Quality Residency Program 2025

Program Overview
This program is designed to provide comprehensive education and training on Joint Commission International (JCI) standards for healthcare quality. The program aims to equip participants with the knowledge and skills necessary to understand, implement, and maintain JCI standards within their healthcare organizations.
Learning Objective
By the end of this program, participants will be able to:
– Gain in-depth knowledge of JCI standards related to patient-centered care and healthcare organization management.
– Apply scenarios and case studies to enhance problem-solving abilities.
– Develop proficiency in conducting patient or system tracers using Tracer Methodology.
– Develop the skills to effectively write policies and apply the principles and processes of document control.
– Gain knowledge and skills in developing key performance indicators (KPIs) to measure and monitor healthcare quality and performance.
– Develop proficiency in data management techniques and analysis methods to extract meaningful insights.
– Acquire the ability to conduct audits, create checklists, and develop auditing processes to assess compliance.
– Understand and apply risk assessment methodologies to identify and assess potential hazards and risks in healthcare processes and environments.
– Learn and apply Failure Mode and Effects Analysis (FMEA) techniques to proactively identify and mitigate potential failures.
– Gain proficiency in conducting Root Cause Analysis (RCA) to identify underlying causes of adverse events and develop effective strategies for preventing their recurrence.
– Familiarize with electronic systems and their applications in healthcare
– Explore and utilize various improvement tools and methodologies, such as Plan-Do-Check-Act (PDCA)
– Develop the skills and knowledge necessary to effectively prepare for and participate in drills, simulations, and improve emergency response and preparedness in healthcare settings.
– Acquire proficiency in conducting medical records reviews to assess the completeness, and compliance of patient documentation with healthcare standards and regulations.
Program Structure
- Introduction to JCI Standards 8th edition
- Exploring JCI Standards 8th edition
– In-depth exploration of various JCI standards related to patient-centered care and healthcare organization management.
– Detailed explanation of each chapter requirements within the JCI standards.
– Discussion of the rationale behind each standard and its practical application in healthcare settings.
– Imagine the real-world application of these standards at CCHE 57357.
– Explanation for the new chapters Healthcare technology & Global Health Impact. - Integration of JCI Standards
– Exploring ways to integrate JCI standards into organizational policies, procedures, and workflows.
– Strengthening risk management, risk reduction, and patient safety efforts through the adoption of JCI standards. - Tracer Methodology and Patient Safety
– Understanding JCI’s Tracer Methodology and its role in uncovering hidden patient safety issues.
– Developing skills to conduct effective patient or system tracers within healthcare organizations.
– Learning how to plan, execute, and improve tracers to enhance patient safety efforts. - Workshops and Case Studies
– Conducting interactive workshops to facilitate hands-on learning and practical application of JCI standards.
– Analyzing case studies to understand real-world scenarios and challenges in implementing JCI standards.
– Collaborative problem-solving exercises to enhance participants’ ability to address quality improvement challenges. - Quality Improvement Strategies
– Exploring methods to improve healthcare quality and align organizational processes with JCI standards.
– Developing strategies to address common quality improvement challenges - Program Evaluation and Certification
– Assessing participants’ understanding and application of JCI standards through assignments.
– Providing certifications or completion certificates to participants who successfully meet the program requirements
Schedule
Date | Total hours | Time | Topic | Location | Speaker | |
Day 1 | 4 | 30 Minutes | 09:00 AM to 09:30 AM | Opening session | Onsite | Dr. Fatma Mandouh |
30 Minutes | 09:30 AM to 10:00 AM | Residency program orientation | Onsite | Dr. Esraa Abdelhameed | ||
1 Hour | 10:00 AM to 11:00 AM | Hospital orientation session | Onsite | Mr . Belal Ibrahim | ||
30 Minutes | 11:00 AM to 11:30 AM | Break | ||||
1.30 Hour | 11:30 AM to 1:30 PM | Hospital tour | Tour | Mr . Belal Ibrahim | ||
Dr . Esraa Abdelhameed | ||||||
Day 2 | 5 | 2.5 Hours | 09:00 AM to 11:30 AM | International Patient Safety Goals (IPSG) | Online | Dr. Somya Ali |
30 Minutes | 11:30 AM to 12:00 PM | Break | ||||
2 Hours | 12:00 PM to 02:00 PM | International Patient Safety Goals (IPSG) | Online | Dr. Somya Ali | ||
Day 3 | 5 | 2.5 Hours | 09:00 AM to 11:30 AM | Patient-Centered Care (PCC) | Online | Ms Sarah Mohammed |
30 Minutes | 11:30 AM to 12:00 PM | Break | ||||
2 Hours | 12:00 PM to 02:00 PM | Patient-Centered Care (PCC) | Online | Ms Sarah Mohammed | ||
Day 4 | 5 | 2.5 Hours | 09:00 AM to 11:30 AM | Access to Care and Continuity of Care (ACC) | Online | Dr. Esraa Abdelhameed |
30 Minutes | 11:30 AM to 12:00 PM | Break | ||||
2 Hours | 12:00 PM to 02:00 PM | Access to Care and Continuity of Care (ACC) | Online | Dr. Esraa Abdelhameed | ||
Day 5 | 5 | 2.5 Hours | 09:00 AM to 11:30 AM | Assessment of Patients (AOP) | Online | Ms Donia Mansour |
30 Minutes | 11:30 AM to 12:00 PM | Break | ||||
2 Hours | 12:00 PM to 02:00 PM | Assessment of Patients (AOP) | Online | Dr .Aia Madkour | ||
Dr. Esraa Abdelhameed | ||||||
Day 6 | 5 | 3 Hour | 09:00 AM to 12:00 AM | Assessment of Patients (AOP) | Online | Dr. Shery Beshoy |
30 Minutes | 11:00 AM to 11:30 AM | Break | ||||
2 Hour | 11:30 AM to 1:30 PM | Care of Patients (COP) | Online | Ms Nahed Ramadan | ||
Day 7 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Tools of improvement | Onsite | Dr. Shery Beshoy |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hour | 12:30 PM to 02:30 PM | Outpatient area tour | Tour | Dr. Somya Ali | ||
Dr. Esraa Abdelhameed | ||||||
Day 8 | 5 | 2.5 Hours | 09:00 AM to 11:30 AM | Care of Patients (COP) | Online | Ms Nahed Ramadan |
30 Minutes | 11:30 AM to 12:00 PM | Break | ||||
2 Hours | 12:00 PM to 02:00 PM | Care of Patients (COP) | Online | Ms Nahed Ramadan | ||
Day 9 | 5 | 2.5 Hour | 09:00 AM to 11:30 AM | How to write policy and procedures | Onsite | Ms Donia Mansour |
1 hour | 11:30 AM to 12:30 PM | Document control (workshop) | Onsite | Ms Noha Ahmed | ||
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
1 Hour | 12:30 PM to 01:30 PM | How to create a checklist?(workshop) | Onsite | Ms Nahed Ramadan | ||
Day 10 | 5 | 2.5 Hours | 09:00 AM to 11:30 AM | Anesthesia and Surgical Care (ASC) | Online | Mr . Belal Ibrahim |
30 Minutes | 11:30 AM to 12:00 PM | Break | Break | |||
2 Hours | 12:00 PM to 02:00 PM | Anesthesia and Surgical Care (ASC) | Online | Mr . Belal Ibrahim | ||
Day 11 | 5 | 2.5 Hours | 09:00 AM to 11:30 AM | Anesthesia and Surgical Care (ASC) | Online | Mr . Belal Ibrahim |
30 Minutes | 11:30 AM to 12:00 PM | Break | ||||
2 Hours | 12:00 PM to 02:00 PM | Anesthesia and Surgical Care (ASC) | Online | Mr . Belal Ibrahim | ||
Day 12 | 5 | 2.5 Hours | 09:00 AM to 11:30 AM | Medication Management and Use (MMU) | Online | Dr. Marwa Shalaby |
30 Minutes | 11:30 AM to 12:00 PM | Break | ||||
2 Hours | 12:00 PM to 02:00 PM | Medication Management and Use (MMU) | Online | Dr. Marwa Shalaby | ||
Day 13 | 6 | 2 Hour | 09:00 AM to 11:00 AM | Medication management workshop | Onsite | Dr. Marwa Shalaby |
30 Minutes | 11:00 AM to 11:30 AM | Break | ||||
2 Hour | 09:00 AM to 11:00 AM | Inpatient area tour | Tour | Ms Nahed Ramadan | ||
Ms Donia Mansour | ||||||
30 Minutes | 01:30 PM to 02:00 PM | Break | ||||
1 Hour | 11:30 PM to 01:30 PM | Lab Tour | Tour | Dr. Shery Beshoy | ||
Day 14 | 6 | 1 Hour | 09:00 AM to 10:00 AM | Supply Chain tour | Tour | Dr. Nour allah Ahmed |
30 Minutes | 10:00 PM to 10:30 PM | Break | ||||
3 Hour | 10:30 PM to 01:30 PM | Medication management Tour | Tour | Dr. Marwa Shalaby | ||
30 Minutes | 01:30 PM to 02:00 PM | Break | ||||
1 Hour | 02:00 PM to 03:00 PM | Blood bank tour | Tour | Dr. Esraa Abdelhameed | ||
Day 15 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Audit checklist | Audit | Ms Nahed Ramadan |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hour | 12:30 PM to 3:00 PM | Cerner system | Hall C | Ms Sarah Mohammed | ||
Day 16 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Distribution of area of audit | Audit | Ms Nahed Ramadan |
checklist discussion | ||||||
Hand over of Area | ||||||
Cerner Implementation | ||||||
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hour | 12:30 PM to 3:00 PM | Cerner system implemintation | Hall C | Ms Sarah Mohammed | ||
Day 17 | 5 | 2.5 Hour | 09:00 AM to 11:00 AM | Governance, Leadership, and Direction (GLD) | Online | Dr. Nour allah Ahmed |
30 Minutes | 11:00 AM to 11:30 AM | Break | ||||
2.5 Hour | 11:30 AM to 02:00 PM | Governance, Leadership, and Direction (GLD) | Online | Dr. Nour allah Ahmed | ||
Day 18 | 6 | 2 Hour | 09:00 AM to 11:00 AM | Prevention and Control of Infections (PCI) | Onsite | Ms Nahed Ramadan |
30 Minutes | 11:00 AM to 11:30 AM | Break | ||||
2 Hours | 11:30 AM to 01:30 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident | ||
1.5 Hours | 01:30 PM to 03:00 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
Day 19 | 5 | 2.5 Hour | 09:00 AM to 11:30 AM | Prevention and Control of Infections (PCI) | Online | Ms Nahed Ramadan |
30 Minutes | 11:30 AM to 12:00 PM | Break | ||||
2.5 Hour | 12:00 PM to 2:30 PM | Prevention and Control of Infections (PCI) | Online | Ms Nahed Ramadan | ||
Day 20 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Risk assessment (workshop) | Onsite | Mr . Belal Ibrahim |
Dr . Esraa Abdelhameed | ||||||
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hour | 12:30 PM to 3:30 PM | FMEA (workshop) | Onsite | Mr . Belal Ibrahim | ||
Dr . Esraa Abdelhameed | ||||||
Day 21 | 5 | 3 Hour | 09:00 AM to 12:00 PM | Management of Information (MOI) | Online | Dr. Bodour Ahmed |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
1.5 Hours | 12:30 PM to 02:00 PM | Healthcare technology (HCT) | Online | Dr. Bodour Ahmed | ||
Day 22 | 6 | 2 Hour | 09:00 AM to 11:00 AM | Staff Qualifications and Education (SQE) | Onsite | Dr. Shery Beshoy |
30 Minutes | 11:00 AM to 11:30 AM | Break | ||||
2 Hours | 11:30 AM to 01:30 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident | ||
1.5 Hours | 01:30 PM to 03:00 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
Day 23 | 6 | 3 Hours | 09:00 AM to 12:00 PM | Facility Management and Safety (FMS) | Onsite | Dr Aia Madkour |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 hours | 12:30 PM to 03:00 PM | Facility Tour | Tour | Dr Aia Madkour | ||
Day 24 | 6 | 2 Hour | 09:00 AM to 11:00 AM | Facility Management and Safety (FMS) | Onsite | Dr Aia Madkour |
30 Minutes | 11:00 AM to 11:30 AM | Break | ||||
2 Hours | 11:30 AM to 01:30 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident | ||
1.5 Hours | 01:30 PM to 03:00 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
Day 25 | 6 | 3 Hours | 09:00 AM to 12:00 PM | Facility Management and Safety (FMS) | Onsite | Dr Aia Madkour |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
1.5 Hours | 12:30 PM to 02:00 PM | Global Health Impact (GHI) | Onsite | Dr Aia Madkour | ||
Dr Nour Allah Ahmed | ||||||
Dr Shery Beshoy | ||||||
1 hour | 02:00 PM to 03:00 PM | Facility Tour | Tour | Dr Aia Madkour | ||
Day 26 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Data management and analysis( workshop) | Onsite | Mr Belal Ibrahim |
Mr Ahmed | ||||||
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hours | 12:30 PM to 03:00 PM | KPI card | Onsite | Mr Belal Ibrahim | ||
Mr Ahmed | ||||||
Day 27 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Incident report and RCA(workshop) | Onsite | Dr. Nour allah Ahmed |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hours | 12:30 PM to 03:00 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident | ||
Day 28 | 6 | 2 Hour | 09:00 AM to 11:00 AM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident |
1.5 Hours | 11:00 AM to 12:30 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
30 Minutes | 12:30 PM to 01:00 PM | Break | ||||
2 Hour | 01:00 PM to 03:00 PM | Medical file review session | Onsite | Dr. Bodour Ahmed | ||
Day 29 | 6 | 2 Hour | 09:00 AM to 11:00 AM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident |
1.5 Hours | 11:00 AM to 12:30 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
30 Minutes | 12:30 PM to 01:00 PM | Break | ||||
2 Hour | 01:00 PM to 03:00 PM | Staff file review session | Onsite | Dr. Shery Beshoy | ||
Day 30 | 6 | 2 Hour | 09:00 AM to 11:00 AM | System tracing in CSSD | Tour | Ms Nahed |
Ms Belal | ||||||
30 Minutes | 11:00 AM to 11:30 AM | Break | ||||
2 Hour | 11:30 AM to 01:30 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident | ||
1.5 Hours | 01:30 PM to 03:00 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
Day 31 | 6 | 3 Hour | 09:00 AM to 12:00 PM | How to prepare effectively for participate in drills, simulations(workshop) | Onsite | Dr Aia Madkour |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hour | 12:30 PM to 03:00 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident | ||
Day 32 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hours | 12:30 PM to 03:00 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
Day 33 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hours | 12:30 PM to 03:00 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
Day 34 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hours | 12:30 PM to 03:00 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
Day 35 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hours | 12:30 PM to 03:00 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
Day 36 | 6 | 3 Hour | 09:00 AM to 12:00 PM | Practical application (Audit & improvement discussion) | Audit | Each quality member with his/her resident |
30 Minutes | 12:00 PM to 12:30 PM | Break | ||||
2.5 Hours | 12:30 PM to 03:00 PM | Cerner application | Hall C | Each quality member with his/her resident | ||
Mode of Delivery
Hybrid (Onsite & Online)
Selection Criteria
Healthcare quality diploma is a must or CPHQ.
Program Duration / Fees
4 months / 200 hours
Start Date April 2025
2 days per week
Course price: 3500 LE/month
Certificate Requirements
In order to receive your certificate, you have to attend not less than 70%
• Hard copy for 300 Egyptian Pounds.
• Soft copy for free.
For more information
Please contact: [email protected]