M5: Accreditation of HCS Flashcards

1
Q

JCAHO

A

Joint Commission on Accreditation of Healthcare Organizations

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2
Q

3 Levels of Accreditation of JCAHO

A

1st level, 2nd level, 3rd level

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3
Q

Categories of JCAHO Hospital Standards

A
  1. Patient-focused functions
  2. Organizational functions
  3. Structures with functions
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4
Q

NCQA

A

National Committee for Quality Assurance

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5
Q

Industry’s gold standard

A

NCQA’s Health Plan Accreditation

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6
Q

AAHC

A

American Accreditation Healthcare Commission

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7
Q

URAC

A

Utilization Review Accreditation Commission

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8
Q

Accredits many types of healthcare facilities according to function

A

URAC

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9
Q

Offers 9 program accreditation

A

AAHC

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10
Q

AAAHC

A

Accreditation Association for Ambulatory Health Care, Inc.

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11
Q

Year of AAAHC

A

1979

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12
Q

leader in developing standards to advance and promote patient safety, quality and value for ambulatory health care

A

AAAHC

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13
Q

NHIP

A

National Health Insurance Program

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14
Q

Health care institutions that are licensed or certified by DOH or other body duly recognized by PhilHealth

A

Automatic Accreditation

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15
Q

HCIs that are not licensed or certified by DOH or Centers for Health Development (CHD).

A

Non-automatic Accreditation

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16
Q

minimum level of participation granted by PhilHealth to all HCIs that comply with the requirements set by the Corporation

A

Basic Participation

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17
Q

uninterrupted participation of those under the basic participation until withdrawn or terminated based on the rules set by the Corporation

A

Continuous Participation

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18
Q

When do you submit requirements for Continuous Participation?

A

January 1-31

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19
Q

When is an organization subject for re-accreditation?

A

See M5

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20
Q

PCAHO

A

Philippine Council on Accreditation for Healthcare Organization

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21
Q

body recognized by the Department of Health and PhilHealth in certifying the presence of quality management systems in health care organizations

A

PCAHO

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22
Q

PTAHF, Inc.

A

Philippine Tripartite Accreditation for Health Facilities, Inc.

23
Q

independent, non-profit organization, dedicated to improve and promote quality and safety in the delivery of healthcare in the Philippines

A

PTAHF, Inc.

24
Q

3 Major Associations in PTAHF

A

ANSAP, AHA, PAGHAO

25
Q

When did the 3 major organizations form PTAHF?

A

January 25, 2008

26
Q

PTAHF Eligibility Requirements

A

SEE M5

27
Q

Assessment Tools (6 columns)

A

See M5

28
Q

Pharmacy program state by PAASCU

A

Level 2 accredited
Given a clean paper for 5 years
Visited last March 5 and 6, 2020

29
Q

To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.

A

JCAHO Mission

30
Q

All people always experience the safest, highest quality, best-value health care across all settings

A

JCAHO Vision

31
Q

hospitals, home health, long-term care, behavioral healthcare, clinical laboratories, ambulatory care, health networks

A

JCAHO Target Areas for Accreditation

32
Q

nurses, physicians, consumers, medical doctors, administrators, providers, employers, labor representative, health plan leaders, quality experts, ethicists, health insurance administrators, and educators

A

BOC JCAHO

33
Q

American College of Physicians, the American College of Surgeons, the American Dental Association, the American Hospital Association, and the American Medical Association

A

JCAHO Corporate Members

34
Q

To improve the quality of health care delivered to people everywhere

A

NCQA Mission

35
Q

To become the most widely trusted source of information driving health care quality improvement

A

NCQA Vision

36
Q

Managed care plans

A

NCQA Target Area for Acc

37
Q

Employer, consumer, and labor representatives, health plan representatives, quality experts, policy makers, and representatives from organized medicine

A

NCQA Board Members

38
Q

NCQA Pharm. Companies

A

Merck, Pfizer, and SmithKline Beecham have made significant contributions

39
Q

US Health Care Financing Administrations, the Commonwealth Fund, the Henry J. Kaiser Foundation, the Robert Wood Johnsons Foundation, and the David and Lucile Packard Foundation

A

NCQA Main Source of Funding

40
Q

access and service, qualified providers, staying healthy, getting better, and living with illness

A

NCQA Standards and Performance Measures

41
Q

To promote continuous quality improvement and establish standards for the managed care industry. It also supports programs aimed at education and communication.

A

AAHC/URAC Mission

42
Q

Managed care organizations (emphasis on preferred provider organizations and workers’ compensation programs)

A

AAHC/URAC Target Area for Accred.

43
Q

providers, regulators, consumers, payers, and managed care entities.

A

AAHC/URAC Members

44
Q

AAHC has how many accreditation programs?

A

9

45
Q

AAHC was formed when?

A

1979

46
Q

To assist ambulatory healthcare organizations in improving the quality of care they provide to their patients” through educational efforts, performance measurement, and the setting of standards

A

AAAHC Mission

47
Q

Ambulatory surgery, birthing centers, urgent care, community health centers, college and university health services, faculty medical practices

A

AAAHC Target Areas for Acc.

48
Q

A body recognized by the Department of Health and PhilHealth in certifying the presence of quality management systems in health care organizations

A

PCAHO

49
Q

industrial medical clinics and confirmatory drug testing laboratories

A

PCAHO Target Area of Accreditation

50
Q

A globally recognized, self-sustaining Third-Party Accrediting Organization, committed to assist health facilities achieve safe and quality services

A

PTAHF Mission/Vision

51
Q

PTAHF Core Values

A

REPLEC (Recognition, Excellence, Professionalism, Leadership, Empowerment, and Competence)

52
Q

When was PTAHF formed?

A

Jan. 25, 2008

53
Q

PTAHF Eligibility Requirements

A

The HCO operates within the Philippines and nearby countries such as but not limited to Asian Countries.
The HCO is duly licensed by the Department of Health (DOH) or their country’s health ministry or its equivalent to operate as a healthcare facility.
The HCO provides services addressed by the PTAHF Quality Standards
The HCO complies with the PTAHF Quality Standards and requirements
The HCO is open and in full operation at least six (6) months which will sustain compliance on the required track record of the PTAHF Quality Standards.
The HCO assumes, or is willing to assume, responsibility for improving the quality of its care and services.