JCI Standard MCI.1

I am going to watch a movie on ASTRO Fox Movies Premium after this, and cannot help but post this off as I have finished it already.

Pals, I need to stop blogging here pretty soon, as I got other blogs to maintain as well, amongst which – one in particular, so posts here will be delayed or less frequent, unless I am fully energised and wish to rush a post here.

So here goes!

In the JCI Accreditation Standards for Hospitals – Introductory Post dated May 23, 2012 I had posted about the Management of Communication and Information (MCI) function and its direct and indirect relationship to the management of medical records.

In this post I shall talk about the first standard under this MCI function, namely “Communication with the Community, MCI.1” which states “The organization communicates with its community to facilitate access to care and access to information”.*

As part of a hospital, the Malaysian Medical Records Department (MRD) communicates directly to individuals but it is not normally authorised to communicate through public media and through agencies within the community or third parties.

There are 21 standards for this function, including 4 sub-standards and one sub=sub-standard for standard MCI.19, and 2 sub-standards for standard MCI.20.

Each standard has specific requirements. The Measurable Elements (MEs) are these specific requirements for each standard. The MEs simply list what is required to be in full compliance with the standard. The MEs will be reviewed and assigned a score during the accreditation survey process.

For MCI.1, the MEs measure the compliance of the MRD of the hospital to the requirements of this standard.  The MEs measure if:

  • the MRD has identified its communities and populations of interest.
    • I think these defined key groups will include all forms of patient contact with the hospital such as emergency care patients, outpatients discharged patients, and non-patient groups like the next of kin, members of the general public, students, the Polis, and sometimes even members of the Press and Media.
  • there is a communication strategy plan incorporating an on-going communication plan with its defined key groups of their communities and patient populations
  • there is information provided to the public and to referral sources on MRD services, hours of operation, and the process to obtain care
  • the MRD provides information on the quality of services to the public and to referral sources

If the MRD fully meets these requirements (full compliance), then I think the MRD as part of the organisation, has succeeded in communicating with its community to facilitate access to care and access to information.

Please note that this standard also applies to other departments of the hospital that also communicate with the community to facilitate access to care and access to information, for example the Public Relations Department.

JCI Accreditation Standards for Hospitals – Introductory Post

I have some free time this evening here, and it’s just 9:25pm as I finish this post for you, I worked on after dinner.

I am posting this post which introduces a subject matter close to my heart, Quality in Healthcare.

In this respect, I wish to share my experiences when I managed quality management with the Pantai Group of Hospitals, by putting together relevant posts which would benefit the quality of medical records you are managing.

These posts will be specific to the process of accreditation of the International Standards for Hospitals, developed by the Joint Commission International (JCI), USA. The JCI Accreditation Standards for Hospitals has been updated, and now is in its fourth edition, effective 1 January 2011.

You already know accreditation is usually a voluntary process “in which an entity, separate and distinct from the health care organization, usually nongovernmental, assesses the health care organization to determine if it meets a set of requirements (standards) designed to improve the safety and quality of care.”* 

How is the health care organisation assessed?  What are then these  JCI standards to improve the safety and quality of care?

The standards are organised around the important functions common to all health care organisations, namely the Patient-Cantered Standards related to providing patient care, and the Health Care Organisation Management Standards – those related to providing a safe, effective, and well-managed organisation.

One must not forget that all these functions apply to the entire hospital as an organisation as well as to each department, unit, or service within the hospital.

You will also be aware of a survey process which gathers standards compliance information throughout the entire hospital, and the accreditation decision is based on the overall level of compliance found throughout the entire hospital.

I think I shall wrap up this very brief introduction on accreditation, and move on to  what I wish to share.

What I wish to share primarily is to convey in my subsequent posts on the JCI accreditation process which specifically relates to the standards relevant to the Management of Communication and Information (MCI) function, and their direct and indirect relationship to the management of medical records.

I need to tell you that these MCI standards relate to the communication process to and with the community, patients and their families, and other health professionals as well on the information about the science of care(of medicine), of individual patients, of the care provided, of the results of care, and their own performance.

 * Joint Commission International, Joint Commission International Accreditation Standards for Hospitals, page 1, 2010, U.S.A