Accreditation Flashcards
What is JCAO
joint commission on accreditation of healthcare organizations
Chracterisitcs of JCAHO
largest and oldest private agency in voluntary accreditation
has a collaborative relationship with AOTA
Agencies JCAHO accredits
hospitals healthcare network long term care facilities ambulatory care facilities home care organizations clinical laboratories behavioral healthcare organizations
where are JCAHO standards published
in comprehensive accreditation manuals
What are two JCAHO standards
Patient focused foundation
organizational focused functions
What are patient focused functions
rights and organizational ethics, assessment, care, education, continuum of care
What are organizational focused functions
leadership, management of info, management of human resources
what does the survey process need to be
continuously in compliance with standards
When to begin prep for the survey process
16 months prior to the visit
need to prepare staff to answer questions
What does the number of surveyors in the survey process depend on
the size of the organization (typically 1-3)
What are survey activities in the survey process
document review- policies, job descriptions
Interview w/ leaders-CEO/CFO, managers
visits to settings that provide continuum of care-tour facility
functional interviews
review of the organizations process to assess competence
feedback sessions
public info interviews
What happens after the interview
sent to a central office for analysis and review
When is an official report sent
45 days
what are the accreditation categories
accreditation w/ full standards compliance
accreditation w/ requirements for improvement
provisional accreditation
conditional accreditation
preliminary denial of accreditation
accreditation denied
What happens if you receive provisional of conditional accreditation
They set up a schedule of when they’ll be back
