Accreditation of Hospital Functionality After Opening a New Hospital
Accreditation of Hospital Functionality

N General Hospital (400-bed class)

~First Accreditation of Hospital Functionality After Opening the New Hospital~

N General Hospital is a comprehensive hospital that ITEC supported consistently from the basic concept and planning of the new hospital to design support, operational planning, and opening preparations.
As the new hospital resulted from the integration of two hospitals, the staff consists of members from each hospital. Therefore, unifying detailed operations and staff awareness was still a challenge. Given this background, the hospital viewed the Accreditation of Hospital Functionality as an opportunity for improvement and approached the evaluation.
Notably, the hospital director, as one of the project leaders, approached the evaluation preparations with strong passion and leadership, which was impressive.
ITEC provided consistent support from organizational composition, issue extraction, issue improvement support, to pre-evaluation, aiming to improve the hospital’s quality.
The evaluation result was a first-time pass with no improvement requests, and particularly, the efforts in clinical ethics received a high “S” rating. This effort was based on exemplary practices from other hospitals proposed by ITEC, and receiving high praise for it was a rewarding experience for the consultancy.


Key Success Points

POINT1
Ensuring Improvement of Issues Likely to Receive a C Rating
The data book regularly published by the Hospital Function Evaluation Organization lists cases that received a C rating. These issues need to be thoroughly extracted and reliably improved.
ITEC Strengths

ITEC has supported more than 10 hospital function evaluations. From this experience, we understand the items likely to receive a C rating and ensure thorough extraction and improvement of these issues through department visits and interviews, flagging the most critical issues for comprehensive improvement.

POINT2
Regular Progress Checks and Shared Issue Awareness Across the Hospital
Extracting issues alone does not lead to improvement. Assigning responsible persons for the issues, holding them accountable, and regularly checking progress is necessary for improvement to proceed.
Forming a project team with key members, including hospital executives, and addressing the Accreditation of Hospital Functionality with a shared awareness of the issues across the hospital is crucial.
ITEC Strengths

ITEC always attends the regularly held project team meetings to check overall progress. While we may sometimes make strict remarks, our approach focuses on improving the hospital’s quality rather than merely passing the Accreditation of Hospital Functionality.
We do not recommend any unnecessary efforts solely for obtaining the certification.


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Email Address: info@itec-ltd.co.jp

19-Sep-23
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ITEC Ltd.
President: Hiroomi Suzuki


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