
The American Hospital Dubai was the first hospital in the Middle East to be
awarded Joint Commission International Accreditation in May 2000.
Joint Commission International Accreditation (JCIA) is a division of the
American-based Joint Commission on Accreditation of Healthcare Organization
(JCAHO). JCAHO is the largest accreditator of healthcare organization in the
USA. Approximately 20,000 organizations are surveyed annually by the JCAHO.
Accreditation visually demonstrates an organization's commitment to:

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| Improving quality
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| Ensuring a safe environment for patients and staff
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| Reducing risks to patients and staff |
| Accreditation is an effective quality evaluation and management tool. |
The JCAHO has been
surveying hospitals internationally for many years against the US standards. In
1998 a subsidiary body, the Joint Commission International (JCIA), was created
to develop standards applicable to the international community. The development
of the International Standards was actively overseen by an international task
force whose members were from each continent. The draft standards were reviewed
by key stakeholders in over 15 countries. Focus groups were held in 7 countries
and in addition evaluation test surveys were conducted in Latin American,
Western Europe, and Middle East before the standards were finalized.
The first edition of the JCIA standards was published in late 1999. These
standards are organized around the important functions common to all healthcare
organizations. The standards are grouped by those functions related to
providing patient care and those related to providing a safe, effective and
well-managed organization. The functions apply to the entire organization. The
survey process gathers standards compliance information throughout the
organization, and the accreditation decision is based on the overall level of
compliance found throughout the organization.
The American Hospital Dubai, which opened in 1996, was the first private
hospital to provide care in the city of Dubai. The establishment of the
Hospital came as a response to feasibility studies, which demonstrated the need
for a western standard and, in particular American standard, healthcare
facility in the region that would provide world class service similar to
healthcare institutions in the United States of America.
The American Hospital Dubai was therefore planned, designed, built and equipped
to meet American standards, and the original development of operating
guidelines were planned so as to comply with western standards of healthcare.
The American Hospital Dubai's mission is to provide high quality, cost effective
American standard healthcare, which meet the needs of the people of Dubai and
the surrounding Gulf States.
Commitment to total continuous improvement began with the initial concept and
vision of the Hospital owner. The accreditation of the Hospital to the Joint
Commission standards - an overriding element of the original vision - ensures
that continuous improvement is integral to the operation of the facility.
The initial focus in 1996 was to:
| Align leadership, both medical and non-medical, with the hospital mission,
vision, and strategic objectives.
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| Develop a Performance Improvement focus with Joint Commission standards as the
driving force behind processes.
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| A commitment to provide the resources necessary to create a state of perpetual
readiness for accreditation survey. |
| During the initial two years of operation the JCAHO standards were utilized to
develop processes and hospital-wide policies and procedures. In 1999 eleven
Task Force Groups were established to evaluate current processes against the
newly developed JCIA standards, to target areas of improvement and/or change,
to assign responsibilities of actions noted and required and to assign
completion dates. It was decided an intensive and accelerated effort was
required to ensure full compliance with JCIA standards. |
In June of 1999 the JCIA were invited to American Hospital Dubai for a site
visit. The purpose was to provide education to staff concerning standards and
their implementation, and to conduct a hospital-wide mock survey against the
standards. At the completion of the site visit the JCIA team assisted in
developing an improvement plan to achieve compliance with standards within
achievable time frames.
Following the site visit Task Force Groups reconvened to further re-review
standards and ensure that all recommendations from the site visit were met.
In May 2000 the American Hospital submitted to a formal survey by the JCIA.
Three surveyors from the US Joint Commission, an experienced professional
nurse, physician, and hospital administrator spent 3 days surveying all
elements of the hospital's services. The survey was hospital-wide with a
multi-disciplinary approach. Results of the survey demonstrated high levels of
compliance against standards throughout the entire facility with an overall
score of 9.96 of a possible score of 10. In addition, the hospital received
three commendations for exemplary performance:
| Management of Information |
| Quality Management and Improvement |
| Facility Management and Safety |
The Hospital's Performance Improvement process continues to drive improvement
efforts hospital-wide. The eleven task force teams continue to meet quarterly
to identify further opportunities for improving processes and to co-ordinate
and drive these initiatives. An internal mock survey was conducted in June 2001
using the Joint Commission survey check list to identify additional improvement
opportunities. Mock surveys are conducted annually up until the last two
reaccreditations, which took place in 2003 and 2006.
In addition to JCI Accreditation the Laboratory Service of the American Hospital
Dubai has been awarded the College of American Pathologist Accreditation (CAP).
It is the first laboratory in the Middle East to be awarded CAP. In June of
2001 inspectors, pathologists and other Laboratory personnel examined the
records and quality control of the laboratory for the preceding two years, as
well as the education and qualification of staff, the adequacy of the
facilities, the equipment, laboratory safety, and management to evaluate the
service provision to patients.
The management and the staff are of the American Hospital Dubai is fully
committed to providing quality standards based healthcare and believes that
both initiatives, Joint Commission International Accreditation and College of
American Pathologist Accreditation, fully support and enhance the
organization's vision and mission.