Healthcare Quality & JCI Accreditation Standards Training Course

Course Overview

Learning Objectives

• Develop an integrated understanding of healthcare quality management and JCI accreditation principles.
• Interpret accreditation requirements and translate them into practical operational controls.
• Assess organisational readiness for accreditation through structured gap analysis.
• Strengthen patient safety, clinical governance, and risk-management practices.
• Develop effective quality indicators and performance-monitoring mechanisms.
• Apply tracer methodology to evaluate compliance across clinical and support processes.
• Improve documentation, policy management, and evidence of compliance.
• Strengthen systems for incident reporting, investigation, corrective action, and learning.
• Integrate quality improvement principles into clinical and administrative operations.
• Establish effective governance and accountability structures for accreditation readiness.
• Develop sustainable corrective and preventive action plans for identified gaps.
• Prepare an integrated roadmap for continuous quality improvement and JCI accreditation readiness.

Who Should Attend

Learning Outcomes

• Assess healthcare quality systems against accreditation expectations.
• Conduct structured organisational gap assessments and prioritise compliance risks.
• Map accreditation requirements to clinical and operational processes.
• Apply tracer methodology to identify weaknesses across patient care pathways.
• Develop measurable quality and patient safety indicators.
• Analyse performance data and identify opportunities for improvement.
• Evaluate policies, procedures, records, and supporting evidence for compliance.
• Strengthen incident reporting, investigation, root cause analysis, and corrective action.
• Integrate risk management and patient safety into quality improvement programmes.
• Develop practical action plans for closing accreditation gaps.
• Coordinate multidisciplinary teams throughout accreditation preparation activities.
• Establish a sustainable framework for continuous improvement beyond the accreditation survey.

Course Outline