Licensing, Accreditation And Certification Essay

1610 words - 7 pages

Trident University International
Module 1 Case Assignment
MHM 522 Legal Aspects of Health Administration

Dr. Andrew Thurman


Hospital accreditation is not the same as licensure or certification. Licensure is required to operate as a hospital and overseen by state government officials. Certification affords hospitals to participate in federally funded Medicare and Medicaid programs. Accreditation is defined as “A self-assessment and external peer assessment process used by health care organizations to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve.” (Raik, ...view middle of the document...

In the United States the standard for hospital accreditation is the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), which per the website states they accredits over 19,000 health care organizations and programs in the United States. JCAHO’s goal is to help organizations identify and resolve problems and to inspire them to improve the safety and quality of care and services provided. The process focuses on systems critical to the safety and the quality of care, treatment and services. (JCAHO, 2011) In addition to JCAHO, The National Committee on Quality Assurance (NCQA) is a private, 501(c) (3) not-for-profit organization established by health maintenance organizations for the purpose of self-regulation through a program of voluntary accreditation. (NCQA, 2011)
As discussed earlier, licensure is required for a hospital to operate as such, however accreditation is not mandatory. Hospitals that are not accredited are not deemed to meet the Medicare Conditions of Participation, which would forfeit hospital certification. There are those health care professionals that believe that accreditation should be mandatory, and those that do not. Cornelia Sack, et al recently conducted a cross sectional study of inpatient satisfaction in the field of cardiology and found that in the field of cardiology, “successful accreditation is not linked with measurable better quality of care as perceived by the patient and reflected by the recommendation rate of a given institution. Hospital accreditation may represent a step towards quality management, but does not seem to improve overall patient satisfaction. (Sack, et al. 2010)
The other side of the fence believes that mandatory accreditation would set standards across the board that would increase patient safety and quality of care. Delegates at a seminar on Accreditation of Hospitals organized by the Confederation of Indian Industry (CII) agreed that once accreditation becomes widespread, said as consumer awareness grows, hospitals would not only have to demonstrate a commitment to quality care but also provide comparisons with other hospitals.        
Weaknesses Inherent in the Healthcare Accreditation Process
Any system designed to create standards will inherently have weaknesses. Healthcare accreditation is no different. Per the Joint Commission International website, the average fee for a hospital full survey in 2010 was $46,000.00. (Joint Commission International, 2010) This fee creates a barrier for rural hospitals that are unable to afford accreditation. According to the case study, Quality Oversight: Why Are Rural Hospitals Less Likely To Be JCAHO Accredited? “The cost of JCAHO accreditation is the major deterrent to seeking accreditation for most rural hospitals.” (Brasure, Stensland, & Wellever, 1999)
The cost associated with accreditation is not the only possible weakens. Since hospital licensure is required and managed by state...

Other Essays Like Licensing, Accreditation and Certification

Kinder International - Quality Management Profile

930 words - 4 pages Kinder International Healthcare Consultancy Pvt. Ltd. KIHC Service Provision in Management Consultancy NABH accreditation consultancy Develop SOPs, Policies, manuals etc. Organization assessment audit Business process re-engineering Operational and Retainer Management Consulting Hospital Setting up - Women and Children Care o Conceptualization o Designing and Implementation o Staff Recruitment o Commissioning Kinder IVF o Centre design and

The Need and Importance of an Officer

3788 words - 16 pages healthcare organization's privacy and data security practices as well as provide recommendations and execute actions for filed violations. They guarantee organizational compliance with legal, ethical, regulatory, accreditation, licensing, certification requirements, and other administrative requirements regarding privacy and data security, and implementation of supporting administrative, physical, and technical safeguards. Compliance officers also

Health Care Terms Week One Hca 215

635 words - 3 pages | | |Accreditation |Accreditation is a certification that various |As I look for a faculties, I do my research to make sure the | | |facilities and practices to insure it’s |doctors have their accreditation to practice. d | | |qualifications/ requirements

How to Start a Univesity

700 words - 3 pages . Develop a business plan: * Develop a business plan that includes a working budget, timelines, licensing and charter requirements, accreditation standards, faculty guidelines and marketing plans. Resource required: Determine resources needed: * The Campus will be built with the purpose of imparting education in a befitting infrastructure and congenial environment. Containing about 100,000 sq. ft. floor space, the campus has 10

Healthcare Systems

1244 words - 5 pages organization and certifies that they satisfy the health and safety standards component of the Medicare certification (Centers for Medicare & Medicaid Services, 2015). The State Survey Agency (SA) does not routinely conduct a certification survey for survey a health care facility that has established accreditation from an Accrediting Organization, and received the “deemed status”. These facilities are overseen by the Accrediting Organization

Political of Zoo in Australia

3333 words - 14 pages Australia Zoo and Related Legislation • Contents • Introduction and Overview • List of Legislation (collected so far) • Accreditation, Australian style Australia Zoo and Related Legislation Introduction and Overview The material in this introduction was taken from an Essay written by this Editor for the Encyclopaedia of the World’s Zoos (see complete citation below). I had enormous help with information and interpretation from Matthew Crane

Information Technology/Network Security Threats

1465 words - 6 pages deployed. For operation and Security control settings and switches accordance with vendor instructions and available security implementation guidance. Next, requires that the system certified and accredited before operational. Information about the certification and accreditation process available. Federal agencies should periodically test and evaluate the security controls in their information systems to assure effective implementation, using

Rft Document

1635 words - 7 pages | | | |Number of staff: | | 2.6 Accreditation and quality assurance |MCS certification number: | | |Renewal date of audit for certification

Cpa Requirements

1156 words - 5 pages |No |5 years |No | Note: The requirements shown relate specifically to applying for and taking the exam. Additional requirements may be in effect relating to certification and licensing; please contact the appropriate state board for certification and licensing requirements. Disclaimer: Information provided is a guideline. It is the responsibility of all exam

Pinnacle Manufacturing Company

639 words - 3 pages Value 100.00% $ 5,790,017 0.17% 13,411 32.18% 1,993,730 67.65% 3,782,876 1.66% 0.23% 0.57% 0.40% 0.07% 0.01% 0.12% 0.03% 0.03% 0.60% 4.37% 0.20% 8.29% 3.61% 8.93% 20.21% 3.42% 0.50% 2.54% 0.51% 0.03% 0.26% 0.09% 0.01% 0.17% 0.06% 0.21% 0.27% 0.09% 0.12% 0.11% 0.15% 41.29% 49.58% 18.07% Sales $ Sales Returns and Allowances Cost of Sales* Gross Profit OPERATING EXPENSES-Allocated Salaries-Management Salaries-Office Licensing and certification

A+ Super a+

4668 words - 19 pages imaging, and deployment. CompTIA A+ is ISO 17024 Accredited (Personnel Certification Accreditation) and, as such, undergoes regular reviews and updates to the exam objectives. The following CompTIA A+ 220-801 exam objectives result from subject matter expert workshops and industry-wide survey results regarding the skills and knowledge required of an entry-level IT professional. The percentages in this document represent the relative importance

Related Papers

Unit 1 Hr Essay

519 words - 3 pages by the Commission as a condition for licensing and Medicaid reimbursement. JCAHO evaluates and accredits approximately 18,000 health care organizations, including hospitals; ambulatory surgery centers (ASCs), health care networks, and clinical laboratories. The Joint Commission was founded in 1951 as the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Joint Commission Resources (JCR), a global affiliate group, oversees the

Corelle Livingware 16 Piece Dinnerware Set Essay

663 words - 3 pages . Programs being accredited are a big trend and childcare also. And accredited childcare center is one that has met rigorous early childhood education standards and guidelines for high quality and exceptional care.  Programs that are accredited have demonstrated their commitment to go beyond the state minimum licensing requirements. With accreditation, you can be confident that the child is receiving the best care and education possible in an excellent

Is4680 Lab 2 Questions Essay

662 words - 3 pages Lab 2 Questions IS4680 1. What is the difference between DITSCAP and DIACAP? It would be the way how information assurance can be part of as the most importance, when the security needs to be with the Automated Information Systems (AIS). 2. What is DCID 6/3, and why would you use DCID 6/3 as opposed to DIACAP for Certification and Accreditation of a system? DCID- Director of Central Intelligence Directive 6/3. The reason to

The Joint Commission Essay

1315 words - 6 pages The Joint Commission HCS/430 October 20, 2014 Kelly Gantt The Joint Commission The Joint Commission is independent, not for profit organization that has been around since 1951. According to the Joint Commission (2014), “The Joint Commission accredits and certifies more than 20,500 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality