Risk Compliance Issues
Explain the role of accreditation in mitigating risk compliance issues. Provide an example of a health care organization that was placed on probation by its accrediting body or by CMS within the last 3 years for a risk compliance issue. What caused the probation or loss of accreditation and how could it have been prevented?
Impact of accreditation on quality in healthcare
It’s hard to overstate the importance of accreditation in healthcare.
Every healthcare organization establishes some sort of internal standards and rules for operations. But accreditation ensures that your organization meets regulations and standards set by a recognized, external organization.
It’s like the difference between telling someone that you are smart, and showing them your diploma from Harvard.
Accreditation acts as an external stamp of approval on your organization, showing that you follow industry standards and best practices.
But accreditation in healthcare isn’t just about reputation. Going through the accreditation process helps streamline operations, improve the quality of care, and build trust with patients and the community.
What is accreditation in healthcare?
Simply put, accreditation in healthcare is a form of external review that shows that a healthcare provider is meeting regulations and standards set by an external accreditation organization.
In order for a healthcare organization to achieve accreditation, they must prove compliance with the standards. This usually involves a rigorous review process, in which industry experts survey the organization’s structures and policies.
What does accreditation mean in healthcare?
Healthcare accreditation organizations such as the AAAHC, The Joint Commission, or the National Committee for Quality Assurance create a set of standards with the help of industry experts.
The standards cover everything from training materials, to data retention, to equipment maintenance.
To prepare for accreditation, organizations must do a comprehensive assessment of processes, policies, and procedures, and anything else related to accreditation standards. This allows them to identify any areas where there are gaps in compliance.
The organization’s leaders can then make changes to ensure that the structures meet standards and regulations.
Once the organization is prepared, external surveyors will conduct an on-site survey to decide whether to approve the organization for accreditation. The surveyors are usually industry experts and peer reviewers from other accredited organizations.
To maintain accreditation, the organization may have to undergo review every few years to ensure continued compliance.
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