Accreditation in Healthcare

Accreditation in Healthcare

Project Instructions

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**Describe accreditation and licensure requirements of healthcare organizations

Scenario
City Hospital, an acute care hospital in your city, has decided to seek accreditation. As part of the initial process, the hospital’s board is considering three accrediting bodies: the Joint Commission (TJC), the Healthcare Facilities Accreditation Program (HFAP), and Det Norske Veritas Healthcare (DNV). As City Hospital’s compliance officer, your manager is tasked with presenting on the accreditation process to the board to inform their decision. Your manager has asked you to help draft this presentation by creating an executive summary that discusses accreditation fundamentals and compares these three accrediting bodies.

Directions
For this project, you will create an executive summary designed to share information about accreditation and certifications with board members at City Hospital. In this summary, specifically address the following:
Accreditation Fundamentals: As several new members have recently joined City Hospital’s board, your manager has asked you to open your summary by describing the fundamentals of accreditation, licensure, and certification. As City Hospital is currently working on a clinical laboratory certification, your manager has also asked you to briefly summarize the Clinical Laboratory Improvement Amendments (CLIA). As you discuss these fundamentals in your summary, be sure to address the following:
Differentiate between accreditation, licensure, and certification in healthcare.
Describe the role of accreditation and accrediting bodies for a healthcare organization.
Describe the CLIA certification and its importance.
Accrediting Bodies: To ensure that the board members have a clear basis for making their selection, your manager has selected three accrediting agencies offering a general hospital accreditation. You have been tasked with summarizing the accreditations offered by these agencies for acute care hospitals. In summarizing these accreditations, be sure to address the following:
Describe the accreditation offered by the Joint Commission. In your description, address the following:
What quality standards are used by the Joint Commission?
What are the benefits of accreditation under the Joint Commission?
What is a Joint Commission Sentinel Event Alert? Why are these alerts helpful to patient safety?
Describe the accreditation offered by the Healthcare Facilities Accreditation Program. In your description, address the following:
What quality standards are used by the Healthcare Facilities Accreditation Program?
What are the benefits of accreditation under the Healthcare Facilities Accreditation Program?
Describe the accreditation offered by Det Norske Veritas Healthcare. In your description, address the following:
What quality standards are used by Det Norske Veritas Healthcare?
What are the benefits of accreditation under Det Norske Veritas Healthcare?
Compare and contrast the accreditations offered by the Joint Commission, the Healthcare Facilities Accreditation Program, and Det Norske Veritas Healthcare. As the board will be selecting an accreditation option, you do not need to make a personal recommendation. However, your comparison should address the similarities and differences of these accreditation options.

What to Submit

Executive Summary
Create an executive summary that discusses accreditation fundamentals and describes accreditation bodies and certifications relevant to an acute care facility such as City Hospital. Your summary should be 700 to 850 words in length, and sources should be cited appropriately.

Project Rubric: Executive Summary
 
Accreditation Fundamentals   Which Resources Can Help?
Differentiates between accreditation, licensure, and certification in healthcare   Accreditation and Patient Safety
Describes the role of accreditation and accrediting bodies for a healthcare organization   Accreditation and Patient Safety
Describes the CLIA certification and its importance   Licensures and Certifications for Healthcare Organization
Accrediting Bodies   Which Resources Can Help?
Describes the accreditation offered by the Joint Commission, including quality standards, the benefits of accreditation, and the reasons Joint Commission Sentinel Event Alerts are helpful to patient safety   The Joint Commission
Describes the accreditation offered by the Healthcare Facilities Accreditation Program, including quality standards and the benefits of accreditation   Alternatives to the Joint Commission
Describes the accreditation offered by Det Norske Veritas Healthcare, including quality standards and the benefits of accreditation   Alternatives to the Joint Commission
Compares and contrasts the accreditations offered by the Joint Commission, the Healthcare Facilities Accreditation Program, and Det Norske Veritas Healthcare   The Joint Commission
Alternatives to the Joint Commission
General   Which Resources Can Help?
Clearly conveys meaning with correct grammar, sentence structure, and spelling; shows understanding of audience and purpose    
Lists sources where needed using citation methods with no major errors. For more information on Accreditation in Healthcare see this: https://en.wikipedia.org/wiki/International_healthcare_accreditation

Accreditation in Healthcare

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