Topic: Voluntary Accreditation
Prepare a summary brief (10-12 pages) for senior leaders on how Joint Commission accreditation helps the organization comply with regulatory requirements, improve quality, and meet stakeholder needs. Include a recommendation about other accrediting bodies that might benefit the organization. Introduction Health care leaders and managers need to know the best approaches to regulatory compliance. Often, the industry refers to these as best practices.
Compliance best practices require health care organizations to meet specific standards. Common standards include: Quality of care. Privacy and patient protection. Patient satisfaction. Ability to meet stakeholder needs, including serving the community.
How do health care organizations determine standards? How do they evaluate how well they are meeting those standards? Government agencies do set and enforce many standards; however, these standards stipulate the minimum requirement for compliance. Most government oversight organizations are not interested in providing a “score card” or a ranking system for health care organizations.
They are more interested in whether or not health care organizations are meeting the regulatory standards. Most health care organizations, on the other hand, want to perform above the minimum standards. They want to pursue excellence. This type of approach to compliance helps ensure the organization is meeting regulatory requirements and helps the organization deliver high quality to their stakeholders. To accomplish this, health care organizations often rely on standards set by accrediting organizations.
Achieving accreditation from a third-party organization that sets high standards is often a vigorous and time-consuming process. It does, however, help the organization ensure it is meeting standards well above the regulatory minimums.
In most cases, accreditation is voluntary. Some states, however, require certain accreditation for licensure. Joint Commission accreditation is the most common and well-known voluntary accreditation in health care. The Joint Commission accredits a wide array of health care organizations.
Many benefits to accreditation exist; however, helping to ensure compliance is the main one. Now that your hospital has a robust compliance program and an all-staff compliance training program in place, senior leaders want to take the next step.
They want the organization to perform an in-depth analysis of the benefits of voluntary accreditation. Senior leaders know the Joint Commission accreditation it currently possesses is good for the organization’s reputation and standing in the community. However, they also want to know what additional benefits might exist for the organization that it has not capitalized on yet. They hope to better justify the costs associated with voluntary accreditation.
Because of your involvement in developing and implementing the new compliance program, they have asked you to research and prepare a summary brief on how Joint Commission accreditation helps the organization comply with regulatory requirements, improve quality, and meet stakeholder needs. In your summary brief, they have also asked you to consider other accrediting organizations that could benefit the organization.
Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 2: Explain the concept of accreditation in health care.
Compare and contrast accreditation and regulation requirements. Analyze how accreditation helps health care organizations meet regulatory standards.
Describe best practices for meeting accreditation requirements. Summarize the benefits a specific health accrediting organization provides to a health care organization. Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of otheiqurs and is consistent w…