highest number of accredited organizations

Distribution Of JCI Accredited Organizations in UAE

Classification of Organizations Accredited by JCI in UAE Type of Accreditation No of Organizations Accredited Hospitals 52 Laboratories 22 Ambulatory Care Centers 11 CCPC 2 Ambulatory Care Network Primary Healthcare Centers 1 Long Term care Medical Transport

Classification Of Accredited Organizations in UAE Type of Organization No. Accredited DHA Hospitals 3 DHA Ambulatory care centers 2 DHCC CCPC Certified programs 1 SEHA Hospitals 6 SEHA Ambulatory care centers SEHA Primary care centers MOH Hospitals Private Hospitals 40 Private Ambulatory Care Centers 8 MOI Ambulatory Care center Private Clinical Laboratories 22 Private CCPC Certified Programs Private Long Term Care Facility Private Medical Transport Program

Classification Of Accredited Organizations in UAE

Major Challenges

Attraction, Retention And Development Of Qualified Healthcare Professionals The private and public healthcare providers suffer from a chronic shortage and turnover of qualified medical staff Part of the challenge deals with compensation and maintenance of competitive pay scales to attract top healthcare professionals. The attraction/retention of staff is also hampered by a lack of continuing education

Cost And Complexity Of Regulation Requirements And Licensing Healthcare sector suffers from a lack of standardization in regulations across the country Inconsistencies in facilities and licensing of professionals Limited staff mobility: doctors licensed in one Emirate are restricted from working in others before issuing a local license, and licensing requirements are different Non uniform record-keeping of disease Medical complaints management Cost of regulatory implementation - implementation of new billing systems in Abu Dhabi based on DRG and E&M is very costly

Quality And Standardization Of Services Managing staff from different cultures, medical approaches and practices and creating patient care standards that all the staff can adopt is one of the major challenges

Insurance Providers Health insurance sector remains faced with a number of pressing challenges including Over-utilization Of Health Services Over-prescription Of Drugs

Outbound Medical Tourism UAE is one of the biggest markets for outbound medical tourism in the Middle East High treatment cost are the main sources of UAE outbound medical tourism

Top 5 opportunities

Specialty Care Centers Opportunities for medical providers in the UAE reside in highly specialized care and centers of excellence Healthcare providers are increasingly differentiating themselves by providing specializations that cover the entire disease cycle from diagnosis to rehabilitation Examples :Establishment of the Imperial College Diabetes Center, Dubai Bones and Joint Center and Abu Dhabi Knee and Sports Center.

Inbound Medical Tourism As per Deloitte‘s 2011 Survey of the UAE health care sector, Dubai is considered a major medical destination hub However Competition within the region is fierce with other competing nations including Lebanon and Jordan.

Long-term Care Facilities There are currently very few long-term care facilities in the UAE Demand for long term care facilities will grow due to growing aging population and the explosion of chronic diseases Long term facilities should be set up to serve patients requiring preventive, therapeutic and rehabilitative nursing care services for non-acute, long-term conditions

Home Care Services UAE government highly supports the development of homecare services The Abu Dhabi government recently launched the “Al Bir Wal Ehsan’ campaign that aims to provide homecare services to elderly and chronic disease patients in the emirate. Private providers have begun to open home care services across the country

Partnerships Between Healthcare Providers Creating partnerships between healthcare providers will improve quality of healthcare and patients’ access to advanced medical equipment in the country

It requires and will continue to require leadership commitment, serious work, continuous improvement

Ashraf Ismail, MD, MPH, CPHQ Managing Director, Middle East Region Joint Commission International