Joint Commission International (JCI)
JCI (Joint Commission International) is a not-for-profit organization based in the United States of America (USA) and is the highest quality accreditation that a hospital can get across the globe. It works to improve patient safety and quality of healthcare in the international community.
Hospitals and healthcare organizations across more than 100 countries are currently accredited by JCI. These standards are derived for hospitals, ambulatory clinics, academic medical centres, home care, laboratory, medical transport, long term care and primary care centres. JCI accreditation is recognized as a global leader for healthcare quality and patient safety.
JCI has its world headquarters in the USA with regional offices in Asia Pacific, Europe and the Middle East.
WHY JCI (Joint Commission International)?
Competitive Advantage
Quality Improvement
Boost to Medical Tourism
Operational Efficiency
Enhanced Patient Safety
How can Medigence help your hospital achieve JCI Accreditation?
Medigence Solutions Pvt Ltd will provide end-to-end JCI consulting services that include:
Gap Analysis:
Conduct a comprehensive review of existing processes, policies, and patient care practices against JCI 8th Edition standards.
Identify gaps and areas needing improvement to meet accreditation requirements.
Development of Action Plans:
Design customized action plans to address identified gaps in patient care, safety, and organizational management.
Establish timelines and responsibilities for implementing corrective actions.
Training and Capacity Building:
Provide training sessions for staff on JCI standards, including Patient-Centered Care, Infection Control, Medication Management, and Quality and Patient Safety.
Conduct workshops for leadership teams on governance and compliance to JCI standards.
Policy and Procedure Development:
Assist in developing, revising, and implementing policies and procedures required to meet JCI standards.
Focus on critical areas such as patient safety goals, facility management, and staff qualifications.
Documentation Support:
Support the development of required documentation, including quality manuals, SOPs, and performance improvement plans.
Ensure proper record-keeping practices are in place to demonstrate compliance during the JCI survey.
Continuous Monitoring and Evaluation:
Set up systems for continuous monitoring of compliance with JCI standards at all levels.
Provide ongoing support and consultation to ensure sustained adherence to JCI guidelines post-accreditation till you receive certification confirmation.
Our JCI Experts
Meeta Patel
Director, Medigence
As one of the directors, steers company towards its mission and goals. Passionate about quality & accreditation, hospital planning & design, 360 degree patient experience & healthcare technology
Dr. Mahesh Patel
Project Lead - JCI
A seasoned healthcare management professional with over 16 years of experience across India, Qatar, and the UAE. He brings extensive expertise in JCI–NABH accreditation, operational excellence, business strategy, quality assurance, and hospital operations management.
Our Expertise
Certified JCI Internal Auditors
Our experts are certified ‘JCI Internal Auditor’ from Joint Commission International, USA and have experience of working with the chain of leading multispecialty hospitals in the country and overseas and having audited some of the biggest JCI accredited hospitals the world.
20+ Years of Healthcare Quality Leadership
With over 20 years of experience in healthcare quality, we have a biggest team of experts who shall help you with the step by step process for the entire JCI accreditation till you receive the certificate.
Complete Support Throughout Your JCI Journey
From conducting JCI sensitization sessions for your employees and conducting mock surveys, our experts shall hand hold you during all the phases of your accreditation process.
Continuous Quality Assurance for JCI Sustenance
“Any Time Ready for Surveys” – we have a unique Continuous Quality Assurance system (CQAS) for your hospital to ensure that you are always ready for the JCI Surveys – be it planned or unannounced! We take care of your accreditation sustenance and help the hospital to efficiently retain and maintain the Quality systems.
JCI Methodology & Survey Process – Preparing for JCI Accreditation with the help of JCI consultant company like ours
Get Familiar with JCI Standards & Processes
Medigence experts shall help you become familiar with the JCI’s accreditation standards and fundamentals of the process.
Preparation of JCI-Compliant Manuals & Policies
Shall assist you in preparing the required Manuals, Policies, & SOPs in accordance with the JCI standards.
Identifying Your Accreditation Leaders
Will help you identify and select the chapter champions/accreditation leaders to ensure that the employees at all levels are involved in the process.
Training for JCI Chapter Champions
The chapter champions shall be trained on the various JCI standards and measurable elements.
Building a Strong Culture of Safety
Guiding the hospital to develop a culture of safety, change management, communication and commitment.
Guiding Hospitals in Tracers & Risk Assessment
Assisting the healthcare organizations to understand and perform Tracers that helps as a primary tool for risk assessment and gap analysis Medigence will help the hospital to monitor, modify and document various action plans to ensure improvement and compliance.
Methodology
Sensitization
Sensitization of the hospital staff
Training
Training of clinical and non-clinical staff
Policy & Pathway Development
Formulation of policies, manuals, SOPs and clinical pathways
Quality Improvement Development
Developing various quality improvement tools & techniques.
KPI & LOM Framework Development
Developing the key performance indicators (KPI) & implementing the International Library of Measures (LOM)
Hospital Gap Assessment
Gap assessment of the entire hospital including infrastructure, documentation, human resources, equipment planning and legal & statutory requirements
Applying for JCI
JCI Application Assistance
Once you fill up the application form for JCI on the website, you will receive the contract and travel instructions form from JCI. A JCI consultant company like Medigence can help you with filling up the form and guiding you with the entire accreditation process.
Advance Survey Scheduling
Dates are scheduled minimum 3-4 months in advance in order to arrange for the travel and accommodation of the surveyors
Survey Agenda Coordination
JCI Survey team leader shall contact the hospital in order to determine and schedule the survey agenda
Preparing for the Survey
Internal Audits
Conducting various internal audits
Complete Tracer Assessments
Conducting patient tracers, system tracers & IPSG Tracers
Continuous Staff Training
Conducting training sessions as a continuous measure
Stage-Wise Compliance Checks
Checking the readiness of the hospital in accordance to JCI standards at various stages
Mock JCI Survey
Conducting mock JCI survey (by certified internal/external surveyors), this will help the staff know what to expect during the actual survey process.
Mock Survey Review & Improvement
Discussions on the findings of the mock JCI survey and preparing appropriate strategic improvement plans for the “Partially Met” & “Not Met” standards
During the JCI Survey Process
Survey Operations Assistance
Assistance in managing the Survey Command Centre from the back-end
Daily De-Briefing Sessions
Conducting post survey de-briefing after each day of the JCI survey
Daily Survey Support
Assisting the survey coordinator and the quality team at each level during the entire survey each day
Post JCI Survey
Gap Review & Discussion
Discussions and analysis of the Partially Met & Not Met standards
Strategic Improvement Planning
Preparing a detailed Strategic Improvement Plan (SIP) in accordance to the findings identified during CI survey process
Submitting SIPs to JCI
Assistance of submitting the SIPs to the JCI authorities in the stipulated time. A JCI consultant company can help you with continuous quality assurance.
Examples of work:
Multispecialty Hospital – JCI Readiness Assessment (India)
Medigence Solutions was engaged by a 200-bed multispecialty hospital to conduct a comprehensive JCI Readiness Assessment as part of its journey toward international accreditation. The objective was to evaluate compliance with the Joint Commission International (JCI) 8th Edition Standards and to build a roadmap for full accreditation readiness.
Key deliverables included:
- Conducting a department-wise compliance audit covering patient safety, facility management, infection control, and governance standards.
- Reviewing clinical and administrative policies for alignment with JCI requirements.
- Developing an action plan with measurable timelines to bridge identified gaps.
- Training the core quality team and department heads on JCI interpretation, tracer methodology, and survey preparation.
Outcome:
The assessment provided the hospital with a clear, actionable roadmap toward JCI accreditation, improved interdisciplinary coordination, and established a sustainable quality improvement framework aligned with international best practices.
Slim N Lite – JCI Audit (Qatar)
Medigence Solutions partnered with Slim N Lite, a leading Qatar-based dietary and wellness company, to conduct a JCI-based audit for its kitchen and dietary services.
The objective was to assess the organization’s compliance with Joint Commission International (JCI) standards related to food safety, hygiene, and nutritional service delivery.
Key deliverables included:
- Performing a comprehensive gap analysis of kitchen operations, procurement, food storage, and meal distribution systems.
- Benchmarking processes against JCI Facility Management and Safety (FMS) and Infection Prevention and Control (IPC) chapters.
- Conducting staff training sessions on safe food handling, documentation, and patient diet management.
- Developing corrective and preventive action plans to achieve full compliance and readiness for external audits.
Outcome:
Slim N Lite achieved full alignment with JCI food safety and service standards, significantly improving process consistency, staff awareness, and audit preparedness.
Single-Specialty Hospital – JCI Planning & Design Consultancy (Indore, India)
Medigence Solutions is currently partnering with a single-specialty hospital in Indore to support its journey toward JCI Accreditation. The project is in the planning and design phase, where our team is providing end-to-end guidance to ensure the hospital’s infrastructure, workflows, and quality systems are aligned with Joint Commission International (JCI) 8th Edition Standards right from inception.
Key contributions include :
- Designing functional layouts and patient flow in accordance with JCI Facility Management and Safety (FMS) requirements.
- Developing the governance and policy framework for clinical operations, safety, and quality management.
- Providing strategic inputs on infection prevention, environmental control, and documentation systems.
- Building the foundation for a sustainable accreditation roadmap that integrates design excellence with operational quality.
Status:
The project is ongoing, with the facility expected to become one of Central India’s first JCI-compliant specialty hospitals upon completion.
Shrimati S. N. Shah Hospital – JCI-Compliant Turnkey Project (Meghraj, Gujarat)
Medigence Solutions has been entrusted with the turnkey development of Shrimati S. N. Shah Hospital, a 100-bed single-specialty hospital located in Meghraj, a Tier-3 town in Gujarat. Despite being in a rural setting, the hospital is being planned, designed, and executed in full alignment with JCI standards — a first of its kind for the region.
Scope of work includes :
- End-to-end project management, from architectural planning to quality framework integration.
- Designing infrastructure, patient flow, and facility layout fully compliant with JCI Facility Management and Safety (FMS) and Infection Prevention and Control (IPC) standards.
- Developing policy frameworks, operational manuals, and documentation systems to support future accreditation.
- Ensuring that global healthcare standards are accessible even in rural India.
Status:
The project is in its final stages of execution, envisioned to deliver world-class healthcare services to underserved populations, reflecting Medigence’s commitment to quality beyond geography.