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Joint Commission International

Carlo Ramponi,

Joint Commission International,

European Office, via Ripamonti 44, Milano

Risk Management in Ospedale tra Governance e Assicurazioni

Cineas, Milano 21 giugno 2012

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2

A government or non-government agency

grants recognition to health care institutions

which meet certain standards that require

continuous improvement in structures,

processes, and outcomes

Usually a voluntary process

Accreditation – A Definition

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Potential Return on Investment

1. Greater clarity to leadership structure and quality oversight

2. More efficient, cost effective work processes

3. Better preventive maintenance program – longer life of biomedical equipment

4. Improved care – fewer complications

5. More satisfied staff – better retention and lower recruitment and training costs

6. Better safety management, and risk reduction – reduced liability exposure

7. Special recognition from payment sources and insurance companies

8. Better reputation -- increased number of new patients

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AOP

COP ACC

PCI

QPS

MCI

SQE

FMS

GLD

PFRPFE

FUNCTIONS

MMU ASC

IPSG

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The Systemic Approach

MMUCOP

FMS

QPS

ASC

PFRPFE

PCIIPSG

GLD

SQEMCI

ACC AOP

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International Patient Safety Goalssince 2007

1. Identify Patients Correctly2. Improve Effective Communications3. Improve the Safety of High-Alert, High Risk

Medications4. Eliminate Wrong-side, Wrong-patient, Wrong-

procedure Surgery5. Reduce the Risk of Health Care-acquired

Infections6. Reduce the Risk of Patient Harm Resulting

from Falls

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7

Type of Sentinel Events: TJC USA database

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Sentinel Events Outcomes

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Most Frequently Identified Root Causes

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International Library of MeasuresThe International Perspective

Ongoing self-evaluation as a mandatory requirement for accreditation recognition

5 out of 11 clinical measures drawn from ILM

International Comparison based on ILM collected by JCI from JCI accredited hospitals

ILM development based on JCI accredited hospitals suggestions and international experience

The Adverse Events International data-base.

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Thank you

For more information:

• On JCR products and services• www.jcrinc.com• +1630-268-7400

• On JCI accreditation and advisory services• www.jointcommissioninternational.org• +1630-268-4800

• Carlo Ramponi, MD JCI Europe• cramponi@jcrinc.com• +393477295364