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ホーム  > Seirei Hamamatsu General Hospital  > Third-Party Assessment

Third-Party Assessment

更新日:2015年11月5日

Accreditation by JCI (Joint Commission International)

Seirei Hamamatsu General Hospital was accredited by JCI on November 17th, 2012. We are the 5th hospital in Japan to be accredited, and the first outside of the Kanto region.

The economy and major industries are undergoing rapid globalization, but within this framework, the healthcare industry is slow to internationalize. At our hospital, we wanted to satisfy more than domestic evaluation standards, and sought to become a JCI accredited hospital in order to determine if our standards of “quality” and “safety” are on par with those of the international community.
We took the triennial survey as the first time on August 24th through 28th, 2015, and then renewed the accreditation by JCI. The 5th edition of the JCI Accreditation Standards for Hospitals contains 1,146 measurable elements in 14 chapters (see below). Four surveyors from foreign countries mainly from USA came to our hospital. The language to communicate with them is English, and we must arrange professional interpreters for the survey. Surveyors see things in hospitals in a patient-like way from admission through discharge, which is called the patient tracer method. They asked many staff members including physicians, nurses, lab technicians, and clerical employees, and asked even patients. The survey was certainly tough work. However, we accomplished renewal of the JCI accreditation.
In order to maintain this chance to compare our level to world standards, we will continue to undergo survey every 3 years. We believe that through this process, each staff member will have confidence in their abilities and will produce the best possible health care environment for our patients.
Chapter 1International Patient Safety Goals(IPSG)Chapter 8Patient and Family Education(PFE)
Chapter 2Access to Care and Continuity of Care(ACC)Chapter 9Quality Improvement and Patient Safety(QPS)
Chapter 3Patient and Family Rights(PFR)Chapter 10Prevention and Control of Infections(PCI)
Chapter 4Assessment of Patients(AOP)Chapter 11Governance, Leadership, and Direction(GLD)
Chapter 5Care of Patients(COP)Chapter 12Facility Management and Safety(FMS)
Chapter 6Anesthesia and Surgical Care(ASC)Chapter 13Staff Qualifications and Education(SQE)
Chapter 7Medication Management and Use(MMU)Chapter 14Management of Information(MOI)

Inquiries

JCI OfficeResponsible party: CQI Center
Contact Information: 053-474-2222 (call center)

What is JCI?

JCI (Joint Commission International) is a non-profit organization based in Chicago, USA that specializes in hospital accreditation. Originally an organization that accredited medical facilities in the United States, it changed its name to JC (Joint Commission) and began accrediting hospitals around the world through its international division, JCI. JCI is a third party evaluator pursuing “quality medical care”, but secondary to offering a world standard of medical care, it can be thought that this system correlates to international competitiveness. JCI urges hospitals to engage in constant, overall improvement. In terms of preventing the occurrence of problems, JCI stresses improving the entire system rather than rely on individuals pay closer attention, etc. Renewal of accreditation occurs every 3 years, so at a fixed interval hospital standards are reevaluated. JCI evaluation standards consist in entirety of 14 chapters. The survey involves checking to see if the hospital fulfills all of these evaluation standards.

JCI Home Page(Opens in a separate window)

Japan Council for Quality Health Care Accredited Hospital

(Public utility) Japan Council for Quality Health Care Accredited Hospital (General Hospital)

From the time our hospital first opened, our concept has been to have pride in doing the best we possibly can for each patient, and in order to provide the very best medical care we have striven to improve our services. Undergoing “Hospital Functionality Evaluation” by the Japan Council for Quality Health Care was a part of this.

We were first evaluated in 1997, and every 5 years since then we have been evaluated and accredited. Our current accreditation is our 4th (Ver.6.0).

“Hospital Functionality Evaluation” is a system for evaluating if a hospital is properly carrying out medical activities (functions) in order to offer medical care in a systematic way. Contents of the evaluation include the hospital’s systematic foundation, operations, management, medical practices and quality of nurses, patients’ safety, security, and privacy, respect for human rights, and community achievements.

We continue to strive for excellence in the medical care we offer, and our cooperative staff is committed to meeting these goals.