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