Health Care Quality Management & Patient Safety Diploma Program

jointcommissioninternational.org

JCI: Leading practices shared with the world

As the international not-for-profit affiliate of The Joint
Commission, JCI helps to improve the quality and safety
of health care through accreditation services, education,
publications, and advisory services. JCI experts understand
and help meet the needs of diverse health care organizations
and systems in more than 90 countries by providing
high-value, cost-effective services at every stage in the Innovative education
quality improvement journey.
for today’s quality
professionals
Overview
 Innovative education
for today’s quality
professionals
Develop your staff through leading
education from JCI

Quality and safety improvement leads directly to

better patient outcomes, improves operational productivity,
increases patient and staff satisfaction, and reduces costs.
This unique program is designed to advance quality and
safety in your organization.

Government ministries, hospitals, health systems,

and universities are working with Joint Commission
International® ( JCI) to bring evidence-based education
to staff through JCI’s Health Care Quality Management
& Patient Safety Diploma Program.
Partner with JCI to achieve your quality and safety goals
Every day JCI consultants work with health care organizations to establish and refine
their quality programs. These organizations face similar challenges: What does an optimal
quality department look like? What kind of data do we need to collect? How can we
measure and repeat success?

To help organizations create and strengthen quality initiatives, JCI has created its
distinctive Health Care Quality Management & Patient Safety Diploma Program.
This university-level educational experience specifically for hospital staff teaches best
practice performance improvement strategies.

Participants learn how to apply evidence-based tools and practices within their
organizations and share practical solutions with their care teams. Program graduates
are better equipped to drive quality initiatives within their organizations and achieve
measurable goals and sustainable results.

Benefits to participants

Understand and advocate for a consistent quality function

Become adept at collecting and reporting data

Use quality data to augment and monitor performance improvement

Share tools and strategies with team members

Gain knowledge and training

Benefits to health care organizations

Elevate, expand, and standardize the quality function

Train staff in the latest, most sophisticated quality methods

Infuse care teams with expertise from newly trained staff

Strengthen staff support of sustainable improvements

Achieve stated quality and safety goals

How the diploma program works
The integrated curriculum is presented in eight modules over 10 months (a traditional
academic year)*:

1 Principles of Quality Management and Patient Safety in Health Care

2 Leadership and Planning in Quality Management

3 Information Management in Health Care Quality

4 Systems Approach to Quality Management

5 Data Collection in Performance Measurement and Quality Management

6 Principles of Performance Measurement and Data Analysis

7 Patient Safety and Risk Management

8 Fundamentals of Health Care Improvement

For each module, faculty and participants meet in class for five full days. A variety of
educational techniques are employed, including lectures, discussions, case study reviews,
interactive group exercises, and student assignments using an array of quality tools and
methods. The educational experience allows for personalized attention and dialogue.
Students are evaluated and mentored throughout the program. Their progress is monitored
and, with successful completion, they receive a diploma.

*The curriculum can be modified to address

your organization’s most pressing quality and
safety needs.
Selecting your quality champions
JCI’s Health Care Quality Management & Patient Safety Diploma Program represents
an excellent career-building opportunity for individuals who have been charged with
establishing or managing a quality department or with strengthening quality initiatives
within their organizations.

To be eligible, participants must work full-time in a hospital or health care facility, have
quality-focused responsibilities, and meet other eligibility requirements established by
the sponsoring university or organization. Once selected, students must participate in
classes, complete required readings and homework, and pass mandatory tests.

Helping you on your quality journey

For information about this innovative program, contact:

Asia-Pacific
Prabhu Vinayagam, Managing Director, Asia-Pacific Office
Email [email protected]
Voice +65 6829 7208

Middle East
Ashraf Ismail, Managing Director, Middle East Office
Email [email protected]
Voice +971 4369 4930

Other Regions
Lori Shanahan, Associate Director, International Services
Email [email protected]
Voice +1 630 268 7443

“Before this program, I tended to avoid quality issues

because I was afraid they would constrain my practice of
medicine. However, this program completely changed my
thinking and by graduation I became a quality champion.
Today I enjoy applying what I learned to improve
performance at my hospital.”
Primary care physician
2012 graduate
Saudi Arabia
 jointcommissioninternational.org

JCI: Leading practices shared with the world

As the international not-for-profit affiliate of The Joint
Commission, JCI helps to improve the quality and safety
of health care through accreditation services, education,
publications, and advisory services. JCI experts understand
and help meet the needs of diverse health care organizations
and systems in more than 100 countries by providing
high-value, cost-effective services at every stage in the
quality improvement journey.

Headquarters Asia-Pacific Office

1515 West 22nd Street 37th Floor
Suite 1300W Singapore Land Tower
Oak Brook, Illinois 60523 50 Raffles Place
USA Singapore 048623
Voice +1 630 268 7400 Email [email protected]
Fax +1 630 268 7405 Voice +65 6829 7208
Fax +65 6826 4181
Joint Commission International Consulting
Email [email protected] Middle East Office
Voice +1 630 268 2900 P.O. Box 505018
Joint Commission International Accreditation Bldg 27, Suite B503
Email [email protected] Dubai Healthcare City
Voice +1 630 268 4800 Dubai
United Arab Emirates
Email [email protected]
Voice +971 4369 4930
Fax +971 4362 4951
Follow us
Other Regions
[email protected]
[email protected]
[email protected]

Joint Commission International ®(JCI) is a division of Joint Commission

Resources, Inc.®, a wholly controlled not-for-profit affiliate of The Joint
Commission. JCI provides leadership in international health care
accreditation and quality improvement. QMAR0714
Faculty
Expert faculty provide leading-edge
quality perspectives
The Health Care Quality Management & Patient Safety Diploma Program created by Joint Commission International
(JCI) features a faculty with decades of experience in performance improvement and patient safety.

Shakil Ahmad, MBBS, DipMed, MHCM, CPQM, JCI Consultant, Certified Green Belt
Dr. Ahmad has more than 16 years of experience in international health care management and quality as well
as expertise in medical staff leadership, privileging, credentialing, and bylaws. He has held positions as a quality
improvement physician, hospital administrator, head of medical staff performance and review, senior quality specialist,
and quality manager.

During his tenure with a regulatory health authority in the United Arab Emirates, Dr. Ahmad was responsible for
overseeing JCI accreditation at two hospitals and implementing regulatory policies and standards. He has chaired
and presented at numerous international conferences, including the ISQua (International Society for Quality in Health
Care) Conference in London, the International Quality Conference in Muscat, Oman, and the Middle East Quality
Conference in Dubai. Dr. Ahmad earned a medical degree from the Royal Postgraduate Medical School, London (UK)
and a master’s degree from Oxford Brookes University, Oxford (UK).

Zakarai Zaki Al-Attal, MSN, PhD, CPHQ, JCI Consultant

Dr. Al-Attal is an expert in implementing quality concepts in organizations to enhance the quality of health care
services. Most recently, he was director of quality and performance management at the Dubai Health Authority, where
he oversaw quality, risk management, performance management, and accreditation programs in four government
hospitals and specialized centers of the Authority. Currently he works with the ministry of health.

His experience includes consulting engagements in the Middle East, Asia-Pacific, Europe, and Africa. He has served
as a quality council member of Dubai Healthcare City and as a lecturer at the Dubai Women’s Medical College and
at the residency programs of the Authority. Dr. Al-Attal earned a doctorate from the University of Salford, Manchester
(UK), a master’s degree in quality management from Wollongong University, Dubai (UAE), and a master’s degree in
nursing from Jordan University.

Yvonne P. Burdick, MHA, FACHE, EDAC, JCI Consultant, Certified Yellow Belt
Ms. Burdick has more than 30 years of experience in health care and has held leadership positions in hospital and
ambulatory care settings. She has been involved in the development and implementation of health service accreditation
systems and quality improvement programs internationally, including serving on the ISQua panel to review
international principles for accreditation. Working in collaboration with the World Health Organization in countries
throughout Latin America and the Caribbean, Ms. Burdick participated in projects focused on quality improvement
programs and accreditation systems.

Trained as a research scientist and laboratory manager, her management experience encompasses clinical research,
toxicology, occupational health, safety, and environmental affairs. Ms. Burdick earned a bachelor’s degree in biological
sciences from the University of Edinburgh (Scotland) and a master’s degree in hospital administration from the
Medical College of Virginia (USA). She is accredited and certified in evidence-based design by the Center for
Health Design.
Hyunok (Heidi) Kim Do, RN, DNSc, JCI Consultant
Dr. Do has more than 30 years of leadership, management, and teaching experience in health care and international
expertise as a consultant and nursing leader in Southeast Asia. She is a recognized expert in performance improvement,
outcomes management, program development, and statistical tools and techniques. She has consulted in Asia-Pacific
and presented at several JCI practicums.

Her experience includes serving as an administrator for a U.S. rehabilitation hospital and a vice president of patient
services for a U.S. health system. She also served as vice president of nursing services for a Korean hospital. Educational
positions include assistant professor at a U.S. school of nursing, clinical instructor, and nursing education coordinator.
Dr. Do earned a doctorate in nursing science from Boston University, Massachusetts (USA) and a master’s degree in
nursing from The Ohio State University (USA).

Linda L. Faber, PhD, RN, FACHE, Senior JCI Consultant, Certified Yellow Belt and Change Agent
With more than three decades of experience in health care leadership, management, and performance improvement,
Dr. Faber serves as a JCI faculty member and as an assistant clinical professor at the University of California-
Los Angeles School of Nursing (USA). She has consulted in Brazil, Denmark, Spain, Italy, Japan, and Ireland, sharing
her expertise in performance improvement, outcomes management, systems analysis, and leadership in organizational
development, staff education, and training.

In previous positions, Dr. Faber served as director of performance improvement and director of nursing research,
education, and quality improvement for a U.S. medical center; associate chief of nursing research for a U.S. Veterans
Health Administration medical center; and positions as a nurse manager, supervisor for mental health and acute care
facilities, and clinical specialist in behavioral health. Dr. Faber earned a doctorate in public health, master’s degree in
nursing, and a certificate in quality management and performance from University of California-Los Angeles (USA).

Kornelia Fiausch, RN, MAS, JCI Consultant, Certified Yellow Belt

Ms. Fiausch has more than 16 years of experience as a director of nursing services, with special expertise in intensive
care, staff leadership, and geriatrics. She has consulted internationally in Europe, the Middle East, and Asia-Pacific
and has presented at several JCI practicums.

She serves as the director of nursing for Landeskrankenhaus Villach (Austria) and is a certified judicial expert for the
area of nursing. Ms. Fiausch earned her master’s degree in hospital management from the University of Economics of
Vienna (Austria), as well as certificates in nursing management and hospital management.

Deborah Flores, EdD, MEd, RN, CPHQ, JCI Consultant

Dr. Flores has been a senior leader in large and small health care organizations for the past 16 years. In addition to her
work with JCI, she is an administrator in an ambulatory clinic in Central America and a first assist in the operating
room of two hospitals in the region.

Her expertise encompasses quality and performance improvement, patient safety, and population health. Previous
positions include vice president of performance improvement for a research medical center, system vice president of
quality improvement for a health system, and assistant vice president at a children’s hospital. She has also served as an
associate clinical professor for Texas A&M University (USA). Dr. Flores earned a doctorate in health promotion and
a master’s degree in health education from Temple University, Philadelphia (USA).

Safak Guven, MD, MBA, JCI Consultant

Dr. Guven is a physician executive with board certification in endocrinology. He has been recognized for outcome-
driven clinical program and system development in hospitals and outpatient clinics. His background includes
international leadership experience and expertise in strategic planning, operations and process improvement in
hospitals, quality management, team creation, and physician and administration relationships.

He established the Diabetes Care Center at the University of Cairo (Egypt) and has taught at several universities.
He has delivered international consulting and educational programs in the Middle East, Europe, Asia-Pacific, and
the Americas. Dr. Guven earned a medical degree from Marmara University School of Medicine, Istanbul (Turkey)
and a master’s degree in business administration from Northwestern University, Illinois (USA).
Helen Hoesing, RN, MPH, PhD, Senior JCI Consultant, Certified Change Agent
With more than four decades of experience in health care, Dr. Hoesing has demonstrated expertise as a nursing
executive and performance improvement specialist. She has been a consultant and faculty member for The Joint
Commission for the past 35 years and taught programs on health care quality improvement, patient safety, nursing,
and standards in Asia-Pacific, the Americas, the Middle East, Africa, and Europe. In earlier positions she served as vice
president for a health system and acute care facility in Nebraska (USA) and other administrative roles in acute care and
home care.

Her consulting expertise encompasses performance improvement, work and process redesign, leadership education
and skill building, patient safety assessment, and incorporating tracer methodology and period performance review
as management tools. Dr. Hoesing earned a doctorate in management/administration from Walden University,
Minnesota (USA) and a master’s degree in public health from the University of Minnesota (USA).

Thomas W. Kozlowski, PhD, ACSW, Senior JCI Consultant, Certified Yellow Belt and Change Agent
Dr. Kozlowski has more than 30 years of experience in health care and has consulted with organizations in Asia,
Europe, the Middle East, and the Americas. Experienced with a wide array of health care settings, his expertise includes
operational and patient safety assessment, performance improvement, executive leadership and governing bodies, and
other quality-driven areas. Drs. Kozlowski and Richard Wright developed the JCI Health Care Quality Management
& Patient Safety Diploma Program.

In addition to 13 years with The Joint Commission, he has served as an administrator in hospitals, mental health and
chemical dependency programs, and foster care organizations; a chief executive officer for an ambulatory health care
system; an interim director of accreditation, regulation, and quality for an academic teaching hospital and multisite
ambulatory system; and a corporate director of quality improvement and research for a health maintenance organization.
Dr. Kozlowski holds faculty appointments with two U.S. academic institutions. He earned a doctorate in health care
administration from Walden University, Minnesota (USA), a master’s degree in social work from the University of Illi-
nois (USA), and a bachelor’s degree in psychology from St. Mary’s University, Minnesota (USA).

David Marx, MD, PhD, JCI Consultant

Dr. Marx specializes in quality and performance improvement and has more than 19 years of experience in national
and international health care quality and safety management. He is in charge of a Czech national hospital accreditation
project and has coordinated the development of two editions of national standards for hospitals and one edition of
national long term care standards.

As a JCI consultant, Dr. Marx has provided consulting and education in Europe and the Middle East and has worked
with several European health care institutions to test and implement JCI standards. He has served as a senior lecturer
for Charles University, the director of quality at University Hospital, Prague, and the director general for the Ministry
of Health — all in the Czech Republic. Dr. Marx earned a medical degree from Charles University, Prague (Czech
Republic) and a doctorate in public health from Palacky University, Olomouc (Czech Republic).

Judith A. Moomjian, RN, MPA, CPHQ, FACHE, JCI Consultant, Certified Yellow Belt and Change Agent
Ms. Moomjian has extensive experience in domestic and international health care, providing international hospital
accreditation-related consulting in Asia-Pacific, Europe, the Americas, and the Middle East. She has demonstrated
expertise as a hospital and long term care administrator, nursing executive, and performance improvement specialist.

Areas of focus include patient safety, medication management, infection prevention and control, tracer methodology,
and environment of care, to name a few. Ms. Moomjian piloted and assisted with revisions to JCI’s first international
continuum-of-care standards and has participated in JCI practicums. She earned a master’s degree in health care
administration from Long Island University, New York (USA) and a nursing diploma from Mt. Sinai Hospital School
of Nursing, New York (USA).
Derick P. Pasternak, MD, MBA, FACPE, Senior JCI Consultant
As a board-certified internal medicine specialist, Dr. Pasternak has more than three decades of health care experience and
has served 14 years as a health care executive. With expertise in patient safety, quality measurement and management,
and medical staff affairs, he has consulted in the Middle East, Asia-Pacific, Europe, and Latin America.

Dr. Pasternak established JCI’s Dubai office in 2006 and managed it for three years, working with clients in the
Middle East, North Africa, and India. He has served as a clinical professor at the University of Washington School
of Public Health (USA). Dr. Pasternak is the author of several articles and an e-book on health care quality and
medical management. He earned a medical degree from Harvard University (USA) and a master’s degree in business
administration from the University of New Mexico (USA).

Francine Westergaard, RN, MSN, MBA, Senior JCI Consultant, Certified Yellow Belt and Change Agent
With more than 26 years of nursing experience as a practitioner, educator, administrator, and researcher,
Ms. Westergaard is adept at providing applications for improvement to assist organizations as they facilitate change.
Her expertise encompasses operational assessment, patient safety, medication management, performance improvement,
tracer methodology, and senior executive dialogue.

She has provided consulting and education for major hospitals, health systems, and ministries of health in the
Americas, Asia-Pacific, Europe, Africa, and the Middle East. Previous positions include progressive leadership positions
in hospital and ambulatory care settings. Ms. Westergaard earned a master’s degree in business administration from
Walden University, Minnesota (USA) and a master’s degree in nursing from Lewis University, Illinois (USA).

Richard A. Wright, MD, MPH, FACPE, JCI Consultant, Certified Green Belt and Change Agent
Dr. Wright is a board-certified internal medicine and infectious disease specialist with expertise in performance
improvement and evaluation, care process redesign, and disease management. He provides consulting services for
hospitals in the Middle East, Asia-Pacific, Europe, the U.S., and other facilities in the Americas, with focused expertise
in performance improvement, quality management, leadership development, and the use of Lean Redesign methods to
improve clinical processes. Drs. Wright and Thomas Kozlowski developed the JCI Health Care Quality Management
& Patient Safety Diploma Program.

Serving as a professor of preventive medicine and biometrics at the University of Colorado School of Medicine,
Dr. Wright teaches and oversees research related to primary and preventive care. He has also served as a senior
executive with Denver Health Authority and an epidemiologist with the U.S. Centers for Disease Control and
Prevention. Dr. Wright has authored numerous articles on health care quality and management and received a national
award for research and innovation in primary care in 2005. He earned a medical degree from the University of
Minnesota (USA) and a master’s degree in public health from Loma Linda School of Public Health, California (USA).

Nellie Yeo, MBA, MN, JCI Consultant, Certified Yellow Belt

With more than 25 years of experience in health care, Ms. Yeo specializes in quality and patient safety. In her current
position as chief quality officer of the National Healthcare Group (NHG) and executive director of NHG College
in Singapore, she is responsible for establishing, developing, implementing, and evaluating the NHG quality and
clinical governance framework.

Ms. Yeo has consulted in Asia-Pacific, Europe, Africa, and the Middle East. She has served on committees within the
Singapore health care system and is a member of leading international quality organizations. She earned a master’s
degree in business administration from Nanyang Technological University (Singapore) and a master’s degree in nursing
from the University of California (USA).

Visit jointcommissioninternational.org for more details on our distinguished faculty.

QMBR0714
Modules
Proven strategies and tools
highlighted in a modular curriculum
The Health Care Quality Management & Patient Safety Diploma Program
created by Joint Commission International (JCI) presents in-depth knowledge
through eight comprehensive education modules. Each module defines pre-class
preparation, in-class lectures and exercises, and application of learning at the
student’s organization. Students are tested on core concepts and learnings at the
end of each module.

The curriculum can be modified and specific topics highlighted to address your
organization’s most pressing quality and safety needs.
8MODULES
Module 1: Principles of Quality Management and Patient Safety in Health Care
This module provides participants with knowledge of definitions, concepts, and methods of
quality management with an emphasis on connecting quality to the voice of the customer.
- Principles of health care quality management
- Dimensions and evolution of quality management
- Definitions, concepts, and methods of quality management
- Cost of quality concepts and analysis
- Principles and methods of prioritization
- Role of process variation and gap analysis
- Voice-of-the-customer concepts and analysis
- Design and components of a quality management program
- Developing a learning organization

Module 2: Leadership and Planning in Quality Management

This module provides participants with an understanding of the role of leadership,
teamwork, and change management in developing and sustaining improvements in quality
and patient safety.
- Definitions, styles, and the role of leadership
- Strategic planning concepts and methods
- Change management principles and methods
- Teamwork and group decision-making methods
- Use of facilitation in managing teams
- Engaging clinical leaders in quality
- Design and use of project charters
- Critical factors for sustaining improvement

Module 3: Information Management in Health Care Quality

This module provides participants with an understanding of how to manage information
critical to promoting organization-wide quality and patient safety.
- Role of information management in promoting quality and patient safety
- Types and uses of medical record reviews
- Use of medical records for abstracting data
- Development of policies and procedures
- Use of quality management meetings for decision-making
- Design of quality improvement meetings
- Methods for communicating quality management information
- Use of balanced scorecards for monitoring strategic initiatives
Module 4: Systems Approach to Quality Management
This module provides participants with an understanding of system thinking and instructs
them in the design and use of process maps for quality improvement.
- Concepts and methods of system thinking
- Concepts and methods of Lean Redesign
- Concepts of process variation
- Method for describing and analyzing processes
- Use of SIPOC (Supplier-Input-Process-Output-Customer) tool for analyzing processes
- Methods of analyzing and improving patient flow
- Use of JCI tracer methods to evaluate standards compliance

Module 5: Data Collection in Performance Measurement and Quality Management

This module provides participants with knowledge of concepts, methods, and tools for
selecting and describing performance measures and for collecting data.
- Concepts of performance measurement
- Methods for prioritizing and selecting performance measures
- Methods for describing performance measures
- Use of targets and benchmarks for comparisons
- Sample sizes and methods
- Developing data collection plans
- Methods for aggregating and tabulating collected data
- Evaluation of data reliability
- Design of customer surveys

Module 6: Principles of Performance Measurement and Data Analysis

This module provides participants with knowledge of using basic statistics and graphing
to analyze and display data.
- Statistical functions for data analysis
- Measuring central tendency and variation
- Six Sigma methods for analyzing processes variation
- Graphing functions
- Use of pie charts, bar graphs, Pareto charts, and trend line charts
- Use of statistical process control charts
- Impact and comparison analysis
- Use of reports for summarizing data
Module 7: Patient Safety and Risk Management
This module provides participants with an understanding of patient safety with an emphasis
on preventing adverse events and minimizing associated risks.
- Concepts of patient safety and risk management
- Establishing a culture of safety
- Characteristics of HROs (high-reliability organizations)
- Management of adverse events
- Reporting and analysis of near misses and medical errors
- Role of human factors in preventing medical errors
- Role of patient disclosure
- Risk assessment concepts and methods
- Concepts and methods of FMEA (Failure Modes and Effects Analysis)

Module 8: Fundamentals of Health Care Improvement

This module provides participants with an understanding of how to use systematic models for
developing strategies for sustainable improvement.
- Overview of performance improvement models
- Approaches to team-based consensus
- Applying the FOCUS (Find-Organize-Clarify-Understand-Select) PDCA (Plan-Do-Check-
Act) model for improvement
- Applying the Six Sigma DMAIC (Define-Measure-Analyze-Improve-Control) improvement
model
- A3 framework for managing improvement projects
- Application of Lean improvement strategies
- Supply chain management concepts and methods
- Analysis of process flow

QMCR0714
Case Studies
Developing quality leaders in
Saudi Arabia
The Ministry of Defense oversees 22 hospitals throughout Saudi Arabia. Ministry
leaders sought to strengthen quality and patient safety functions within their
hospitals, based on a gap analysis that showed weak quality leadership even within
large urban facilities.

After a thorough evaluation of other programs, the Ministry chose to sponsor the
Health Care Quality Management & Patient Safety Diploma Program created
by Joint Commission International (JCI). In December 2012 the inaugural class
graduated and received diplomas in Quality Management and Patient Safety from
Prince Sultan Military College, which offers a concentration in health care careers.

Sponsor: Ministry of Defense, Kingdom of Saudi Arabia

Affiliated academic institution: Prince Sultan Military College of Health Sciences, Dhahran
The college certified the diploma program, appointed a program coordinator, provided housing
to students, and served as the venue for all multimedia class work.

Program champion:
Dr. Noura AlNowaiser
Director of Continuous Quality Improvement and Patient Safety Department
Medical Services General Directorate, Ministry of Defense

Goals:
- Enhance the quality management skills of selected professionals
- Improve the quality and safety performance within health care facilities
- Build a long-term infrastructure for quality leadership throughout the Ministry of Defense’s hospitals

Number of graduates: 62 completed the program and earned diplomas. Graduates included
physicians, nurses, engineers, and other specialties.

Criteria for student selection:

- Full-time hospital employees
- Hold a bachelor of science degree
- English proficiency in reading, writing, and speaking
CASE STUDY
“We deliberately chose young, highly motivated
individuals because we want to prepare them for
quality leadership roles throughout our hospitals.
They were attracted by the promise of enhanced
knowledge and career advancement.”

Dr. Noura AlNowaiser

Practical skill-building: Students praised the

curriculum and gave high marks to the stakeholder
analysis, decision metrics, and data interpretation.
They gained confidence in public speaking and Participants enjoyed meeting colleagues
from other hospitals and sharing ideas for
presenting case studies and storyboards to their performance improvement.
fellow students.

Some individuals, challenged by the data exercises, were provided with additional tutoring in
Excel and data analytics. Others struggled with Failure Modes and Effects Analysis (FMEA)
but mastered the tool to analyze risks and spot failures before they occur.

“Our students worked incredibly hard to identify and solve quality problems. Their progress
was amazing and one of the faculty members commented that their written work was better
than what he typically sees within hospitals.”
Dr. Noura AlNowaiser

Lively student interaction: Students worked in groups and enjoyed many opportunities to
share ideas. As the program progressed, students were assigned to different groups to become
familiar with each other and their organizational challenges. Most of them were comfortable
with mixed-gender groups, but one all-male and one all-female group were maintained to respect
cultural preferences.

Intense faculty involvement: Experienced JCI faculty members were very involved in the
group exercises and available for questions. They coached the students in ways to bring best
practices back to their hospitals and provided them with the right tools to drive improvements.

“One of the reasons we chose the JCI program was because they offered an experienced yet
friendly faculty. Their approach was nonthreatening and they focused on practical solutions
beyond pure theory.”
Dr. Noura AlNowaiser
 Paula Wilson, president and CEO of JCI, congratulates
a graduate of the program.

Positive response from hospitals: Hospital leaders understand that the graduates are
well-equipped to expand and improve vital quality activities within their organizations.
These leaders look forward to sending additional employees to future programs.

“One graduate (a family physician) has done an exceptional job of introducing a culture
of safety into his hospital, an organization with a very weak track record. Through his
leadership and use of data and storyboarding skills, he is having a real impact in turning
things around.”
Dr. Noura AlNowaiser

Post-graduation activities: Students bonded so well during the program that they have
continued to connect with each other after graduation through email and conference calls.
An in-person refresher course is in development to provide a forum for graduates to share
progress and lessons learned.

Next steps for growth: The diploma program will be repeated September 2013 –June 2014
at Prince Sultan Military College. The curriculum has been modified from 10 modules to
eight and classes will be clustered into four sessions (two modules covered per session). The
compressed schedule is more convenient and honors Ramadan. Enrollment for the next
session filled quickly; hopeful students were wait-listed for future classes.

“The program has proven to be very popular with

many high-achieving employees. They see it as a
strong credential for their careers.”

Dr. Noura AlNowaiser

Recommendations to prospective sponsors:

For organizations considering the diploma program,
Dr. Noura AlNowaiser suggests that decision makers:
- Define clear objectives
Dr. Noura (center) with graduates ready
- Lobby for and obtain financial support
to return to their health care organizations
- Secure a classroom environment that provides and put leading-edge quality tools to work.
internet access and supports multimedia learning
- Market anticipated results to health care organizations within the system
- Market anticipated benefits to eligible students, including enhanced knowledge, skills,
and recognition accompanied by potential promotions and salary increases
QMD031913
Contacts
 jointcommissioninternational.org

Helping you on Headquarters

your quality journey 1515 West 22nd Street
Suite 1300W
For information about this Oak Brook, Illinois 60523
innovative program, contact: USA
Voice +1 630 268 7400
Asia-Pacific Fax +1 630 268 7405
Prabhu Vinayagam, MBBS
Managing Director, Asia-Pacific Office Joint Commission International Consulting
Email [email protected] Email [email protected]
Voice +65 6829 7208 Voice +1 630 268 2900
Joint Commission International Accreditation
Middle East
Email [email protected]
Ashraf Ismail, MD, MPH, CPHQ
Voice +1 630 268 4800
Managing Director, Middle East Office
Email [email protected]
Asia-Pacific Office
Voice +971 4369 4930
37th Floor
Singapore Land Tower
Other Regions
50 Raffles Place
Lori Shanahan, MPA
Singapore 048623
Associate Director, International Services
Email [email protected]
Email [email protected]
Voice +65 6829 7208
Voice +1 630 268 7443
Fax +65 6826 4181

Middle East Office

P.O. Box 505018
Bldg 27, Suite B503
Dubai Healthcare City
Dubai
United Arab Emirates
Email [email protected]
Voice +971 4369 4930
Fax +971 4362 4951

Other Regions
[email protected]
[email protected]
[email protected]

Follow us

QMER0714
Certificate Courses
Certificate Courses in
Quality & Safety
Advancing staff development
through custom education
Joint Commission International (JCI) offers a series of certificate courses
that cover pivotal quality and patient safety issues.
Faculty members have decades of experience in performance improvement and patient safety
and understand how to share leading practices with your staff. Now you can work directly with
JCI to bring evidence-based education to your organization and elevate clinical expertise.

Each course runs for approximately one week and focuses on dynamic, engaging in-class learning
and interaction. Participants who successfully complete a course are awarded a certificate of
excellence in that particular topic.

Choose from a suite of courses that address crucial quality issues

Course 1 Course 2 Course 3 Course 4

Principles of Quality Leadership and Information Systems Approach to
Management and Planning in Quality Management in Health Quality Management
Patient Safety in Management Care Quality
Participants are introduced to
Health Care
Participants learn about the This course provides an system thinking and how to
This course lays a foundation styles and role of leadership understanding of medical design and use process maps
for the study of quality and how to build a culture record reviews, policies for quality improvement.
management, patient safety, of safety in a high-reliability and procedures, and
performance improvement, organization. communication about
and voice-of-the-customer quality management
concepts. information.

Course 5 Course 6 Course 7 Course 8

Data Collection in Principles of Patient Safety and Fundamentals of Health
Performance Performance Risk Management Care Improvement
Measurement and Measurement and
Content focuses on how to The improvement methods
Quality Management Data Analysis
establish a culture of safety. taught in this course are
Participants gain knowledge This course explains how Failure Modes and Effects organized to be used at each
about concepts, methods, to use basic statistics and Analysis and other assessment stage of the performance
and tools for selecting and graphing to analyze and tools are shared to help improvement cycle.
describing performance display data. participants develop and
measures and collecting data. implement risk-reduction
strategies.
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Design your own curriculum

Some organizations have created custom programs by clustering several certificate courses around
a guiding theme. Here are examples of custom-built curriculum. JCI staff will be happy to build
a configuration that meets your organization’s quality and safety needs.

Theme Focus Courses Duration

Introduction to Quality and Safety A primer and excellent foundation for 1 and 2 Two weeks
staff new to quality management

Leadership in Quality Overview of leadership models and Portions of One week

adverse event management 1, 2, and 7

The Power of Data Core program on data collection, analysis, 5 and 6 Two weeks
and its impact on quality management

Helping you on your quality journey

For more information about sponsoring certificate courses or a diploma program for your staff,
contact the JCI office in your region.

Asia-Pacific Middle East Other Regions

Prabhu Vinayagam, MBBS Ashraf Ismail, MD, MPH, CPHQ Lori Shanahan, MPA
Managing Director Managing Director Associate Director
Asia-Pacific Office Middle East Office International Services
Email [email protected] Email [email protected] Email [email protected]
Voice +65 6829 7208 Voice +971 4369 4930 Voice +1 630 268 7443

QMG0714
 Health Care Quality Management & Patient Safety Diploma Program
jointcommissioninternational.org

JCI: Leading practices shared with the world

As the international not-for-profit affiliate of The Joint
Commission, JCI helps to improve the quality and safety
of health care through accreditation services, education,
publications, and advisory services. JCI experts understand
and help meet the needs of diverse health care organizations
and systems in more than 90 countries by providing
high-value, cost-effective services at every stage in the Innovative education
quality improvement journey.
for today’s quality
professionals