第十七届临床医学工程学术大会在京隆重召开

大会正式开始后由五位专家做了精彩的学术报告。解放军总医院器械处刘尚军副处长在报告中介绍了JCI医院评审体系,并对解放军总医院评审JCI体系的情况作了说明。JCI体系是美国医疗机构国际联合评审机构委员会对美国本土以外医疗机构实施的质量评价体系,区别于ISO9000标准更适用于医院。评审通过后每3年进行复评,重新审核,更注重于医疗机构软件和技术水平的考核,     

JCI理念及其对医院健康教育的影响

医疗机构国际联合委员会的质量管理和医院评审是一套结构完整且科学的医疗质量评价体系,《JCI标准》的每一章内容均可用于指导医疗活动,规范质量管理,患者和家属的教育（PFE）是JCI标准的一个章节,在医院评审中占有重要地位。本文介绍运用JCI的标准与理念,探讨全员参与的健康教育模式,促使健康教育质量持续改进。     

JCI标准特点解析及其对中国医院评审的影响

《美国医疗机构评审国际联合委员会医院评审标准》（简称《JCI标准》）是国际上公认的先进医疗服务标准。本文系统的介绍了“美国医疗机构评审国际联合委员会”JCI及《JCI标准》的历史、理念、特点及内容,并对《JCI标准》的特点进行了解析,同时将其与《三级综合医院评审标准实施细则》（2011年版）的理念、方法及内容进行了比较分析。强调我国医疗机构借鉴和使用《JCI标准》有利于提高医疗服务水平,促进医疗安全。     

基于JCI标准的医院管理模式初探

美国医疗机构评审联合委员会(joint commission on accreditation of haealthcare organization,JCAHO)是美国国内实施医疗机构评审的专业组织,国际联合委员会(Joint Conission International,JCI)负责对外联络与交流,并为其他国家或地区提供其制定的医疗机构评审标准[1-3].JCI医院评审标准是对医院建立的一种国际标准,最大限度地实现医疗服务"以人为中心"的理念,促进医疗质量提高.也可以说,JCI同样是一种方法,一种思维模式,其中许多的内容需要我们的医院管理人员去填写的.因此,如何依据JCI标准,结合我国国情,借鉴国际医院管理的先进经验,探讨适合自身医院的管理模式,促进医院管理的科学化、规范化和标准化,不断提高医疗服务质量,是医院管理的关键.     

基于JCI标准的医院管理模式初探

美国医疗机构评审联合委员会(joint commission on accreditation of haealthcare organization,JCAHO)是美国国内实施医疗机构评审的专业组织,国际联合委员会(Joint Conission International,JCI)负责对外联络与交流,并为其他国家或地区提供其制定的医疗机构评审标准[1-3].JCI医院评审标准是对医院建立的一种国际标准,最大限度地实现医疗服务"以人为中心"的理念,促进医疗质量提高.也可以说,JCI同样是一种方法,一种思维模式,其中许多的内容需要我们的医院管理人员去填写的.因此,如何依据JCI标准,结合我国国情,借鉴国际医院管理的先进经验,探讨适合自身医院的管理模式,促进医院管理的科学化、规范化和标准化,不断提高医疗服务质量,是医院管理的关键.     

通过JCI评审提升医院科学管理水平

医疗质量和安全是医院生存和发展的灵魂，也是核心竞争力。通过美国医疗机构评审联合委员会国际部（Joint Commission International，JCI）的评审，建立基于JCI标准的质量管理新体系，促进医院的建设和发展，提高规范化和科学化管理水平，推动医疗质量的改进和提高，体现“以病人为中心”的服务理念，为创建接轨国际医院建立坚实的平台。     

美国几种医院评价方法介绍及启示

客观的医院质量评价有助于了解医疗服务状况和技术发展水平,也有助于患者选择合适的医院和专科,更有助于政府按需实施医院投入与补偿等政策.美国在这一方面起步较早,拥有美国最佳医院( America's best hospitals)、汤森路透百佳医院(Thomson Reuters 100 top hospitals,原名Solucient 100 top hospitals)等知名的评价方法,他们每年都发布医院质量排行榜及相关报告,已成为公众择院就医的重要参考、医院发展的声誉资本和发展动力.     

基于JCI标准的医院质量管理新体系的探讨

我院是一家国有大学综合性附属医院。建院10年来，医院参照美国先进的管理模式，同时根据我国的具体情况，成功地探索出了一套比较适合中国国情的现代化医院管理模式。医院为了进一步适应我国加入WTO后医疗经营管理理念和管理模式的转变，从根本上提高医院管理质量，于2003年8月开始引进医疗机构评审联合委员会国际部(Joint Commission International，以下简称JCI)医院评审标准，创建医院质量管理新体系，已取得了一定的成效。     

按JCI标准推进军队医疗保障制度改革

1 JCI医院评审标准简介 美国医疗机构联合评审委员会国际部（Joint Commission International，JCI）是美国医疗机构联合评审委员会下属的一个国际性分支机构，创建于1998年。其第2版“国际医院评审标准”于2003年启用，宗旨是通过医疗机构评审，促进医疗质量的持续改进和医疗机构绩效的提高，促进全球卫生保健质量与患者安全的改善。其内容格式为引言、标准、附录和词汇表四个部分。重点为评审标准部分，主要分为以患者为中心的相关标准和医疗机构管理标准。该标准的主要特征是以国际公认的标准为基础，把质量管理与持续质量改进作为基本理念，主要涉及患者及家属的基本权利、为患者提供安全的医疗设施、减少医疗过程的风险。     

对我国医院评审标准的再认识

为探讨医院实施持续质量改进的思路与途径,建立一个具有中国特色的医院评审指导原则框架,回顾了医院评审的历史.对美国医疗机构国际联合委员会(JCI)与中国医院评审2个标准体系的背景与内容进行了比较.分析了两者的特色和存在的问题,以及在关注的侧重点、范围、内涵,行业特征上的差异.认为医院评审标准具有巨大的导向作用,必须立足于我国医院现状,将2个标准有机地结合起来,强调建立中国医院评审标准的落脚点是质量与效益.     

JCAHO's 'Agenda for Change' to place new demands on systems

The Joint Commission on Accreditation of Healthcare Organizations hasn't told hospitals enough about the new demands that its "Agenda for Change" will place on hospitals' information systems. Hospitals will have to be able to abstract medical records electronically and analyze their data to fully benefit from the program, executives at one test site say.     

Norton healthcare report will cover 200+ indicators

The publication on the web will include indicators from the National Quality Forum, Joint Commission on the Accreditation of Healthcare Organizations, Agency for Healthcare Research and Quality, and Centers for Medicare & Medicaid Services. Only national sets will be used to maintain transparency for consumers and competitors. Kentucky hospital contends this new initiative will cause staff to pay greater attention to quality.     

New JCAHO standards require integrated patient safety program

The Joint Commission on Accreditation of Healthcare Organizations is getting mostly positive reviews on its recently approved standards focused on patient safety and medical error reduction in hospitals. But experts warn that integrating these new standards into existing safety protocols will be no easy task. The new standards augment the nearly 50% of current Joint Commission standards related to patient safety. Requirements for establishing ongoing patient safety programs in organizations accredited under the Comprehensive Accreditation Manual for Hospitals will be added in the areas of leadership, management of information, and other functions.     

JCAHO takes new approach to quality

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has recently released its 1992 Accreditation Manual for Hospitals. A shorter, more concise version of its 1991 counterpart, the 1992 version marks the beginning of a multi-year transition to standards that emphasize the application of continuous quality improvement principles and concepts. In an effort to clarify some of the changes, Michigan Hospitals asked JCAHO officials to provide answers to some of the most commonly asked questions about the new standards. Following are their responses.     

Hospitals find probation by JCAHO not as bad as they had imagined

When the Joint Commission on Accreditation of Healthcare Organizations began conditionally accrediting hospitals two years ago, hospitals projected dire consequences. But interviews with hospitals that have been put on probation for quality problems by the JCAHO show that all regained full accreditation and few suffered any significant financial hardships.     

Groups vie for lucrative managed care accreditation business

The race is on to determine which organization will become the accreditation agency of choice for the managed care industry. At stake is enormous clout at the state and national levels--and a lot of money. Squaring off against the traditional accreditation leader, the Joint Commission on Accreditation of Healthcare Organizations, are: the National Committee for Quality Assurance, the American Association of Preferred Provider Organizations, and the Utilization Review Accreditation Commission.     

Strategic opportunities in the oversight of the U.S. hospital accreditation system

Hospital accreditation and state certification are the means that the Centers for Medicare & Medicaid Services (CMS) employs to meet quality of care requirements for medical care reimbursement. Hospitals can choose to use either a national accrediting agency or a state certification inspection in order to receive Medicare payments. Approximately, 80% of hospitals choose the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The purpose of this paper is to analyze and discuss improvements on the structure of the accreditation process in a Principal-Agent-Supervisor framework with a special emphasis on the oversight by the principal (CMS) of the supervisor (JCAHO).     

Eight deadly blunders. Common mistakes in protecting against Legionella

A year has passed since the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), under EC 1.7, began requiring all accredited hospitals to "reduce the potential for organizational-acquired illness ... managing pathogenic biological agents in cooling towers, domestic hot water and other aerosolizing water systems."     

Quality leaders differ on accountability measures

Leaders of the National Committee for Quality Assurance, Joint Commission on Accreditation of Healthcare Organizations and the Foundation for Accountability agree that performance and outcomes measures need to be standardized-but they disagree on how.     

JCAHO begins surveying for new pain standards

New pain assessment and management standards instituted by the Joint Commission on Accreditation of Healthcare Organizations will become a part of surveys conducted this year, and could be part of the Joint Commission scores for hospitals and other agencies beginning in 2001. This month, we provide a run-down of what those standards include.