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A Comprehensive Study of Gap Analysis of Facility Management & Safety (FMS) as per Joint Commission International (JCI) Accreditation Standards


  • Bhushan Sarmandal
  • Agency : Gap Analysis, Facility Management, JCI, Accreditation Standards
  • Objective : This study was designed to analyze the available facility of tertiary care hospital at, Ahemdabad to meet out JCI standards
  • Background : Not Available
  • Methodology : In this study available facility and safety practices of hospital compared against facility management and safety standards of JCI accreditation and scoring is being done as per guidelines to know about status. It is essential that hospital should analyze its facilities, before going for JCI accreditation. As the hospital was a NABH & NABL accredited, tertiary care referral hospital, and it is recognized as centre of excellence for providing medical care, education and research facilities of high order in the field of medical sciences
  • Findings : An aggregate score of at least 7 for each chapter is required for achieving accreditation but this FMS chapter score obtained is 6.23. An aggregate score of 8.5 is required for each standard but actually it is below for all 11 FMS standard in this study.
  • Recommendations : Therefore there is need to finalize the time limits to fulfil the non compliances and partial compliances especially utility system, biomedical equipment and fire safety related standards and then organisation should apply for JCI accreditation.
study was designed to analyze the available facility of tertiary care hospital at, Ahemdabad to meet out JCI standard