MODULE OVERVIEWWhat is Accreditation?
Accreditation is a process of evaluation that permits healthcare organizations to validate
their capacity to meet regulatory requirements and standards recognized by an accreditation
organization.
Every healthcare organization establishes internal standards and rules for operations.
However, accreditation guarantees that the organization meets regulations and standards set by a
recognized, external organization(s). Accreditation acts as an external stamp of approval on the
organization, showing that the organization has followed industry standards and best practices.
But accreditation in healthcare is not just about reputation. Going through the accreditation
process assists rationalization of operations, improvement of quality of care, and building trust
with patients and the community (Jones, 2013).
Who Provides Accreditation?
The following organizations, identified as the Top 5 accrediting organizations, accredit hospitals
and healthcare organizations:
1. The Joint Commissions (JC)
2. Utilization Review Accreditation Commission (URAC)
3. National Committee for Quality Assurance (NCQA)
4. Commission on Accreditation of Rehabilitation Facilities (CARF)
5. Council on Accreditation (COA)
The following organizations survey and accredit hospitals and healthcare organizations:
● American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)
● Accreditation Association for Ambulatory Health Care (AAAHC)
● Accreditation Commission for Health Care (ACHC)
● American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC)
● Board of Certification/Accreditation, International (BOC)
● Center for Improvement in Healthcare Quality (CIHQ)
● Community Health Accreditation Program
● The Compliance Team, “Exemplary Provider Programs”
● DNV Healthcare
● Foundation for the Accreditation of Cellular Therapy (FACT)
● Institute for Medical Quality (IMQ)
● Healthcare Facilities Accreditation Program (HFAP)
● Healthcare Quality Association on Accreditation (HQAA)
Jones, J. D. (2013). The role of accreditation in a changing healthcare system. Retrieved from
http://thehill.com/blogs/congress-blog/healthcare/280997-the-role-of-accreditation-in-achanginig-healthcare-system
ASSIGNMENT OVERVIEW
Accreditation is important to a healthcare organization, as it signifies a high level of
quality approval. As noted in Module 1 Background section, there are a number of healthcare
accrediting agencies. These agencies vary in the level of standards, who they accredit,
accreditation period, cost, etc. While some accrediting agencies are more well known than
others, they all provide some sort of benefit to healthcare organizations.
INSTRUCTION
For this assignment, compare and contrast six different accrediting agencies from the
listings in Module 1 Background. Select three agencies from the “Top 5” accrediting agency
listing and three from the second list.
In the 2-page report, complete the following:
1. Introduction – In this section, explain the accreditation, its purpose, and importance in the
healthcare field.
2. Compare and Contrast – Use the chart below to compare and contrast the six different
accrediting agencies including the following information for each:
1. Identification information for each accrediting agency (i.e., for-profit vs.
nonprofit, number of organizations accredited, year incepted, etc.).
2. The associated cost for accreditation – this varies on the type of accreditation.
3. Accreditation period – How long does the accreditation last before renewal.
4. Organizations they accredit
5. Accrediting agency programs (i.e., Case Management, HIPAA Privacy, Health
Care Staffing Services, etc.)
6. Conclusion – In this section, summarize the information that you have compared
and identify how quality and the perception of quality from a consumer
perspective directly relates to accreditation.
EXPECTATIONS
1. Conduct additional research to gather sufficient information to justify/support your
report.
2. Limit your response to a maximum of 2 pages (title and reference page is not included in
page number count).
3. Support your report with peer-reviewed articles, using at least 3 to 4 references. Use the
following link for additional information on how to recognize peer-reviewed journals:
http://www.angelo.edu/services/library/handouts/peerrev.php.
REQUIRED READINGS
Agency for Healthcare Research and Quality. (2016). The six domains of health care quality.
Retrieved from https://www.ahrq.gov/professionals/quality-patientsafety/talkingquality/create/sixdomains.html
BHM Healthcare Solutions. (n.d.). The big five healthcare accreditation organizations – Side by
side comparison. Retrieved from http://bhmpc.com/calltoaction/accreditation-comparisoncta/Accreditation-Comparison-Tool.pdf
Foster, N. (n.d.). Accreditation: What boards need to know. Retrieved from
http://trustees.aha.org/qualitysafety/accreditation-what-boards-need-to-know.pdf
Greenfield, D., Pawsey, M., Hinchcliff, R., Moldovan, M., & Braithwaite, J. (2012). The
standard of healthcare accreditation standards: A review of empirical research underpinning their
development and impact. BMC Health Services Research, 12, 329.
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st
century.Retrieved from
http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2001/Crossing-theQuality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf
Meldi, D., Rhoades, F., & Gippe, A. (2009). The big three: A side by side matrix comparing
hospital accrediting agencies. Retrieved from
https://www.namss.org/Portals/0/Regulatory/The%20Big%20Three%20A%20Side%20by%20Si
de%20Matrix%20Comparing%20Hospital%20Accrediting%20Agencies.pdf
The Joint Commission. (2018). Benefits of Joint Commission accreditation. Retrieved from
https://www.jointcommission.org/benefits_of_joint_commission_accreditation/
Warburton, R. N. (2009). Accreditation and regulation: Can they help improve patient safety.
Agency for Healthcare Research and Quality. Retrieved from
https://psnet.ahrq.gov/perspectives/perspective/74/accreditation-and-regulation-can-they-helpimprove-patient-safety
World Health Organization. (2003). Quality and accreditation in healthcare services: A global
review. Section 3. Health service accreditation programmes. Retrieved from
http://www.who.int/hrh/documents/en/quality_accreditation.pdf
Videos
JCImedia. (2016). Pursue excellence with Joint Commission International. Retrieved from
https://youtu.be/19ffgRFCt8Y
Optional Reading
Greising, C. H. (2011). The six IOM aims up close and personal. Retrieved from
https://www.hhnmag.com/articles/5029-the-six-iom-aims-up-close-and-personal
Tzelepis, F., Sanson-Fisher, R. W., Zucca, A. C., & Fradgley, E. A. (2015). Measuring the
quality of patient-centered care: why patient-reported measures are critical to reliable
assessment. Patient Preference and Adherence, 9, 831–835.
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