> Edition 8 - 2025 <

Welcome to International Standards of Staff Qualification & Education by JCI under SQE 

HRM - Human Resources Management   ||  SQE - Staff Qualification & Education

JCI - Joint Commission International        ||  New Edition of JCI - 8 - 2025

Standards

>. In 2025 JCI - SQE - is consolidated into 7 Standards / Sessions - (Earlier in 2021 it was 16 Sessions)

>. The following is a list of all 7 New standards of 2025 for this HRM / SQE function. 

>. They are presented here for your convenience without their intent statements or measurable elements. 

>. For more information about these standards, please Refer JCI Book for chapters, Standards, Intents, and Measurable Elements.

 

SQE 1 – Staff Planning

SQE.01.00

Leaders of hospital departments and services define the desired qualifications of all staff.

SQE.01.01

The hospital defines the responsibilities for every staff member in a current job description.

SQE.01.02

Leaders of hospital departments and services implement processes for the recruitment and retention of staff.

SQE.01.03

 The hospital evaluates staff performance.

SQE.01.04

There is documented personnel information for each staff member.

SQE.01.05

The hospital has the necessary staff to support the care, treatment, and services it provides.

SQE.01.06

The hospital provides orientation for all staff.

SQE.01.07

Staff participate in education and training.

SQE.01.08

Staff are competent in resuscitative techniques appropriate to their role in the hospital.

 

SQE 2 – Staff Health and Safety

SQE.02.00

The hospital provides a staff health and safety program that addresses staff physical and mental health and safe working conditions.

SQE.02.01

The hospital identifies staff who are at risk for exposure to and possible transmission of vaccine-preventable diseases and implements a staff vaccination and immunization program.

SQE.02.02

Leaders and staff are trained and demonstrate competence in workplace violence prevention.

 

SQE  3 – Nursing Staff

SQE.03.00

The hospital has a uniform process to collect, verify, and evaluate the credentials of the nursing staff.

SQE.03.01

The hospital has a standardized process to identify job responsibilities and to plan clinical work assignments based on the nursing staff member’s credentials and any regulatory requirements.

SQE.03.02

The hospital has a standardized process for nursing staff participation in the hospital’s continuous quality improvement activities, including evaluating individual performance when indicated.

 

SQE  4 – Other Clinical Staff

SQE.04.00

The hospital has a uniform process to collect, verify, and evaluate the credentials of other clinical staff.

SQE.04.01

The hospital has a uniform process to identify job responsibilities and to make clinical work assignments based on other clinical staff’s credentials and any regulatory requirements.

SQE.04.02

The hospital has a uniform process for other clinical staff participation in the hospital’s continuous quality improvement activities.

 

SQE 5 – Medical Staff

SQE.05.00

The hospital has a uniform process for collecting the credentials of medical staff members permitted to provide patient care without supervision.

SQE.05.01

Medical staff members’ education, licensure/registration, and other credentials required by laws and regulations and the hospital are verified and kept current.

SQE.05.02

There is a uniform decision process for the initial appointment of medical staff members and others permitted to practice independently.

 

SQE 6 – Medical Staff Appointment and Privileges

SQE.06.00

The hospital has a standardized, objective, evidence-based process to grant or deny privileges for medical staff members and others permitted to practice independently.

SQE.06.01

Hospital leaders grant temporary clinical privileges to medical staff for a limited period of time and for circumstances as defined by hospital policy.

SQE.06.02

At a minimum every three years, the hospital decides to grant, deny, and/or modify requested medical staff membership and clinical privileges.

 

SQE 7 – Medical Staff Evaluations

SQE.07.00

The hospital uses an ongoing standardized process to evaluate the quality and safety of the patient care provided by each medical staff member.

SQE.07.01

Hospital leaders define the circumstances requiring monitoring and evaluation of a medical staff member’s professional performance.

 

Conclusion: Incorporating advanced HR technologies enables healthcare organizations to streamline HR processes in alignment with international standards such as NABH and JCI, fostering improved compliance and enhanced employee satisfaction.