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Background Image: Image: A female medical student in scrubs carries a medical record under her arm.
Academic Medical Center Hospital Accreditation
An Academic Medical Center is a tertiary care hospital that is organizationally and administratively integrated with a medical school. The hospital is the principal site for the education of both medical students and postgraduate medical trainees from the affiliated medical school; it conducts medical, academic, and/or commercial human subjects research under multiple approved protocols involving patients of the hospital.
JCI Hospital Standards for Academic Medical Center Hospitals
Are Relevant For:
Academic medical center hospitals
Cover:
Medical professional education
Human subjects research programs
Access to care and continuity of services
Assessment and care of patients
Anesthesia and surgical care
Medication management
Patient/family rights and education
Quality improvement and patient safety
Prevention and control of infections
Governance and leadership
Facility management and safety
Staff qualifications and education
Management of information
Address:
Supervision of medical students and trainees
Roles of clinical teaching staff
Oversight of research program
Research ethics committee/Institutional Review Board oversight
Protection of human subjects
Provision of high-risk services and care
Implementation of Clinical Practice Guidelines
Radiology/diagnostic imaging services
Laboratory services
Program for quality improvement and patient safety
Supply chain management
Safety of care environment
Health care practitioner privileging and credentialing
Management of contracts
Confidentiality and security of patient information
Is My Hospital an Academic Medical Center?
In addition to the eligibility requirements for JCI-accredited hospitals, academic medical centers must meet additional criteria:
The applicant hospital is organizationally or administratively integrated with a medical school.
The applicant hospital is the principal site for the education of both medical students (undergraduates) and postgraduate medical specialty trainees (for example, residents or interns) from the medical school noted in criterion one.
At the time of application, the applicant hospital is conducting medical research with approval and oversight by an Institutional Review Board (IRB) or research ethics committee.
How Do You Begin?
Introducing the Pathway to JCI Accreditation. This easy-to-navigate resource outlines the 12 steps health care organizations typically follow in their pursuit of accreditation. The milestones outlined within each step help your team organize activities and monitor progress throughout your accreditation preparation efforts.
