Accreditation

What is an example of an accrediting body?

CMS (Center for Medicare/Medicaid Services) • Responsible for enforcement of it's standards through accreditation • Organizations must be certified as compliant in order to receive payment from Medicare/Medicaid

How is accreditation beneficial?

It represents agencies as credible & reputable, and demonstrates that they are in compliance with the highest standards of quality

What is another example of an accreditation body that has deeming authority?

The Healthcare Facilities Accreditation Program (HFAP) • Authorized by the CMS to survey all hospitals for compliance with the Medicare Conditions of Participation & Coverage • Meets or exceeds the standards required by CMS to provide accreditation to all hospitals, ambulatory care/surgical facilities, mental health facilities, physical rehabilitation facilities, clinical laboratories & critical access hospitals • Used by allopathic and osteopathic disciplines

What is an example of an accreditation body that has deeming authority?

The Joint Commission (TJC) • TJC accreditation can be earned by many types of health care organizations, including hospitals, doctor's offices, nursing homes, office-based surgery centers, behavioral health treatment facilities, providers of home care services, & nursing care centers

How does an organization receive accreditation through CMS?

• An organization must undergo a comprehensive evaluation by CMS to ensure that the standards of the accrediting organization are at least as rigorous as CMS standards • *Health care organizations accredited by an organization with "deeming authority" are deemed as meeting Medicare and Medicaid certification requirements*

Why do organizations want to become accredited?

• It is a key benchmark for measuring quality of an organization • Preparation gives the organization an opportunity to identify it's strengths & opportunities for improvement • Provides information for management to make decisions regarding operations in order to improve effectiveness & efficiency

What is accreditation?

• The approval, recognition, or certification of an official review board that an organization has met certain standards • Process of review that organizations participate in to demonstrate the ability to meet predetermined criteria and standards established by a professional accrediting agency