JCI Workshop Moscow, June 5 th 2012

EPOS is a German consulting company with more than 300 clients (hospitals + insurance companies) in  Germany  Austria  China  Great Britain  Italy  Libya  Luxembourg  Russia  Switzerland  Ukraine  UAE JCI Workshop Moscow About EPOS

During those years four areas of competence have evolved that specifically define our company today. We are very confident that these topics will also determine the change of healthcare systems with regard to structure, financing, and competitiveness. JCI Workshop Moscow About EPOS

Start of the first JCI project in Germany in 1999 Based on the pre-edition draft of the first manual Just JCI started earlier in Brazil In Germany 6 hospitals started in parallel Start of the first JCI project in Austria in 2001 JCI Projects in Germany and Austria When JCI Accreditation started in Germany and Austria

All activities of hospital accreditation in Germany failed during the years before The ISO certification was not accepted by insurance companies The German KTQ certification system was just in preparation The hospitals decided to stop waiting an to implement a proved international system JCI Projects in Germany and Austria Why the hospitals started JCI

Improvement of patient safety Implementation of corporate government Implementation of standardisation Comparison with the international hospital manage- ment and organisational standards Implementation of pragmatic change management guidelines Implementation of an successful excellence program International recognition JCI Projects in Germany and Austria Why the hospitals started JCI

Joint Commission International How To Use JCI Standards Safety Check (Organizational Status) Evaluation of the organizational degree Improvement Period I Progress Assessment I Improvement Period II Progress Assessment II ….. Final Improvement Assessment JCI Survey about 4 weeks about 3-5 days about 8-17 month about 5 days

Joint Commission International How To Meet The JCI Standards JCI ACCREDITATION Status Report Accreditation Quality Safety Efficiency IMPROVEMENT PROGRAM SAFETY CHECK

We have still a confused situation reg. KTQ, ISO and other quality initiatives “JCI user” are changing with the change of hospital management Some clients don´t go for accreditation they use JCI standards in form of an “echo sounder” Finally just advanced + excellent hospital management and organisation will reach JCI accreditation JCI Accreditation is New improvement because of the new business for healthcare facilities: Medical Tourism JCI Projects in Germany and Austria Further development in Germany and Austria

Arguments from two 3-day test-projects in Novosibirsk First time that such an inspection was focused on the daily medical business and not on formal instruction Never before an external practitioner spoke in such a professional way with our practitioner It was the first time that the “inspectors” have recom- mended from colleague to colleague instead to criticize We never expected so many risks, difficulties and organisational gaps in our organisation …………… JCI Projects in Germany and Austria From Germany and Austria to Russia

It is not a system to document how advanced is your medical equipment It is not a system to document how advanced are the skills of your medical doctors It is not a system for analyse and improvement of administrative processes without effect on patients It is just a system to improve corporate governance for patient safety as well as management and staff safety based on advanced international standards + comparison JCI Projects in Germany and Austria From Germany and Austria to Russia