Health Care Quality Management & Patient Safety Diploma Program. Innovative education for today s quality professionals

Transcription

1 Health Care Quality Management & Patient Safety Diploma Program Innovative education for today s quality professionals

2 Overview

3 Innovative education for today s quality professionals

4 Develop your staff through leading education from JCI Quality and safety improvement leads directly to better patient outcomes, improves operational productivity, increases patient and staff satisfaction, and reduces costs. This unique program is designed to advance quality and safety in your organization. Government ministries, hospitals, health systems, and universities are working with Joint Commission International ( JCI) to bring evidence-based education to staff through JCI s Health Care Quality Management & Patient Safety Diploma Program.

5 Partner with JCI to achieve your quality and safety goals Every day JCI consultants work with health care organizations to establish and refine their quality programs. These organizations face similar challenges: What does an optimal quality department look like? What kind of data do we need to collect? How can we measure and repeat success? To help organizations create and strengthen quality initiatives, JCI has created its distinctive Health Care Quality Management & Patient Safety Diploma Program. This university-level educational experience specifically for hospital staff teaches best practice performance improvement strategies. Participants learn how to apply evidence-based tools and practices within their organizations and share practical solutions with their care teams. Program graduates are better equipped to drive quality initiatives within their organizations and achieve measurable goals and sustainable results. Benefits to participants Understand and advocate for a consistent quality function Become adept at collecting and reporting data Use quality data to augment and monitor performance improvement Share tools and strategies with team members Gain knowledge and training Benefits to health care organizations Elevate, expand, and standardize the quality function Train staff in the latest, most sophisticated quality methods Infuse care teams with expertise from newly trained staff Strengthen staff support of sustainable improvements Achieve stated quality and safety goals

6 How the diploma program works The integrated curriculum is presented in eight modules over 10 months (a traditional academic year)*: 1 Principles of Quality Management and Patient Safety in Health Care 2 Leadership and Planning in Quality Management 3 Information Management in Health Care Quality 4 Systems Approach to Quality Management 5 Data Collection in Performance Measurement and Quality Management 6 Principles of Performance Measurement and Data Analysis 7 Patient Safety and Risk Management 8 Fundamentals of Health Care Improvement For each module, faculty and participants meet in class for five full days. A variety of educational techniques are employed, including lectures, discussions, case study reviews, interactive group exercises, and student assignments using an array of quality tools and methods. The educational experience allows for personalized attention and dialogue. Students are evaluated and mentored throughout the program. Their progress is monitored and, with successful completion, they receive a diploma. *The curriculum can be modified to address your organization s most pressing quality and safety needs.

7 Selecting your quality champions JCI s Health Care Quality Management & Patient Safety Diploma Program represents an excellent career-building opportunity for individuals who have been charged with establishing or managing a quality department or with strengthening quality initiatives within their organizations. To be eligible, participants must work full-time in a hospital or health care facility, have quality-focused responsibilities, and meet other eligibility requirements established by the sponsoring university or organization. Once selected, students must participate in classes, complete required readings and homework, and pass mandatory tests. Helping you on your quality journey For information about this innovative program, contact: Asia-Pacific Prabhu Vinayagam, Managing Director, Asia-Pacific Office [email protected] Voice Middle East Ashraf Ismail, Managing Director, Middle East Office [email protected] Voice Other Regions Lori Shanahan, Associate Director, International Services [email protected] Voice Before this program, I tended to avoid quality issues because I was afraid they would constrain my practice of medicine. However, this program completely changed my thinking and by graduation I became a quality champion. Today I enjoy applying what I learned to improve performance at my hospital. Primary care physician 2012 graduate Saudi Arabia

8 jointcommissioninternational.org JCI: Leading practices shared with the world As the international not-for-profit affiliate of The Joint Commission, JCI helps to improve the quality and safety of health care through accreditation services, education, publications, and advisory services. JCI experts understand and help meet the needs of diverse health care organizations and systems in more than 100 countries by providing high-value, cost-effective services at every stage in the quality improvement journey. Headquarters 1515 West 22nd Street Suite 1300W Oak Brook, Illinois USA Voice Fax Joint Commission International Consulting Voice Joint Commission International Accreditation Voice Follow us Asia-Pacific Office 37th Floor Singapore Land Tower 50 Raffles Place Singapore Voice Fax Middle East Office P.O. Box Bldg 27, Suite B503 Dubai Healthcare City Dubai United Arab Emirates Voice Fax Other Regions Joint Commission International (JCI) is a division of Joint Commission Resources, Inc., a wholly controlled not-for-profit affiliate of The Joint Commission. JCI provides leadership in international health care accreditation and quality improvement. QMAR0714

9 Faculty

10 Expert faculty provide leading-edge quality perspectives The Health Care Quality Management & Patient Safety Diploma Program created by Joint Commission International (JCI) features a faculty with decades of experience in performance improvement and patient safety. Shakil Ahmad, MBBS, DipMed, MHCM, CPQM, JCI Consultant, Certified Green Belt Dr. Ahmad has more than 16 years of experience in international health care management and quality as well as expertise in medical staff leadership, privileging, credentialing, and bylaws. He has held positions as a quality improvement physician, hospital administrator, head of medical staff performance and review, senior quality specialist, and quality manager. During his tenure with a regulatory health authority in the United Arab Emirates, Dr. Ahmad was responsible for overseeing JCI accreditation at two hospitals and implementing regulatory policies and standards. He has chaired and presented at numerous international conferences, including the ISQua (International Society for Quality in Health Care) Conference in London, the International Quality Conference in Muscat, Oman, and the Middle East Quality Conference in Dubai. Dr. Ahmad earned a medical degree from the Royal Postgraduate Medical School, London (UK) and a master s degree from Oxford Brookes University, Oxford (UK). Zakarai Zaki Al-Attal, MSN, PhD, CPHQ, JCI Consultant Dr. Al-Attal is an expert in implementing quality concepts in organizations to enhance the quality of health care services. Most recently, he was director of quality and performance management at the Dubai Health Authority, where he oversaw quality, risk management, performance management, and accreditation programs in four government hospitals and specialized centers of the Authority. Currently he works with the ministry of health. His experience includes consulting engagements in the Middle East, Asia-Pacific, Europe, and Africa. He has served as a quality council member of Dubai Healthcare City and as a lecturer at the Dubai Women s Medical College and at the residency programs of the Authority. Dr. Al-Attal earned a doctorate from the University of Salford, Manchester (UK), a master s degree in quality management from Wollongong University, Dubai (UAE), and a master s degree in nursing from Jordan University. Yvonne P. Burdick, MHA, FACHE, EDAC, JCI Consultant, Certified Yellow Belt Ms. Burdick has more than 30 years of experience in health care and has held leadership positions in hospital and ambulatory care settings. She has been involved in the development and implementation of health service accreditation systems and quality improvement programs internationally, including serving on the ISQua panel to review international principles for accreditation. Working in collaboration with the World Health Organization in countries throughout Latin America and the Caribbean, Ms. Burdick participated in projects focused on quality improvement programs and accreditation systems. Trained as a research scientist and laboratory manager, her management experience encompasses clinical research, toxicology, occupational health, safety, and environmental affairs. Ms. Burdick earned a bachelor s degree in biological sciences from the University of Edinburgh (Scotland) and a master s degree in hospital administration from the Medical College of Virginia (USA). She is accredited and certified in evidence-based design by the Center for Health Design.

11 Hyunok (Heidi) Kim Do, RN, DNSc, JCI Consultant Dr. Do has more than 30 years of leadership, management, and teaching experience in health care and international expertise as a consultant and nursing leader in Southeast Asia. She is a recognized expert in performance improvement, outcomes management, program development, and statistical tools and techniques. She has consulted in Asia-Pacific and presented at several JCI practicums. Her experience includes serving as an administrator for a U.S. rehabilitation hospital and a vice president of patient services for a U.S. health system. She also served as vice president of nursing services for a Korean hospital. Educational positions include assistant professor at a U.S. school of nursing, clinical instructor, and nursing education coordinator. Dr. Do earned a doctorate in nursing science from Boston University, Massachusetts (USA) and a master s degree in nursing from The Ohio State University (USA). Linda L. Faber, PhD, RN, FACHE, Senior JCI Consultant, Certified Yellow Belt and Change Agent With more than three decades of experience in health care leadership, management, and performance improvement, Dr. Faber serves as a JCI faculty member and as an assistant clinical professor at the University of California- Los Angeles School of Nursing (USA). She has consulted in Brazil, Denmark, Spain, Italy, Japan, and Ireland, sharing her expertise in performance improvement, outcomes management, systems analysis, and leadership in organizational development, staff education, and training. In previous positions, Dr. Faber served as director of performance improvement and director of nursing research, education, and quality improvement for a U.S. medical center; associate chief of nursing research for a U.S. Veterans Health Administration medical center; and positions as a nurse manager, supervisor for mental health and acute care facilities, and clinical specialist in behavioral health. Dr. Faber earned a doctorate in public health, master s degree in nursing, and a certificate in quality management and performance from University of California-Los Angeles (USA). Kornelia Fiausch, RN, MAS, JCI Consultant, Certified Yellow Belt Ms. Fiausch has more than 16 years of experience as a director of nursing services, with special expertise in intensive care, staff leadership, and geriatrics. She has consulted internationally in Europe, the Middle East, and Asia-Pacific and has presented at several JCI practicums. She serves as the director of nursing for Landeskrankenhaus Villach (Austria) and is a certified judicial expert for the area of nursing. Ms. Fiausch earned her master s degree in hospital management from the University of Economics of Vienna (Austria), as well as certificates in nursing management and hospital management. Deborah Flores, EdD, MEd, RN, CPHQ, JCI Consultant Dr. Flores has been a senior leader in large and small health care organizations for the past 16 years. In addition to her work with JCI, she is an administrator in an ambulatory clinic in Central America and a first assist in the operating room of two hospitals in the region. Her expertise encompasses quality and performance improvement, patient safety, and population health. Previous positions include vice president of performance improvement for a research medical center, system vice president of quality improvement for a health system, and assistant vice president at a children s hospital. She has also served as an associate clinical professor for Texas A&M University (USA). Dr. Flores earned a doctorate in health promotion and a master s degree in health education from Temple University, Philadelphia (USA). Safak Guven, MD, MBA, JCI Consultant Dr. Guven is a physician executive with board certification in endocrinology. He has been recognized for outcomedriven clinical program and system development in hospitals and outpatient clinics. His background includes international leadership experience and expertise in strategic planning, operations and process improvement in hospitals, quality management, team creation, and physician and administration relationships. He established the Diabetes Care Center at the University of Cairo (Egypt) and has taught at several universities. He has delivered international consulting and educational programs in the Middle East, Europe, Asia-Pacific, and the Americas. Dr. Guven earned a medical degree from Marmara University School of Medicine, Istanbul (Turkey) and a master s degree in business administration from Northwestern University, Illinois (USA).

12 Helen Hoesing, RN, MPH, PhD, Senior JCI Consultant, Certified Change Agent With more than four decades of experience in health care, Dr. Hoesing has demonstrated expertise as a nursing executive and performance improvement specialist. She has been a consultant and faculty member for The Joint Commission for the past 35 years and taught programs on health care quality improvement, patient safety, nursing, and standards in Asia-Pacific, the Americas, the Middle East, Africa, and Europe. In earlier positions she served as vice president for a health system and acute care facility in Nebraska (USA) and other administrative roles in acute care and home care. Her consulting expertise encompasses performance improvement, work and process redesign, leadership education and skill building, patient safety assessment, and incorporating tracer methodology and period performance review as management tools. Dr. Hoesing earned a doctorate in management/administration from Walden University, Minnesota (USA) and a master s degree in public health from the University of Minnesota (USA). Thomas W. Kozlowski, PhD, ACSW, Senior JCI Consultant, Certified Yellow Belt and Change Agent Dr. Kozlowski has more than 30 years of experience in health care and has consulted with organizations in Asia, Europe, the Middle East, and the Americas. Experienced with a wide array of health care settings, his expertise includes operational and patient safety assessment, performance improvement, executive leadership and governing bodies, and other quality-driven areas. Drs. Kozlowski and Richard Wright developed the JCI Health Care Quality Management & Patient Safety Diploma Program. In addition to 13 years with The Joint Commission, he has served as an administrator in hospitals, mental health and chemical dependency programs, and foster care organizations; a chief executive officer for an ambulatory health care system; an interim director of accreditation, regulation, and quality for an academic teaching hospital and multisite ambulatory system; and a corporate director of quality improvement and research for a health maintenance organization. Dr. Kozlowski holds faculty appointments with two U.S. academic institutions. He earned a doctorate in health care administration from Walden University, Minnesota (USA), a master s degree in social work from the University of Illinois (USA), and a bachelor s degree in psychology from St. Mary s University, Minnesota (USA). David Marx, MD, PhD, JCI Consultant Dr. Marx specializes in quality and performance improvement and has more than 19 years of experience in national and international health care quality and safety management. He is in charge of a Czech national hospital accreditation project and has coordinated the development of two editions of national standards for hospitals and one edition of national long term care standards. As a JCI consultant, Dr. Marx has provided consulting and education in Europe and the Middle East and has worked with several European health care institutions to test and implement JCI standards. He has served as a senior lecturer for Charles University, the director of quality at University Hospital, Prague, and the director general for the Ministry of Health all in the Czech Republic. Dr. Marx earned a medical degree from Charles University, Prague (Czech Republic) and a doctorate in public health from Palacky University, Olomouc (Czech Republic). Judith A. Moomjian, RN, MPA, CPHQ, FACHE, JCI Consultant, Certified Yellow Belt and Change Agent Ms. Moomjian has extensive experience in domestic and international health care, providing international hospital accreditation-related consulting in Asia-Pacific, Europe, the Americas, and the Middle East. She has demonstrated expertise as a hospital and long term care administrator, nursing executive, and performance improvement specialist. Areas of focus include patient safety, medication management, infection prevention and control, tracer methodology, and environment of care, to name a few. Ms. Moomjian piloted and assisted with revisions to JCI s first international continuum-of-care standards and has participated in JCI practicums. She earned a master s degree in health care administration from Long Island University, New York (USA) and a nursing diploma from Mt. Sinai Hospital School of Nursing, New York (USA).

13 Derick P. Pasternak, MD, MBA, FACPE, Senior JCI Consultant As a board-certified internal medicine specialist, Dr. Pasternak has more than three decades of health care experience and has served 14 years as a health care executive. With expertise in patient safety, quality measurement and management, and medical staff affairs, he has consulted in the Middle East, Asia-Pacific, Europe, and Latin America. Dr. Pasternak established JCI s Dubai office in 2006 and managed it for three years, working with clients in the Middle East, North Africa, and India. He has served as a clinical professor at the University of Washington School of Public Health (USA). Dr. Pasternak is the author of several articles and an e-book on health care quality and medical management. He earned a medical degree from Harvard University (USA) and a master s degree in business administration from the University of New Mexico (USA). Francine Westergaard, RN, MSN, MBA, Senior JCI Consultant, Certified Yellow Belt and Change Agent With more than 26 years of nursing experience as a practitioner, educator, administrator, and researcher, Ms. Westergaard is adept at providing applications for improvement to assist organizations as they facilitate change. Her expertise encompasses operational assessment, patient safety, medication management, performance improvement, tracer methodology, and senior executive dialogue. She has provided consulting and education for major hospitals, health systems, and ministries of health in the Americas, Asia-Pacific, Europe, Africa, and the Middle East. Previous positions include progressive leadership positions in hospital and ambulatory care settings. Ms. Westergaard earned a master s degree in business administration from Walden University, Minnesota (USA) and a master s degree in nursing from Lewis University, Illinois (USA). Richard A. Wright, MD, MPH, FACPE, JCI Consultant, Certified Green Belt and Change Agent Dr. Wright is a board-certified internal medicine and infectious disease specialist with expertise in performance improvement and evaluation, care process redesign, and disease management. He provides consulting services for hospitals in the Middle East, Asia-Pacific, Europe, the U.S., and other facilities in the Americas, with focused expertise in performance improvement, quality management, leadership development, and the use of Lean Redesign methods to improve clinical processes. Drs. Wright and Thomas Kozlowski developed the JCI Health Care Quality Management & Patient Safety Diploma Program. Serving as a professor of preventive medicine and biometrics at the University of Colorado School of Medicine, Dr. Wright teaches and oversees research related to primary and preventive care. He has also served as a senior executive with Denver Health Authority and an epidemiologist with the U.S. Centers for Disease Control and Prevention. Dr. Wright has authored numerous articles on health care quality and management and received a national award for research and innovation in primary care in He earned a medical degree from the University of Minnesota (USA) and a master s degree in public health from Loma Linda School of Public Health, California (USA). Nellie Yeo, MBA, MN, JCI Consultant, Certified Yellow Belt With more than 25 years of experience in health care, Ms. Yeo specializes in quality and patient safety. In her current position as chief quality officer of the National Healthcare Group (NHG) and executive director of NHG College in Singapore, she is responsible for establishing, developing, implementing, and evaluating the NHG quality and clinical governance framework. Ms. Yeo has consulted in Asia-Pacific, Europe, Africa, and the Middle East. She has served on committees within the Singapore health care system and is a member of leading international quality organizations. She earned a master s degree in business administration from Nanyang Technological University (Singapore) and a master s degree in nursing from the University of California (USA). Visit jointcommissioninternational.org for more details on our distinguished faculty. QMBR0714

14 Modules

15 Proven strategies and tools highlighted in a modular curriculum The Health Care Quality Management & Patient Safety Diploma Program created by Joint Commission International (JCI) presents in-depth knowledge through eight comprehensive education modules. Each module defines pre-class preparation, in-class lectures and exercises, and application of learning at the student s organization. Students are tested on core concepts and learnings at the end of each module. The curriculum can be modified and specific topics highlighted to address your organization s most pressing quality and safety needs.

16 8MODULES Module 1: Principles of Quality Management and Patient Safety in Health Care This module provides participants with knowledge of definitions, concepts, and methods of quality management with an emphasis on connecting quality to the voice of the customer. - Principles of health care quality management - Dimensions and evolution of quality management - Definitions, concepts, and methods of quality management - Cost of quality concepts and analysis - Principles and methods of prioritization - Role of process variation and gap analysis - Voice-of-the-customer concepts and analysis - Design and components of a quality management program - Developing a learning organization Module 2: Leadership and Planning in Quality Management This module provides participants with an understanding of the role of leadership, teamwork, and change management in developing and sustaining improvements in quality and patient safety. - Definitions, styles, and the role of leadership - Strategic planning concepts and methods - Change management principles and methods - Teamwork and group decision-making methods - Use of facilitation in managing teams - Engaging clinical leaders in quality - Design and use of project charters - Critical factors for sustaining improvement Module 3: Information Management in Health Care Quality This module provides participants with an understanding of how to manage information critical to promoting organization-wide quality and patient safety. - Role of information management in promoting quality and patient safety - Types and uses of medical record reviews - Use of medical records for abstracting data - Development of policies and procedures - Use of quality management meetings for decision-making - Design of quality improvement meetings - Methods for communicating quality management information - Use of balanced scorecards for monitoring strategic initiatives

17 Module 4: Systems Approach to Quality Management This module provides participants with an understanding of system thinking and instructs them in the design and use of process maps for quality improvement. - Concepts and methods of system thinking - Concepts and methods of Lean Redesign - Concepts of process variation - Method for describing and analyzing processes - Use of SIPOC (Supplier-Input-Process-Output-Customer) tool for analyzing processes - Methods of analyzing and improving patient flow - Use of JCI tracer methods to evaluate standards compliance Module 5: Data Collection in Performance Measurement and Quality Management This module provides participants with knowledge of concepts, methods, and tools for selecting and describing performance measures and for collecting data. - Concepts of performance measurement - Methods for prioritizing and selecting performance measures - Methods for describing performance measures - Use of targets and benchmarks for comparisons - Sample sizes and methods - Developing data collection plans - Methods for aggregating and tabulating collected data - Evaluation of data reliability - Design of customer surveys Module 6: Principles of Performance Measurement and Data Analysis This module provides participants with knowledge of using basic statistics and graphing to analyze and display data. - Statistical functions for data analysis - Measuring central tendency and variation - Six Sigma methods for analyzing processes variation - Graphing functions - Use of pie charts, bar graphs, Pareto charts, and trend line charts - Use of statistical process control charts - Impact and comparison analysis - Use of reports for summarizing data

18 Module 7: Patient Safety and Risk Management This module provides participants with an understanding of patient safety with an emphasis on preventing adverse events and minimizing associated risks. - Concepts of patient safety and risk management - Establishing a culture of safety - Characteristics of HROs (high-reliability organizations) - Management of adverse events - Reporting and analysis of near misses and medical errors - Role of human factors in preventing medical errors - Role of patient disclosure - Risk assessment concepts and methods - Concepts and methods of FMEA (Failure Modes and Effects Analysis) Module 8: Fundamentals of Health Care Improvement This module provides participants with an understanding of how to use systematic models for developing strategies for sustainable improvement. - Overview of performance improvement models - Approaches to team-based consensus - Applying the FOCUS (Find-Organize-Clarify-Understand-Select) PDCA (Plan-Do-Check- Act) model for improvement - Applying the Six Sigma DMAIC (Define-Measure-Analyze-Improve-Control) improvement model - A3 framework for managing improvement projects - Application of Lean improvement strategies - Supply chain management concepts and methods - Analysis of process flow QMCR0714

19 Case Studies

20 Developing quality leaders in Saudi Arabia The Ministry of Defense oversees 22 hospitals throughout Saudi Arabia. Ministry leaders sought to strengthen quality and patient safety functions within their hospitals, based on a gap analysis that showed weak quality leadership even within large urban facilities. After a thorough evaluation of other programs, the Ministry chose to sponsor the Health Care Quality Management & Patient Safety Diploma Program created by Joint Commission International (JCI). In December 2012 the inaugural class graduated and received diplomas in Quality Management and Patient Safety from Prince Sultan Military College, which offers a concentration in health care careers. Sponsor: Ministry of Defense, Kingdom of Saudi Arabia Affiliated academic institution: Prince Sultan Military College of Health Sciences, Dhahran The college certified the diploma program, appointed a program coordinator, provided housing to students, and served as the venue for all multimedia class work. Program champion: Dr. Noura AlNowaiser Director of Continuous Quality Improvement and Patient Safety Department Medical Services General Directorate, Ministry of Defense Goals: - Enhance the quality management skills of selected professionals - Improve the quality and safety performance within health care facilities - Build a long-term infrastructure for quality leadership throughout the Ministry of Defense s hospitals Number of graduates: 62 completed the program and earned diplomas. Graduates included physicians, nurses, engineers, and other specialties. Criteria for student selection: - Full-time hospital employees - Hold a bachelor of science degree - English proficiency in reading, writing, and speaking

21 CASE STUDY We deliberately chose young, highly motivated individuals because we want to prepare them for quality leadership roles throughout our hospitals. They were attracted by the promise of enhanced knowledge and career advancement. Dr. Noura AlNowaiser Practical skill-building: Students praised the curriculum and gave high marks to the stakeholder analysis, decision metrics, and data interpretation. They gained confidence in public speaking and presenting case studies and storyboards to their fellow students. Participants enjoyed meeting colleagues from other hospitals and sharing ideas for performance improvement. Some individuals, challenged by the data exercises, were provided with additional tutoring in Excel and data analytics. Others struggled with Failure Modes and Effects Analysis (FMEA) but mastered the tool to analyze risks and spot failures before they occur. Our students worked incredibly hard to identify and solve quality problems. Their progress was amazing and one of the faculty members commented that their written work was better than what he typically sees within hospitals. Dr. Noura AlNowaiser Lively student interaction: Students worked in groups and enjoyed many opportunities to share ideas. As the program progressed, students were assigned to different groups to become familiar with each other and their organizational challenges. Most of them were comfortable with mixed-gender groups, but one all-male and one all-female group were maintained to respect cultural preferences. Intense faculty involvement: Experienced JCI faculty members were very involved in the group exercises and available for questions. They coached the students in ways to bring best practices back to their hospitals and provided them with the right tools to drive improvements. One of the reasons we chose the JCI program was because they offered an experienced yet friendly faculty. Their approach was nonthreatening and they focused on practical solutions beyond pure theory. Dr. Noura AlNowaiser

22 Paula Wilson, president and CEO of JCI, congratulates a graduate of the program. Positive response from hospitals: Hospital leaders understand that the graduates are well-equipped to expand and improve vital quality activities within their organizations. These leaders look forward to sending additional employees to future programs. One graduate (a family physician) has done an exceptional job of introducing a culture of safety into his hospital, an organization with a very weak track record. Through his leadership and use of data and storyboarding skills, he is having a real impact in turning things around. Dr. Noura AlNowaiser Post-graduation activities: Students bonded so well during the program that they have continued to connect with each other after graduation through and conference calls. An in-person refresher course is in development to provide a forum for graduates to share progress and lessons learned. Next steps for growth: The diploma program will be repeated September 2013 June 2014 at Prince Sultan Military College. The curriculum has been modified from 10 modules to eight and classes will be clustered into four sessions (two modules covered per session). The compressed schedule is more convenient and honors Ramadan. Enrollment for the next session filled quickly; hopeful students were wait-listed for future classes. The program has proven to be very popular with many high-achieving employees. They see it as a strong credential for their careers. Dr. Noura AlNowaiser Recommendations to prospective sponsors: For organizations considering the diploma program, Dr. Noura AlNowaiser suggests that decision makers: - Define clear objectives - Lobby for and obtain financial support - Secure a classroom environment that provides internet access and supports multimedia learning Dr. Noura (center) with graduates ready to return to their health care organizations and put leading-edge quality tools to work. - Market anticipated results to health care organizations within the system - Market anticipated benefits to eligible students, including enhanced knowledge, skills, and recognition accompanied by potential promotions and salary increases

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24 Contacts

25 jointcommissioninternational.org Helping you on your quality journey For information about this innovative program, contact: Asia-Pacific Prabhu Vinayagam, MBBS Managing Director, Asia-Pacific Office Voice Middle East Ashraf Ismail, MD, MPH, CPHQ Managing Director, Middle East Office Voice Other Regions Lori Shanahan, MPA Associate Director, International Services Voice Headquarters 1515 West 22nd Street Suite 1300W Oak Brook, Illinois USA Voice Fax Joint Commission International Consulting Voice Joint Commission International Accreditation Voice Asia-Pacific Office 37th Floor Singapore Land Tower 50 Raffles Place Singapore Voice Fax Middle East Office P.O. Box Bldg 27, Suite B503 Dubai Healthcare City Dubai United Arab Emirates Voice Fax Other Regions Follow us QMER0714

26 Certificate Courses

27 Certificate Courses in Quality & Safety Advancing staff development through custom education Joint Commission International (JCI) offers a series of certificate courses that cover pivotal quality and patient safety issues. Faculty members have decades of experience in performance improvement and patient safety and understand how to share leading practices with your staff. Now you can work directly with JCI to bring evidence-based education to your organization and elevate clinical expertise. Each course runs for approximately one week and focuses on dynamic, engaging in-class learning and interaction. Participants who successfully complete a course are awarded a certificate of excellence in that particular topic. Choose from a suite of courses that address crucial quality issues Course 1 Principles of Quality Management and Patient Safety in Health Care This course lays a foundation for the study of quality management, patient safety, performance improvement, and voice-of-the-customer concepts. Course 2 Leadership and Planning in Quality Management Participants learn about the styles and role of leadership and how to build a culture of safety in a high-reliability organization. Course 3 Information Management in Health Care Quality This course provides an understanding of medical record reviews, policies and procedures, and communication about quality management information. Course 4 Systems Approach to Quality Management Participants are introduced to system thinking and how to design and use process maps for quality improvement. Course 5 Data Collection in Performance Measurement and Quality Management Participants gain knowledge about concepts, methods, and tools for selecting and describing performance measures and collecting data. Course 6 Principles of Performance Measurement and Data Analysis This course explains how to use basic statistics and graphing to analyze and display data. Course 7 Patient Safety and Risk Management Content focuses on how to establish a culture of safety. Failure Modes and Effects Analysis and other assessment tools are shared to help participants develop and implement risk-reduction strategies. Course 8 Fundamentals of Health Care Improvement The improvement methods taught in this course are organized to be used at each stage of the performance improvement cycle.

28 jointcommissioninternational.org Design your own curriculum Some organizations have created custom programs by clustering several certificate courses around a guiding theme. Here are examples of custom-built curriculum. JCI staff will be happy to build a configuration that meets your organization s quality and safety needs. Theme Focus Courses Duration Introduction to Quality and Safety A primer and excellent foundation for staff new to quality management 1 and 2 Two weeks Leadership in Quality Overview of leadership models and adverse event management Portions of 1, 2, and 7 One week The Power of Data Core program on data collection, analysis, and its impact on quality management 5 and 6 Two weeks Helping you on your quality journey For more information about sponsoring certificate courses or a diploma program for your staff, contact the JCI office in your region. Asia-Pacific Prabhu Vinayagam, MBBS Managing Director Asia-Pacific Office [email protected] Voice Middle East Ashraf Ismail, MD, MPH, CPHQ Managing Director Middle East Office [email protected] Voice Other Regions Lori Shanahan, MPA Associate Director International Services [email protected] Voice QMG0714

29 jointcommissioninternational.org JCI: Leading practices shared with the world As the international not-for-profit affiliate of The Joint Commission, JCI helps to improve the quality and safety of health care through accreditation services, education, publications, and advisory services. JCI experts understand and help meet the needs of diverse health care organizations and systems in more than 90 countries by providing high-value, cost-effective services at every stage in the quality improvement journey.