M5: Accreditation of HCS Flashcards
JCAHO
Joint Commission on Accreditation of Healthcare Organizations
3 Levels of Accreditation of JCAHO
1st level, 2nd level, 3rd level
Categories of JCAHO Hospital Standards
- Patient-focused functions
- Organizational functions
- Structures with functions
NCQA
National Committee for Quality Assurance
Industry’s gold standard
NCQA’s Health Plan Accreditation
AAHC
American Accreditation Healthcare Commission
URAC
Utilization Review Accreditation Commission
Accredits many types of healthcare facilities according to function
URAC
Offers 9 program accreditation
AAHC
AAAHC
Accreditation Association for Ambulatory Health Care, Inc.
Year of AAAHC
1979
leader in developing standards to advance and promote patient safety, quality and value for ambulatory health care
AAAHC
NHIP
National Health Insurance Program
Health care institutions that are licensed or certified by DOH or other body duly recognized by PhilHealth
Automatic Accreditation
HCIs that are not licensed or certified by DOH or Centers for Health Development (CHD).
Non-automatic Accreditation
minimum level of participation granted by PhilHealth to all HCIs that comply with the requirements set by the Corporation
Basic Participation
uninterrupted participation of those under the basic participation until withdrawn or terminated based on the rules set by the Corporation
Continuous Participation
When do you submit requirements for Continuous Participation?
January 1-31
When is an organization subject for re-accreditation?
See M5
PCAHO
Philippine Council on Accreditation for Healthcare Organization
body recognized by the Department of Health and PhilHealth in certifying the presence of quality management systems in health care organizations
PCAHO
PTAHF, Inc.
Philippine Tripartite Accreditation for Health Facilities, Inc.
independent, non-profit organization, dedicated to improve and promote quality and safety in the delivery of healthcare in the Philippines
PTAHF, Inc.
3 Major Associations in PTAHF
ANSAP, AHA, PAGHAO
When did the 3 major organizations form PTAHF?
January 25, 2008
PTAHF Eligibility Requirements
SEE M5
Assessment Tools (6 columns)
See M5
Pharmacy program state by PAASCU
Level 2 accredited
Given a clean paper for 5 years
Visited last March 5 and 6, 2020
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.
JCAHO Mission
All people always experience the safest, highest quality, best-value health care across all settings
JCAHO Vision
hospitals, home health, long-term care, behavioral healthcare, clinical laboratories, ambulatory care, health networks
JCAHO Target Areas for Accreditation
nurses, physicians, consumers, medical doctors, administrators, providers, employers, labor representative, health plan leaders, quality experts, ethicists, health insurance administrators, and educators
BOC JCAHO
American College of Physicians, the American College of Surgeons, the American Dental Association, the American Hospital Association, and the American Medical Association
JCAHO Corporate Members
To improve the quality of health care delivered to people everywhere
NCQA Mission
To become the most widely trusted source of information driving health care quality improvement
NCQA Vision
Managed care plans
NCQA Target Area for Acc
Employer, consumer, and labor representatives, health plan representatives, quality experts, policy makers, and representatives from organized medicine
NCQA Board Members
NCQA Pharm. Companies
Merck, Pfizer, and SmithKline Beecham have made significant contributions
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
NCQA Main Source of Funding
access and service, qualified providers, staying healthy, getting better, and living with illness
NCQA Standards and Performance Measures
To promote continuous quality improvement and establish standards for the managed care industry. It also supports programs aimed at education and communication.
AAHC/URAC Mission
Managed care organizations (emphasis on preferred provider organizations and workers’ compensation programs)
AAHC/URAC Target Area for Accred.
providers, regulators, consumers, payers, and managed care entities.
AAHC/URAC Members
AAHC has how many accreditation programs?
9
AAHC was formed when?
1979
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
AAAHC Mission
Ambulatory surgery, birthing centers, urgent care, community health centers, college and university health services, faculty medical practices
AAAHC Target Areas for Acc.
A body recognized by the Department of Health and PhilHealth in certifying the presence of quality management systems in health care organizations
PCAHO
industrial medical clinics and confirmatory drug testing laboratories
PCAHO Target Area of Accreditation
A globally recognized, self-sustaining Third-Party Accrediting Organization, committed to assist health facilities achieve safe and quality services
PTAHF Mission/Vision
PTAHF Core Values
REPLEC (Recognition, Excellence, Professionalism, Leadership, Empowerment, and Competence)
When was PTAHF formed?
Jan. 25, 2008
PTAHF Eligibility Requirements
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.
