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uninterrupted participation of those under the basic participation until withdrawn or terminated based on the rules set by the Corporation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