1. Thomas Kozlowski PhD Senior JCI Consultant Certified Change Management
6th International Health Tourism Congress Global Hospital Accreditation Trends and Turkey
Thomas Kozlowski PhD
Senior JCI Consultant
Certified Change Management

2. Objective Understand the JCI structure and history of global services
Understand the Ministry of Health (MoH) of Turkey, and JCI accredited hospitals in Turkey for providing services in Global Health Tourism
Understand how MoH of Turkey and JCI entered into collaboration focusing on Quality Outcome and Patient Safety Standards of Care

3. The world’s leading practices
delivered

4. Transforming patient safety and quality of care
Joint Commission International (JCI)
More than 600 accredited or certified organizations in 51 countries
Founded in 1994
Who JCI is
Transforming
patient safety
and quality of care
Joint Commission Resources (JCR)
- Nonprofit affiliate of The Joint Commission
Founded in 1986
Quality and safety innovations
Accreditation resources, tools for reducing quality and safety risk areas
The Joint Commission
- Leading accrediting body for health care institutions in the U.S.
- 19,000+ accredited organizations
Founded in 1951

5. Transforming Patient Care Across the Globe….
Working with the MoH of Turkey, private Hospitals, and other healthcare facilities for healthy solutions…
To improve quality and patient safety
To achieve peak performance in the international health care community

6. Transforming Patient Care Across the Globe…
Our JCI team:
World headquarters in North America
Regional offices in Asia-Pacific, Europe, and the Middle East
A full service headquarters staff
More than 200 international consultants and accreditation surveyors

7. JCI Strategies Deliver Sustainable Results
We focus on the highest patient-care standards and results-oriented process improvement.
We are considered the “gold standard” for patient safety and quality improvement in the global health care community.
Our experts assist organizations in three ways:
- Accreditation and certification
- Education
- Technical assistance

8. Leading Practices Shared with the World
Our international team of experts makes JCI for the delivery of local care
JCI provides high-value, cost-effective services to organizations of all sizes and at every stage in their quality improvement journey
In Turkey, JCI collaborated with the MoH Turkey, private hospitals, and other healthcare facilities since 2002.

9. JCI Accreditation Programs
International Accreditation Programs and Start Dates:
Hospitals – 1997
*5th Edition effective April 2014 as a part of demand on Global Trends with change in Medical technology / informatics.
Ambulatory Care Clinics– 1998
Clinical Laboratories – 1998
Medical Transport – 2003
Primary Care Centers – 2009
Home Care – 2012
Long Term Care
Academic Medical Centers

10. JCI Other Initiatives with Global Medical Tourism in Mind
International Patient Safety Goals – 2007
Tracer Methodology – 2007
Clinical Care Program Certification (CCPC) for Disease & Condition Specific Care – 2010
Academic Diploma in Quality Management – 2012
Academic Diploma in Infection Control Management – 2012
JCI Library of 36 Measures – 2013
Academic Medical Center & Research

11. JCI Clinical Care Program Certification (CCPC)
15 areas of clinical care are eligible for CCPC:
- Heart Failure
- Acute Myocardial Infarction
Primary Stroke
Chronic Kidney Disease
Palliative Care (all types)
HIV/AIDS Management
Pain Management
Joint Replacement (all types)
Traumatic Brain Injury
-Chronic Obstructive Pulmonary
Disease
- Diabetes Mellitus (Types 1 and 2)
End-stage Renal Disease
Cancer (all types)
Asthma
Transplantation (all types)

12. JCI Accreditation helps organizations
achieve the apex of safe, quality care
Accreditation for every setting
JCI has accredited or certified more than 600 organizations in 51 countries
Turkey has 47 JCI Accredited Organizations, with accreditation programs in:
- Ambulatory care – Turkey 1 - Clinical Laboratory – Turkey 2 - Home Care - Hospital – Turkey Long Term Care - Medical Transport – Turkey 1 - Primary Care

13. Locations of Turkey- JCI Accreditations
Hospitals ---- Adana, Ankara, Antalya, Bursa, Istanbul, Izmir, and Kocaeli
Ambulatory Istanbul
Clinical Laboratory Ankara
Medical Transport Istanbul

14. JCI Collaboration with MoH Turkey 1997-2013:
JCI Begun working in Turkey since 1997 starting with many private hospitals and clinics throughout Turkey on important perspectives dealing with healthcare policy, quality, and patient safety from JCI European region area
Regional educational programs to selected MoH leaders on JCI quality measures
It began in 2008 with a three (3) month intensive training on quality based on JCI standards to more than 300 selected MoH staff consisted of physicians, nurses and administrators

15. MoH Turkey with JCI Collaboration 2008-2013:
An Initial Quality Education, Assessment and Gap Analysis designed to identify both strengths and weaknesses in the delivery of care in selected MoH Turkey organizations were performed in 2008
With the local MoH Turkey leaders, JCI Senior Consultants extended those activities to other MoH Hospitals in the cities as below:
Trabzon ,
Denizli
Erzurum

16. MoH Turkey and JCI began their continuous quality improvement journey in 2008 with the following steps:
Selection and Training of Surveyors for the Accreditation Process – Completed in 1st QTR 2008
More than 300 surveyors held an advanced degree
Some had 20 years and more of health care experience
Most were physicians, nurses, and administrators

17. JCI Technical Assistance to MoH Turkey to build Staff Knowledge and Support
Healthcare Organizations in Turkey worked with JCI consultation team for improvement and sustainable solutions in 2008:
- Safe Health Design - Infection Prevention and Control
- Medication Management
- Medical Transport Services
- Multidrug-resistant Organism Prevention
- Policy Development
- Root Cause Analysis
- Licensure Redesign Project

18. MoH Turkey and JCI continue their journey in 2013 with the following steps:
Unique tracer methodology hands on training
Developed by the Joint Commission and first used internationally by JCI to assist organizations
achieve the apex of safe, quality care
Utilized and adopted by MoH Turkey Hospital Accreditation’s new process
Evaluates the actual care a patient receives
Tests and verifies an organization’s survey readiness and performance improvement in several quality-driven areas

19. MoH Turkey and JCI continue their journey in 2013 with the following steps:
Thorough survey process becomes Operational:
Typical survey team consists of a physician, nurse, and administrator
Surveyors evaluate various units within an organization and meet to discuss their finding
Surveys conduct a complete system analysis on integration and coordination of care processes

20. JCI Enhanced 2013 Technical assistance
JCI provided support to the Ministry of Health in Turkey in in several areas:
Accreditation and Certification Preparation - Development of Hospital Accreditation Standards
- Organizational Assessment - Training and education of surveyors on Hospital Standards
- Simulated Survey
Quality and Safety Improvement Workshops Refinement and Linkage to Turkey National Hospital Accreditation
- Safe Health Design - Infection Prevention and Control - Multidrug-resistant Organism Prevention
- Policy development - Medication Management

21. MoH Turkey and JCI Position for Global Medical Tourism
Quality and Safety Improvement
JCI advisors assisted MoH Turkey’s performance improvement efforts in these quality-driven areas:
Safe Health Design —  Integrates architectural design and facility engineering with clinical safety and quality to create optimal physical environments
Infection Prevention and Control — Build and sustain a strong infection prevention and control program with our tools, techniques and education
MDRO Prevention — Implements leading edge, evidence-based processes to prevent and control MDROs in the hospital
Medication Management — Prevents medication errors and deaths by understanding the complex medication systems and identifying their risk points
Quality Improvement and Management — Incorporates relevant quality measures to achieve your continuous improvement goals
Policy Development and Management —  Develops a results-oriented policy structure that guides staff to deliver higher quality care

22. MoH Turkey and JCI partnership 2013 resulted in:
Design and Development of Turkey’s 1st Hospital Accreditation Standards with the support and involvement of MoH Kamu Hastaneleri Kurumu (KHK) senior leadership and departments
Intensive Competency based training on Turkey’s new Hospital Accreditation [classroom & field observation] of 60 consultants / surveyors to be finished by the end of 4th QTR 2013.
Operational Success is credited to MoH KHK senior leadership and project leader coupled with the department chairs and team members from MoH

23. JCI and MoH Turkey Solid Healthcare Partners in 2013 (Continued)
Organizational MoH Organizations in
Analyzes in-depth MoH Turkey’s current abilities to meet the JCI 4th Edition standards as the foundation for the Turkish Accreditation Standards
Prioritize standards reflecting Healthcare delivery in Turkey and globally using JCI 5th Edition of Hospital Accreditation Standards

24. Introduction Consultation
Hospital Accreditation Preparation – MoH Turkey- Kamu Hastaneleri Kurumu- design with JCI on Hospital accreditation included:
Introduction Consultation
How to design an accreditation for trends in Turkey and globally
Analysis of JCI’s preparation process and what criteria could be applied to the Turkish healthcare system for the global patient
Preliminary analysis of Turkey’s healthcare delivery system strengths and weaknesses
Prepare a plan to move forward

25. National Accreditation of Turkey Preparation Process
Organizational Assessment
Off-site Document Review
Turkey Hospital Accreditation Survey
Ongoing Technical Assistance
Mock Survey
Ongoing Technical Assistance
10-14 Months

26. The Value of Accreditation and Certification
Create a culture of safety and quality that focuses on continuous improvement
Earn GLOBAL RECOGNITION with the standardized Hospital accreditation approach to the delivery of healthcare service/treatment. This approach links to medical tourism fostering public trust from the global patient and recognition by clinicians
Involve patients and families as partners in the care process
Enhance safety and efficiency in the work environment that contributes to staff satisfaction
Negotiate for payment reimbursement using quality data
Establish collaborative leadership that strives for excellence

27. Collaboration that Produces Results
JCI is dedicated to making health care safer throughout the world through:
- Establishing strategic alliances with a variety of leading organizations, innovators, governments, and Ministries of Health
- Developing national accreditation programs and self-assessment systems
- Providing education and training to health care professionals
- Assisting in developing standards and evaluation methodologies
- Understanding and making accommodations for any specific legal, religious, and cultural factors within a country

28. Accreditation Process Time Line
The JCI Time Line shown closely mirrors the MoH Turkey Accreditation Time Line

29. Technical assistance Lean Six- Sigma Change Management
JCI used diverse services in many ways during their activities in Turkey, from on- site assistance to distance advising with tools including:
Lean
Six- Sigma
Change Management

30. Future Planning for the Global Hospital
Environment – Does it make the patient feel safe and comfortable
Patient Flow – How quickly can patient be seen by doctor and supportive departments like laboratory, radiology and pharmacy.
Communication - Doctors will need be fluent in another language – like English
Medical Equipment - may need replacement with state-of-art equipment
Billing for service - Patients will be seeking an affordable health safety net

31. Headquarters and regional offices
Headquarters Oak Brook, IL USA Voice
Joint Commission International
Consulting Voice
Accreditation Voice
Middle East Office P.O. Box Bldg 27, Suite B503
Dubai Healthcare City Dubai United Arab Emirates Voice
Fax
Asia-Pacific Office 37th Floor Singapore Land Tower 50 Raffles Place Singapore Voice Fax

32. JCI is there for YOU

33. Thank You!
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