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• To provide patient and employee satisfaction
• To protect the rights of the patients and their relatives, to inform and train them in every step of the treatment
• To aim continuous measurement and improvement with the participation of all of the employees
• To give an international level healthcare service with the professional staff
• To lead in scientific researches by using modern technology, working without making any concession on scientific, conscientious and code of ethics
• To support training continuously and the attendance of the employees to the international congresses/seminars/publications
• To give the qualified service for fair prices
JCI - International Quality
JCIA (Joint Commission International Accreditation)
Joint Commission International Accreditation (JCIA) is a division of the American-based Joint Commission on Accreditation of Healthcare Organization (JCAHO) and it was founded in 1998. It is a voluntary foundation which audits the healthcare qualities of the countries with international standards and international patient security goals.
Mission of JCIA
To improve continuously the quality and safety of the patient care in the USA and other countries through training and counseling.
Vision of JCIA
It is the worldwide primary distributor of the accreditation standards, good procedures, assessment of the quality process, monitoring and measuring, improving the quality, information about minimizing the risks.
Aim of the JCI Accreditation
• To improve the quality
• To decrease the cost
• To increase the efficiency
• To increase and assure the reliability of the establishment
• To improve the healthcare services administration
• To provide training
Benefits of JCI - Accreditation
• Providing continuous improvement
• Providing the given qualified care
• Gaining the trust of the society
• Decreasing the risks and costs
• Providing compliance to the laws and regulations
• Providing training on standards
• Helping the personnel become leaders in order to increase the quality
• Helping to increase the job satisfaction
• Enabling self-evaluation
• Enabling comparison with the other similar establishments
JCI 3. Revision Standards
JCI 3. Revision Standards deals with the hospital as a whole.
Patient Centered Standards - Organization Centered Standards
• Access to Care and Continuity of Care (ACC)
• Quality Improvement and Patient Safety (QPS)
• Patient and Family Rights (PFR)
• Prevention and Control of Infections (PCI)
• Assessment of Patients (AOP)
• Governance, Leadership and Direction (GLD)
• Care of Patients (COP)
• Facility Management and Safety (FMS)
• Anesthesia and Surgical Care (ASC)
• Staff Qualifications and Education (SQE)
• Medication Management and Use (MMU)
• Management of Communication and Information (MCI)
• Patient and Family Education (PFE)
JCI - International Patient Safety Goals
Goals are to find proof of problematic areas by enlightening them and solving these problems in cooperation with the specialists. System focuses on providing internally safe, high-quality patient care with the widest possible system solution.
Patient Safety Goals
1. To define the patient correctly
2. To improve effective communication
3. To improve the safety of the drugs with high risk
4. To improve right side, right patient and right procedure
5. To prevent hospital infections
6. To decrease the risks which may result in falling down
7. To focus on making improvements and corrections on inconveniences which threaten applying JCI Accreditation standards in Medical Park Hospitals Group hospitals, in the light of TQM principles and personnel security in a system.
Patients and and their families face death, organ loss (temporary or permanent), state of mind loss as a result of unexpected events like medication mistakes, wrong side or organ surgeries, falling down from bed, wrong blood transfusion reactions and suicide cases. Accreditation standards monitor the fulfillment of the patient and organization centered standards with the idea of "not doing harm to patients first".
As Medical Park Hospitals Group, we started off with the idea "Healthcare for all" and we took "Don't do harm first" as our principle for our employees.
We established our documentation and education period on the idea "You cannot improve without evaluation" when we set up the system for patient and employee safety. Performance measurements are made in all processes and the problems that appear in processes are solved by our quality teams in committee meetings of our hospitals in PACT (Plan, Apply, Check, Take Precaution) cycle. Procedures are established for unexpected occasions, and all occasions are monitored and improved by the quality teams and patient security teams.
Our Bursa-Bahcelievler Hospitals were pre-audited by JCI counselors with new revision standards in November 2007. Goztepe Hospital Complex which was opened in June, 2008 and Antalya Hospital Complex which was opened in July 2008 were accredited in 2008 as hospitals operating only for 5-6 months as the first hospitals in Turkey without pre-audit.
Medical Park Hospitals Group shot an educational film about JCI Patient Security Goals with its own doctors and nurses in Goztepe Hospital Complex to build patient security culture in Turkey.
This year's JCI revision standards were complied completely (medication management, anesthesia, surgical care, patient security goals, information and communication management) and were revised. Medical Park Hospitals Group was successful with its 4 hospital in JCI inspection performed in 2008. Medical Park Hospitals Group took top grade from JCI counselor with the Patient Security Program, Patient Security Training Film and Training Film for Deaf and Mute Patients.
Our goals in year 2011 as "Quality Improvement and Development Directorate" are re-accreditation of our number of 4 accredited hospitals( Bursa, Bahçelievler, Göztepe , Antalya), ISO 9001:2008 inspection at our Fatih Hospital and contuine to work for " Department of Health Srevices Quality Control and Customer Relationship managment and Quality certification" process in all 16 of our hospitals.
What Is ISO?
ISO (International Organization for Standardization) is an international standardization organization which contributes industry, business and consumers as a result of its standardization works and it was established in 1947.
TSE is a member of ISO and the only representative of it in Turkey.
What is EN?
EN (European Norm) is abbreviation of European Standards. EN is created for providing harmonization between the standards in European Union.
Why TS-EN-ISO 9000?
Because TS-EN-ISO 9000 is a management system model
• which improves understanding of quality in the organization,
• which increases profit, productivity and market share,
• which provides effective management,
• which decreases the costs,
• which increases satisfaction of the employees,
• which improves communication inside the organization,
• which provides wide monitoring and control in all actions,
• which decreases the returns,
• which decreases customer complaints and increases customer satisfaction,
• which can be applied in national and international levels.
TS-EN-ISO 9000 Quality Management System
Nowadays, the world has become smaller and the developments in informatics, technology and communications have leaded the countries to a crude competition and to an economical race in which every day a new development is achieved. To survive in the existing world order will be possible by providing production of goods and services which can meet the customer needs and expectations in all sectors. This can only be possible by applying Quality Management System which starts from design and goes until production and services after sale and which aims continual improvement. ISO 9000 Quality System Standards have become the most applicable and interest arousing international standards since it was first published in 1987.
TS-EN-ISO 9000 Quality Standard Series show how an effective management system can be created and documented and maintained.
TS-EN-ISO 9001:2008 Standard consists of:
1. Scope
2. Normative Reference
3. Terms and Definitions
4. Quality Management System
4.1 General Requirements
4.2 Documentation Requirements
5. Management Responsibility
5.1 Management Commitment
5.2 Customer Orientation
5.3 Quality Policy
5.4 Planning
5.5 Responsibility, Authorization And Communication
5.6 Management Review
6. Resource Management
6.1 Providing Resources
6.2 Human Resources
6.3 Infrastructure
6.4 Working Environment
7. Product Implementation
7.1 Planning of Product Implementation
7.2 Customer Related Processes
7.3 Design And Development
7.4 Purchasing
7.5 Providing Products and Services
7.6 Control of Monitoring and Measurement Tools
8. Measurement, Analysis and Improvement
8.1 General
8.2 Monitoring and Measurement
8.3 Control of Non-Conforming Product
8.4 Data Analysis
Some Definitions Related to ISO 9000:
Process: Action team which are related to each other or interacting with each other and which converts inputs to outputs.
Product: Result of a process.
System: Team of elements which are related to each other or interacting with each other.
Management System: Forming policy and objectives and succeeding these objectives system.
Quality Policy: All aims and management of quality which is expressed formally by an organization management.
Quality Management: Actions which are coordinated for the control and management of an organization in terms of quality.
Continual Improvement: actions which are repeated to increase the ability of meeting requirements.
Productivity: Relations between obtained results and used resources.
Total Quality Management
Total Quality Management (TQM) is a complete management system which forms a customer centered organization culture. TQM is universal process. TQM is a group activity and cannot be performed individually. To prevent mistakes and to reach quality in TQM is the responsibility of all employees from top management, to workers, from suppliers to production workers.
TQM, which provides big competitive power and advantages, would succeed to develop dynamism and structure of the organization, if only all principles of TQM (*costumer centeredness *top management leadership *continuous improvement *full participation) are adopted and applied.
Quality Management Principles
TS-EN-ISO 9001 standard is an international Quality Management Standard, which is issued by International Organization for Standardization (ISO) as international standard and is still applied by European Union countries and many other countries as certification model, and is based on 8 quality principles.
Costumer Centeredness: Organizations depend on customers, therefore organization should understand current and future needs of customers and meet customer requirements and be desirous to pass over customer expectations.
Leadership: Leaders provide union of aim and administration. Leaders should create and maintain an internal environment in which people participate in reaching the goals of the organization.
Participation of People: People from each level are the core of the organization, participation of them provides the use of their abilities for the benefit of the organization.
Process Approach: When desired result, actions and related resources are managed as a process, they are obtained more efficiently.
System Approach in Management: Determining, understanding and managing processes related to each other as a system contribute to efficiency and productivity of the organization in succeeding of objectives.
Continuous Improvement: Improving the total performance of the organization continuously should be the permanent objective of the organization.
Realistic Approach in Making Decision: Efficient decisions depend on the data analysis and knowledge.
Supplier relations based on mutual benefit: An organization and its suppliers are independent from each other and relations based on mutual benefit contribute to ability of creating plus value of each one.
Medical Park Hospitals Group established quality management systems in 5 hospitals (Bursa-Istanbul Bahcelievler-Antalya- Istanbul Goztepe-Fatih Hospitals), in the light of TQM principles, with the ISO 9001:2008 Standardization 4 of our hospitals took JCI Accreditation, only Fatih Hospital became the first hospital to be certified in 2008 new revision harmonization. | 
