Introduction The organisation chosen for analysis is a regional healthcare giant known as Al Ain Hospital. It has existed since 1979 and treats approximately 300, 000 patients annually. Furthermore, the institution’s emergency section handles about 350 cases daily. It has a bed capacity of 412 and employs 1, 500 staff members, of whom 202 are doctors. The company uses JCI (Joint Commission International) quality management, which is a form of total quality management (TQM) that applies to healthcare organisations around the world. JCI is a healthcare organisation that audits healthcare firms on approval in order to ensure that they adhere to rigorous quality standards. This accreditation has caused the company to continually seek improvement and high standards in patient care. Key areas of the Joint Commission international quality system at Al Ain Hospital The hospital largely emphasises three areas of improvement: patient safety, process and quality improvement. Through JCI, Al Ain seeks to enact process improvement in a series of areas. The company develops processes that focus on patients and seeks to increase interdisciplinary communication. It also monitors compliance to risk management activities and continually improves documentation of patient care, safety or quality improvement. In the area of patient safety, the company strives to create a safety culture among its staff members. It also has a holistic approach to medical care by incorporating family members, staff, patients and visitors in provision of services. Furthermore, the company strives to include transparency in reporting of suggestions or complaints by workers and customers. In the realm of quality improvement, Al Ain Hospital uses JCI standards to establish its quality management system. It also seeks to improve its monitoring systems in order to assess patient safety and quality changes. The company regularly analyses data in order to support quality enhancement. Al Ain Hospital has installed a surveillance system that ensures infection control through the analysis and assessment of data (Al Ain Hospital, 2012). The company explains that the JCI quality system has boosted its reputation because the method is recognised internationally. It takes completion of 300 standards and implementation of 1,200 items in order to gain accreditation. Stakeholders respect the organisation for its world class standards, its clinical expertise as well as its commitment to safety. The establishment now has a better corporate image than before and has gained the trust of members of society. Furthermore, it has encountered greater patient safety by reduction of medical errors. Some cost reduction has been recorded as well as increased patient satisfaction. Workers in the organisation know about the importance of quality improvement and most of them have made a commitment to the practice. They are also highly satisfied by their jobs owing to the training and additional competence stemming from JCI. These learning opportunities have contributed towards a sense of fulfilment amongst them. Since JCI focuses on tangible leadership practices, the company has benefited from the existence of quality leaders in its midst. Additionally, comparisons with other organisations, including 6 healthcare organisations in the UAE using JCI, allow the company to determine whether it is operating competitively. The company now knows