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For hospitals, centres and health systems seeking JCI accreditation

JCI accreditation software, built to help you achieve JCI accreditation.

wai runs booking, clinical notes, patient messaging in any language, payments and records for hospitals and centres that treat international patients, and keeps each of them as evidence a JCI surveyor can trace. With replies drafted in the patient's language for your team to approve and notes written during the consultation for the clinician to sign, wai is built to help you achieve JCI accreditation.

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Updated . Every JCI fact is checked against jointcommission.org and cited below.

A hospital chief medical officer walking alone through a soaring stone and glass atrium, a single tree in the light

For

Hospitals, academic medical centres, ambulatory centres, primary care centres and health systems

Body

Joint Commission International, voluntary accreditation in more than 70 countries

Framework

Hospital standards, 8th edition, effective 1 January 2025

Records

Hosted in each organisation's own country, under its rules

For hospitals, centres and health systems

  1. Hospitals and academic medical centresThe 8th edition standards, five patient safety goals and a survey that traces real patients through your care.
  2. Health systems and hospital groupsEvery site on one record, inbox and set of reports, so a tracer reads the same at every hospital.
  3. Ambulatory and day surgery centresConsent, results, follow-up and the audit trail behind each one, under JCI's ambulatory care standards.
  4. Clinics serving international patientsAnswer every enquiry in the patient's own language, and keep the whole conversation on the record.

What a JCI tracer finds with wai

In a tracer, a surveyor follows one patient through your hospital. With wai, that patient's enquiry, consent, notes, results and follow-up sit on one record, signed and timed, and every message is kept in the language it was written in.

What does JCI assess a hospital against in 2026?

The 8th edition hospital standards, in force since 1 January 2025.

Five patient safety goals, and the chapters of the hospital standards in four sections, with two more for academic medical centres. Open one for its chapters.1

01International Patient Safety GoalsFive goals for the places harm happens most often, set within the patient-centered standards.5 goals
  1. Identify patients correctly
  2. Improve effective communication
  3. Improve the safety of medications
  4. Ensure safe surgery
  5. Reduce the risk of health care-associated infections

International Patient Safety Goals on jointcommission.org

02Patient-Centered StandardsHow a patient reaches care, is assessed, treated, medicated and informed, and how care continues after they leave.6 chapters
  1. Access to Care and Continuity of Care (ACC)
  2. Assessment of Patients (AOP)
  3. Anesthesia and Surgical Care (ASC)
  4. Care of Patients (COP)
  5. Medication Management and Use (MMU)
  6. Patient-Centered Care (PCC)

Patient-Centered Standards on jointcommission.org

03Health Care Organization Management StandardsHow the organisation is governed, staffed, kept safe, measured and run on information.7 chapters
  1. Facility Management and Safety (FMS)
  2. Governance, Leadership, and Direction (GLD)
  3. Health Care Technology (HCT)
  4. Management of Information (MOI)
  5. Prevention and Control of Infections (PCI)
  6. Quality and Patient Safety (QPS)
  7. Staff Qualifications and Education (SQE)

Health Care Organization Management Standards on jointcommission.org

04Participation and Global Health ImpactThe requirements for taking part in accreditation, now scored, and a new chapter on the organisation's wider impact.2 chapters
  1. Accreditation Participation Requirements (APR)
  2. Global Health Impact (GHI)

Participation and Global Health Impact on jointcommission.org

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What does a JCI survey look at?

More than a thousand measurable elements, against six months of evidence.2

  1. 01

    Tracers

    Surveyors follow real patients through the organisation, checking how care is delivered at each step.

  2. 02

    Leadership interviews

    How leaders set direction, govern quality and act on what the data shows.

  3. 03

    Staff qualifications

    The files that show each person is qualified and trained for the work they do.

  4. 04

    Facility tour

    The environment of care, its safety and its infection control, seen on the day.

  5. 05

    Records and documents

    Clinical records and the documents behind them, across a six-month look-back period.

  6. 06

    Leadership conference

    The closing conversation, where findings are shared before the formal report.

How does JCI score a survey?

Each measurable element is scored, and findings are placed on the SAFER Matrix.3

  1. MetFully in place
  2. Partially MetIn place, with gaps
  3. Not MetNot in place
  4. AccreditedFor three years

  1. 3 years

    is the accreditation cycle. JCI requires accredited organisations to be reaccredited every three years.4

  2. 60 days

    to submit a Strategic Improvement Plan after the official survey findings report, where one is required.5

  3. 1,000+

    health care organisations in more than 70 countries hold the Gold Seal of Approval.6

  • Findings are placed on the SAFER Matrix by their likelihood to harm and how widespread they are.
  • Elements scored Partially Met or Not Met in higher-risk placements need a Strategic Improvement Plan.
  • If JCI does not accept a plan, the organisation has 30 more days to resubmit it.
  • Hospitals and academic medical centres have five Continuous Engagement touchpoints between triennial surveys.

What changed in the 8th edition?

The 8th edition changed scoring, added two chapters and moved falls.

  1. The hospital standards 8th edition took effect on 1 January 2025, and covers academic medical center hospitals too.
  2. Accreditation Participation Requirements are now scored. Two chapters are new, Health Care Technology and Global Health Impact.7
  3. Patient falls moved from the patient safety goals into Assessment of Patients, leaving five goals. Accreditation 360 is the US Joint Commission's model for US hospitals and does not apply to JCI.

What should JCI accreditation software actually run?

Each module runs part of the organisation and records the evidence for the requirements listed beside it.

  1. 01

    Appointments and booking

    Online booking from your own website, every clinician's diary read from their calendar, reminders, rebooking after a missed visit and waitlist offers when a slot opens.

    Evidences Patient-Centered Standards

    For patients
    Online booking at any hour, with a reminder before the visit.
    For the business
    Fewer missed appointments, and cancelled slots offered to the waitlist.
    On the record
    Every booking, reminder and change, with a time and a name.
  2. 02

    Billing and payments

    Card payments into your own Stripe account, the cancellation policy shown at booking, invoices, statements and reconciliation, with an export for your accountant.

    Evidences Patient-Centered StandardsHealth Care Organization Management Standards

    For patients
    A clear price and policy before they commit, and an invoice in their app.
    For the business
    Payments reconciled against visits, with an export for your accountant.
    On the record
    What was charged, when, against which visit, and the policy the patient saw.
  3. 03

    AI scribe and clinical notes

    The note, letters and referrals written from the consultation, cited to published clinical guidelines, with the transcript beside the note, for the clinician to read, edit and sign.

    Evidences Patient-Centered StandardsInternational Patient Safety Goals

    For patients
    The clinician's attention stays on them during the consultation.
    For the business
    Less time spent writing notes after clinic.
    On the record
    A contemporaneous note, signed, with the time, the signature and the source it cites.
  4. 04

    Follow-ups and patient messaging

    WhatsApp, email and calls in one thread per patient, replies drafted in the patient's own language for your team to approve, a response clock on every new enquiry, and recalls a clinician approves.

    Evidences Patient-Centered Standards

    For patients
    A reply in the language they wrote in, approved by your team.
    For the business
    More enquiries answered within the hour, when they are most likely to book.
    On the record
    The whole conversation on one record, with response times.
  5. 05

    Referrals, consent and audit trails

    Recording consent taken at booking, referrals written from the visit, patient flags for controlled drugs and safeguarding notes, and every read of a record logged against a named account.

    Evidences International Patient Safety GoalsPatient-Centered StandardsHealth Care Organization Management Standards

    For patients
    Flags and checks in the record at the point of care.
    For the business
    Incident reviews that start from the audit trail, with times and names.
    On the record
    Who saw what, who changed what, and when, to the minute.
  6. 06

    Staff access and accountability

    Named accounts for every person, and role-based access enforced in the database, so every action sits under a name.

    Evidences Health Care Organization Management Standards

    For patients
    Their record seen only by staff whose role allows it.
    For the business
    Access and actions tied to named people, in the same system as the record.
    On the record
    Who holds which role, and every action taken under it.
  7. 07

    Reporting

    Takings, front desk and website reports, response targets, and the patient's own record exportable on request.

    Evidences Health Care Organization Management StandardsParticipation and Global Health Impact

    For patients
    A copy of their record when they ask for it.
    For the business
    Weekly reports for leaders on response times, the front desk and takings.
    On the record
    Reports for any period, produced on the day they are asked for.

Prices for clinics, groups and hospitals are published on the wai pricing page, and you can request a demo of the full platform.

A chief medical information officer walking alone through a soaring glass and stone atrium, morning light in long shafts

How does wai evidence each part of the JCI standards?

For each part of the standards, the records wai keeps, how you produce them, and what changes for patients and the business.

International Patient Safety Goals

Safety checks recorded in the system as care happens.

  • One patient identity behind every booking, note, result and message
  • Results, referrals and letters written from the visit and signed by the clinician
  • Patient flags for controlled drugs, and a check before a monitored drug is prescribed
  • Every read and change of a record logged against a named account

On request. Ask who saw a record, who changed it and when. The audit trail answers to the minute.

For patients
Results and records tied to the right patient.
For the business
Fewer near misses, and incidents reviewed from the record in minutes.

Patient-Centered Standards

Each patient's care on one record, before, during and after the visit.

  • Online booking and reminders, with every change kept
  • Notes written from the consultation, with the transcript beside them
  • Recording consent taken at booking, and the consent discussion in the note
  • Replies drafted in the patient's own language, approved by your team

On request. Pull any patient. Booking, consent, note, result and follow-up appear in order.

For patients
Care explained in their own language.
For the business
International patients who come back, and refer others.

Health Care Organization Management Standards

Weekly reports for leaders, across every site.

  • Named accounts and role-based access, enforced in the database
  • Records kept complete and contemporaneous, with every change visible
  • Front desk, response, takings and website reports, read weekly
  • Records hosted in the organisation's own country, under its rules

On request. Asked how you manage information, show the access log and the reports you already read.

For patients
Their record seen only by the people caring for them.
For the business
Decisions based on weekly reports.

Participation and Global Health Impact

Accurate information to JCI, from the record itself.

  • Reports drawn from live data
  • A full audit trail behind every figure you send
  • Patient data exportable on request
  • One system across sites, so the same question gets the same answer

On request. Show where each figure you reported came from, down to the record.

For patients
Accurate information about the hospital they chose.
For the business
Less staff time spent assembling evidence for JCI.

What do patients and the business gain?

Published research on response times, ambient scribes and appointment reminders.

  1. 7x

    An enquiry answered within the hour is nearly seven times as likely to become a real conversation.8

  2. 30%

    Clinicians using an ambient scribe did 30% less work after hours.9

  3. 23%

    Patients sent a notification before their visit were 23% more likely to attend.10

How does wai surface JCI evidence on request?

What may be asked for, where it is kept in wai, and how it is produced.

  1. Patient identityOne record per patientEvery booking, note, result and message tied to the same patient.
  2. Clinical notesThe patient record, beside the transcriptOpen the consultation. Note, transcript, citations, signature and time, together.
  3. ConsentThe booking and the noteThe recording notice the patient saw at booking, and the consent discussion in the note.
  4. CommunicationThe patient's threadEvery message, in the patient's language, with who approved it and when.
  5. Medication safetyPatient flags and prescribingControlled drug flags and the check before a monitored drug is prescribed.
  6. Audit trailsEvery recordWho read or changed it, under which account, to the minute.
  7. Staff accessAccounts and rolesWho holds which role, and every action taken under it.
  8. Quality dataReportsFront desk, response, takings and website reports, on the day they are asked for.

How do you prepare for a JCI survey?

A readiness checklist in five parts, from application to reaccreditation.

01Twelve months out

  • Buy the standards manual and the survey process guide for your programme, and read them as a team.
  • Form an accreditation team, with one owner per chapter.
  • Run a gap analysis against every measurable element, and an action plan with dates.
  • Plan to file the application on JCI Direct Connect 6 to 12 months before you want the survey.

02Patient safety goals

  • Two identifiers on every patient, in every system, at every step.
  • Critical results communicated, read back and recorded.
  • High-alert medications and the checks around them, written and shown.
  • Hand hygiene measured, with the numbers on the wall and in the minutes.

03Patient-centred care

  • Mock tracers on real patients, from first enquiry to follow-up.
  • Consent taken, recorded and explained in a language the patient understands.
  • Assessments complete and timed, and handovers on the record.
  • Information for international patients in their own language.

04Organisation management

  • Staff files complete, with qualifications and training current.
  • Quality measures chosen, tracked monthly and acted on.
  • Access to records controlled by role, with a log you can show.
  • Infection control and facility safety rounds, with actions that close.

05After the survey

  • Read the SAFER Matrix and start the Strategic Improvement Plan the same week.
  • Submit the plan within 60 days of the official findings report.
  • Keep evidence current for the Continuous Engagement touchpoints.
  • Treat reaccreditation in three years as the next survey, starting now.

What will a JCI surveyor ask in a tracer?

Questions to expect, what to show, and where wai holds the answer.

01How do you identify this patient, and how do you know it is her result?

What to show

Two identifiers, used every time, and the result on the right record.

Where wai has it ready

One patient identity behind every booking, note, result and message.

02Show me the consent for this procedure, and what she was told.

What to show

What the patient was told, in which language, and when she agreed.

Where wai has it ready

Recording consent is taken at booking, and the consent discussion is in the signed note.

03How was this patient's care handed over?

What to show

The handover, the referral or the letter, signed and timed.

Where wai has it ready

Referrals and letters are written from the visit and signed by the clinician.

04How do you communicate with patients who do not speak English or Arabic?

What to show

Conversations and information in the patient's own language.

Where wai has it ready

Replies are drafted in the language the patient writes in, and approved by your team.

05How do you know this note was written at the time?

What to show

Notes made during care, signed, with any change visible.

Where wai has it ready

Notes are written during the visit and signed with a time, and an amended note is signed again.

06Who can see this record, and how would you know?

What to show

Roles, access controls and an access log.

Where wai has it ready

Role-based access enforced in the database, and every read logged against a named account.

07What quality measures do leaders review, and what changed?

What to show

The measures, the trend and the decision it led to.

Where wai has it ready

Front desk, response, takings and website reports, read by leaders every week.

What is at stake in a JCI survey?

A JCI survey tests more than a thousand measurable elements, and accreditation is held by organisations in more than 70 countries.

  1. 1,000+

    measurable elements are evaluated in a JCI survey, against six months of evidence.2

  2. 70+

    countries have organisations holding the JCI Gold Seal of Approval.6

  3. 30 days

    more are given to resubmit a Strategic Improvement Plan that JCI does not accept.5

Request a demoEmail us

JCI guides

All JCI guides
  1. ReadinessWhat is on a JCI accreditation checklist for a hospital?8 min read
  2. ProcessHow does JCI accreditation work, step by step?7 min read
  3. StandardsWhat changed in the JCI hospital standards 8th edition?7 min read
  4. StandardsWhat are the JCI International Patient Safety Goals?7 min read
  5. SurveyWhat do JCI surveyors ask in a tracer?7 min read
  6. RecordsWhat documentation does JCI expect from a hospital?7 min read
  7. After the surveyHow do you write a JCI Strategic Improvement Plan?6 min read
  8. ProgrammesIs JCI accreditation right for an ambulatory centre?6 min read

Questions

What is the best software for JCI accreditation?

The best JCI software is the system your organisation already runs on, so a tracer finds the evidence in the record rather than in a binder. Look for one patient identity behind booking, notes, messaging, payments and access, with contemporaneous notes and a full audit trail. wai is built that way, to help you achieve JCI accreditation.

Is there JCI approved or JCI certified software?

Joint Commission International accredits health care organisations. It does not approve, certify or endorse software, wai included, and software cannot earn an accreditation on a provider's behalf. wai keeps the records your team uses to show JCI how care is delivered, and JCI decides the accreditation.

Is JCI accreditation mandatory?

No, JCI accreditation is voluntary. Licensing stays with the local regulator, such as DHA in Dubai or DOH in Abu Dhabi. Hospitals seek JCI to show international patients, insurers and partners that they meet an international standard.

How long does JCI accreditation last?

Three years. JCI requires accredited organisations to be reaccredited every three years, and hospitals and academic medical centres have five Continuous Engagement touchpoints in between.

Which edition of the JCI hospital standards is in force?

The 8th edition, effective 1 January 2025. It also covers academic medical center hospitals. The ambulatory care standards are in their 4th edition, effective 1 July 2019.

How many International Patient Safety Goals are there?

Five in the 8th edition hospital standards. Patient falls moved into the Assessment of Patients chapter. JCI notes the goals vary by accreditation programme.

Does wai work for hospitals and health systems?

Yes, every site runs on the same record, inbox and reports. Larger organisations usually start with one pathway, prove it on their own data, and widen it from there.

Where does wai keep our records?

In your organisation's own country, under its rules, encrypted, with a full audit log. We set this up with you before go-live.

JCI in the cities we serve

All regulators
  1. City guideClinic AI in Abu Dhabi
  2. City guideClinic AI in Riyadh
  3. City guideClinic AI in Jeddah
  4. City guideClinic AI in Doha
  5. City guideClinic AI in Istanbul
  6. City guideClinic AI in Bodrum
  7. City guideClinic AI in Bangkok
  8. City guideClinic AI in Seoul
  9. City guideClinic AI in Cairo
  10. City guideClinic AI in Mexico City
  11. City guideClinic AI in São Paulo

Across the Gulf

  1. Read nextClinics in Dubai
  2. Read nextDHA, the Dubai Health Authority
  3. Read nextDOH, the Department of Health Abu Dhabi
  4. Read nextAI for hospitals

See wai on your own diary, notes and inbox.

Fifteen minutes on video, on your own diary, notes and inbox. Built to help you achieve JCI accreditation. wai hosts each clinic's records in its own country, under that country's rules. We set this up with you before go-live.

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team@wellnessa-i.com

Sources

  1. 1Joint Commission International, 2024JCI Accreditation Standards for Hospitals, 8th editionRead source
  2. 2Joint Commission International, 2026Accreditation processRead source
  3. 3Joint Commission International, 2026The JCI SAFER MatrixRead source
  4. 4Joint Commission International, 2026What is accreditation?Read source
  5. 5Joint Commission International, 2020SAFER and the enhanced Strategic Improvement Plan processRead source
  6. 6Joint Commission International, 2026Hospital accreditation programRead source
  7. 7Joint Commission International, 2026Standards manuals, editions and effective datesRead source
  8. 8Harvard Business Review, 2011The Short Life of Online Sales LeadsRead source
  9. 9JAMA Network Open, 2025Clinician Experiences With Ambient Scribe Technology to Assist With Documentation Burden and EfficiencyRead source
  10. 10BMJ Open, 2016Using digital notifications to improve attendance in clinic, systematic review and meta-analysisRead source