Chapter 16_ Navigating
Chapterthe
16_Accreditation,
Navigating
Chapterthe 16_
Certification,
Accreditation,
Navigating orthe
Licensure
Certification,
Accreditation,
Process
or Licensure
Certification,
_ Healthcare
Process
or Administration
Licensure
_ Healthcare
Process
Study
Administration
_ Guide.pdf
HealthcareStudy
Administration
Guide.pdf Study Guide.pdf
Chapter 16: Navigating the
Accreditation, Certification, or
Licensure Process | Healthcare
Administration Study Guide
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_
Chapter 16_ Navigating
Chapterthe
16_Accreditation,
Navigating
Chapterthe 16_
Certification,
Accreditation,
Navigating orthe
Licensure
Certification,
Accreditation,
Process
or Licensure
Certification,
_ Healthcare
Process
or Administration
Licensure
_ Healthcare
Process
Study
Administration
_ Guide.pdf
HealthcareStudy
Administration
Guide.pdf Study Guide.pdf
,Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
Give an example in which a health care A healthcare organization that wants to have the stamp
organization would need: accreditation, of approval, indicating great quality of care may
licensure, AND certification volunteer to become accredited by TJC. The same hco
will legally need licensure to provide services in that
state. If the same hco services Medicare members, they
will need to be certified under the CoP
_______ grants approval to hco that Accreditation
demonstrate satisfactory quality of
service.
_______ granting permission to hco or Licensure
practitioner to provide services of a
defined scope in that state.
________grants approval for hco to provide Certification
services to a specific group of
beneficiaries.
Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
,Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
This type of healthcare organization d. compulsory review
review is performed to fulfill legal or
licensure requirements.
a. voluntary review
b. complimentary review
c. vocational review
d. compulsory review
This organization has been responsible d. JCAHO-Joint Comm. on Acredit. of Healthcare Organ.
for accrediting healthcare organizations
since the 50's and determines whether
they are continually
monitoring/improving quality of care.
a. CARF-Commission on Accredit. of
Rehab. Facilities
b. American Osteopathic Ass.
c. NCQA-National Committee for Quality
Assurance
d. JCAHO-Joint Comm. on Accredit. of
Healthcare Organ.
Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
, Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
Create an outline of the survey process 1. site visit- 18 to 36 months after last survey
by The Joint Commission. Detail typical a. preliminary planning session to review documentation
steps so that my employees will know b. organization leaders provide overview
what to expect.. c. opening conference by surveyors
d. tracer methodology used by surveyors
e. interviews-patients, staff, leaders
f. special issues-resolution sessions -triggers
g. preliminary reports by survey team
h. exit conference with RFIs
i. Joint Commission accreditation decisions
2. self-assessment and action plan
3. announcement of site visit to state licensure & public
4. survey lasts 3-5 days
Simplified answer: opening conference, care unit visits
using tracer methodology, close with exit conference
How are quality reports like Quality Here, consumers can see how the organization has
Check useful for consumers? performed on implementing NPSGs and national quality
improvement (QI) goals. They can see the organization's
accreditation history.
Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
Chapterthe
16_Accreditation,
Navigating
Chapterthe 16_
Certification,
Accreditation,
Navigating orthe
Licensure
Certification,
Accreditation,
Process
or Licensure
Certification,
_ Healthcare
Process
or Administration
Licensure
_ Healthcare
Process
Study
Administration
_ Guide.pdf
HealthcareStudy
Administration
Guide.pdf Study Guide.pdf
Chapter 16: Navigating the
Accreditation, Certification, or
Licensure Process | Healthcare
Administration Study Guide
Guidehttps://www.stuvia.com/dashboard!@_)#*)(@$)($@*($@)($@*_
Chapter 16_ Navigating
Chapterthe
16_Accreditation,
Navigating
Chapterthe 16_
Certification,
Accreditation,
Navigating orthe
Licensure
Certification,
Accreditation,
Process
or Licensure
Certification,
_ Healthcare
Process
or Administration
Licensure
_ Healthcare
Process
Study
Administration
_ Guide.pdf
HealthcareStudy
Administration
Guide.pdf Study Guide.pdf
,Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
Give an example in which a health care A healthcare organization that wants to have the stamp
organization would need: accreditation, of approval, indicating great quality of care may
licensure, AND certification volunteer to become accredited by TJC. The same hco
will legally need licensure to provide services in that
state. If the same hco services Medicare members, they
will need to be certified under the CoP
_______ grants approval to hco that Accreditation
demonstrate satisfactory quality of
service.
_______ granting permission to hco or Licensure
practitioner to provide services of a
defined scope in that state.
________grants approval for hco to provide Certification
services to a specific group of
beneficiaries.
Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
,Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
This type of healthcare organization d. compulsory review
review is performed to fulfill legal or
licensure requirements.
a. voluntary review
b. complimentary review
c. vocational review
d. compulsory review
This organization has been responsible d. JCAHO-Joint Comm. on Acredit. of Healthcare Organ.
for accrediting healthcare organizations
since the 50's and determines whether
they are continually
monitoring/improving quality of care.
a. CARF-Commission on Accredit. of
Rehab. Facilities
b. American Osteopathic Ass.
c. NCQA-National Committee for Quality
Assurance
d. JCAHO-Joint Comm. on Accredit. of
Healthcare Organ.
Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
, Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
Create an outline of the survey process 1. site visit- 18 to 36 months after last survey
by The Joint Commission. Detail typical a. preliminary planning session to review documentation
steps so that my employees will know b. organization leaders provide overview
what to expect.. c. opening conference by surveyors
d. tracer methodology used by surveyors
e. interviews-patients, staff, leaders
f. special issues-resolution sessions -triggers
g. preliminary reports by survey team
h. exit conference with RFIs
i. Joint Commission accreditation decisions
2. self-assessment and action plan
3. announcement of site visit to state licensure & public
4. survey lasts 3-5 days
Simplified answer: opening conference, care unit visits
using tracer methodology, close with exit conference
How are quality reports like Quality Here, consumers can see how the organization has
Check useful for consumers? performed on implementing NPSGs and national quality
improvement (QI) goals. They can see the organization's
accreditation history.
Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf Chapter 16-Navigating the Accreditation, Certification, or Licensure Process.pdf
