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PubMed2003

Accreditation: standards for quality continuing professional development.

Accreditation is one way of assuring that continuing education providers are credible and competent. The Accreditation Council for Continuing Medical Education has recently modified its accreditation standards to meet the needs of the health care system and continuing medical education providers. The standards (Essential Areas and Elements) from the new accreditation system will be reviewed and discussed to illustrate one system of accreditation as a potential model for the continuing veterinary medical education professional.

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PubMed1990

The accreditation of undergraduate medical education in Australia.

The Australian Medical Council was established in 1985 with one of its three functions being the accreditation of medical schools and of courses leading to basic medical qualifications. The Accreditation (Standing) Committee has developed guidelines for assessment and accreditation in Australia, and commenced its programme of visits to Australian medical faculties in March 1988, with the tenth faculty scheduled to be visited in September 1993. This article describes the process of assessment and accreditation developed in Australia by the Australian Medical Council. A later article will discuss the issues in medical education that have been identified during the process of accreditation.

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PubMed1999

What do the accreditation organizations expect? American Association of Blood Banks.

In 1958, the American Association of Blood Banks introduced the first edition of Standards for Blood Banks and Transfusion Services. That same year, the association implemented the Inspection and Accreditation Program. This program served the association well for 40 years; however, factors such as the application of Current Good Manufacturing Practices by the Food and Drug Administration, the implementation of the Clinical Laboratory Improvement Amendments of 1988 by the Health Care Financing Administration, managed care, competition, and increased cost pressures have changed the way the blood banking community conducts its business. In the early 1990s the board of directors recognized the need to reevaluate the Inspection and Accreditation Program and developed a strategic plan for implementation of a new accreditation program, with an emphasis on prevention rather than detection of errors. The first step in the process was the development of the Accreditation Program Committee. The committee was charged to develop and coordinate a program that would bring the accreditation process in tune with the current climate of blood banking and move it into the 21st century. The board charged the committee with the development of a program that recognizes the differences and similarities within the diverse groups of American Association of Blood Banks institutional members and to take into consideration how they do business and respond to regulations, standards, and other requirements.

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PubMed1993

Approval of the Commission on Office Laboratory Accreditation--HCFA. Notice.

This notice announces the approval of the Commission on Office Laboratory Accreditation (COLA) as an accrediting organization for clinical laboratories under the CLIA program. We have found that the accreditation process of this organization provides reasonable assurance that the laboratories accredited by it meet the conditions required by Federal law and regulations. Consequently, laboratories that voluntarily become accredited by COLA in lieu of receiving direct Federal oversight and continue to meet COLA requirements would meet the CLIA condition level requirements for laboratories and therefore are not subject to routine inspection by State survey agencies to determine their compliance with Federal requirements. They are, however, subject to validation and complaint investigation surveys.

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PubMed1995

Hospital accreditation--a universal perspective.

Hospital accreditation is professional and national recognition reserved for hospitals that provide high-quality health care. From the United States to the United Kingdom, many countries have introduced a hospital accreditation programme for the purpose of assuring high-quality health services. The standards used in accreditation programmes previously focused on structural evaluation, but recently attention is being turned to outcome evaluation. Initially discussing the international experiences of accreditation programmes, the author goes on to examine Korea and its Government's plans to implement a new accreditation programme in the near future, which will constitute an important part of the governmental healthcare reform plan.

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PubMed1995

A model hospital standards and accreditation system for Pakistan.

This article treats the use of a system of hospital standards and accreditation as a means to improve the quality of health care services in Pakistan. In it the author stresses the importance of nationwide standards for accreditation as an educational measure and an incentive to improve, as opposed to a punitive measure. The author outlines a series of recommendations, which followed from the Workshop on Hospital Standards and Accreditation, on the implementation of an accreditation system. These recommendations include the establishment of a National Council, composed of representatives from the government, the private sector and professional organizations, with the authority to oversee the system. The recommendations also stress that the accreditation system should be voluntary, in keeping with the system's educational rather than punitive goal. Finally, the author details a methodology for developing standards in specialized areas through corresponding standards committees.

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PubMed1997

Approval of the Commission on Office Laboratory Accreditation for Immunohematology--HCFA. Notice.

This notice announces the approval of the Commission on Office Laboratory Accreditation (COLA), which is an accrediting organization for clinical laboratories under the Clinical Laboratory Improvement Amendments (CLIA) program, for the addition of the full specialty of immunohematology. This approval adds immunohematology to the specialties and subspecialties approved by HCFA in a notice published in the Federal Register on December 23, 1993 (58 FR 68148). We have found that the accreditation process of this organization provides reasonable assurance that the laboratories accredited by it for immunohematology meet the conditions required by Federal law and regulations. Consequently, laboratories that voluntarily become accredited by COLA for the specialty of immunohematology in lieu of receiving direct Federal oversight and continue to meet COLA requirements would meet the CLIA immunohematology condition level requirements for laboratories. These laboratories performing immunohematology testing are not subject to routine inspection by State survey agencies to determine their compliance with applicable Federal requirements. They are, however, subject to validation and complaint investigation surveys.

Accreditation↗
PubMed1989

Attitudes of nursing executives to the health care facility accreditation program: an exploratory study.

This paper reports an exploratory study which examined the attitudes of hospital nursing executives to aspects of the Health Care Facility Accreditation Program conducted by the Australian Council on Healthcare Standards. A comparative analysis of responses obtained via a structured questionnaire was undertaken on the basis of accreditation status, facility type (that is, private or public ownership) and bed capacity. Findings suggest that while the public/private categorisation is not a factor influencing level of involvement with accreditation, organisational size is related directly to program participation. Respondents from smaller facilities (less than 100 beds) demonstrate a different appreciation of program objectives than do their counterparts from larger organisations. Analysis indicates a significantly lower level of satisfaction with the program on a number of items relating to accreditation standards. All respondents show similar variations in their perception of those service areas which have been influenced by accreditation involvement.

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PubMed1999

Medicare program; recognition of the Community Health Accreditation Program, Inc. (CHAP) for hospices. Health Care Financing Administration (HCFA), HHS. Final notice.

This notice recognizes the Community Health Accreditation Program, Inc. (CHAP) as a national accreditation organization for hospices that request participation in the Medicare program. We believe that accreditation of hospices by CHAP demonstrates that all Medicare hospice conditions of participation are met or exceeded. Thus, we grant deemed status to those hospices accredited by CHAP. The proposed notice included the application from the Joint Commission for Accreditation of Healthcare Organizations (JCAHO). We have separated the final notices to appropriately process each application and will issue a separate final notice containing the decision for JCAHO under HCFA-2039-FN.

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PubMed1999

Adapting the CAUSN accreditation process for emerging models of nursing education in Canada.

This paper highlights the accreditation issues raised by new and emerging models of baccalaureate nursing education and program delivery in Canada. It suggests ways of adapting the accreditation process to address recent changes. Nursing degree programs now offered by universities include programs at several sites, collaborative programs with partner institutions at multiple sites, and programs offered primarily through distance education. The accreditation program developed by the Canadian Association of University Schools of Nursing (CAUSN) provides a mechanism for monitoring the quality of a nursing education program and promoting the growth of the school that offers the program. Since the decision to undergo accreditation signifies a major commitment on the part of a nursing program, it is essential that the accreditation process be adaptable to meet the needs of evolving nursing education and program delivery models, and that it be fair, equitable, and credible.

Accreditation↗
PubMedDate not supplied

Pilot test of family medicine faculty development fellowship accreditation guidelines.

BACKGROUND: We conducted a pilot test of accreditation guidelines for family medicine faculty development fellowship programs from September 1997 to March 1999. The accreditation guidelines included 8 application categories with 27 requirements and 5 self-study criteria. The process included completion of the accreditation application and self-study and a site visit. We selected 6 sites for participation in the pilot test, and 5 sites completed all steps. The results indicated that, while fellowship faculty felt that the requirements and criteria were valid for determining quality of faculty development fellowship programs, the process was time-consuming and could be shortened. Redundancy between information supplied on the application and on the self-study was also noted. Six recommendations were included in the final report, including streamlining the accreditation process, developing guidelines for probationary status, and considering alternatives to accreditation, such as peer review.

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PubMed2001

Implementation guidelines for effective management of hospital accreditation.

The introduction of accreditation in the health sector assumes that the management of health care facilities is ready for such a task. The preparation of management should be helped by guidelines, which will make hospital managers familiar with individual steps of preparation for successful accreditation. Overall, they should help hospital management to avoid unnecessary mistakes and losses. This paper involves the development of a set of guidelines intended to help hospital management prepare for accreditation. The implementation guidelines were prepared according to a summary of suggestions taken from international literature and the pilot study of accreditation in Slovakia. The experience of countries with a long history of accreditation is utilised. These guidelines divide the preparatory phase into ten steps. (Fig. 2, ref. 13.)

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PubMed2002

[Accreditation knowledge acquired by personnel in the Marseille hospital].

Sensitization and educational training programmes are important pre-requisites in order to ensure the understanding of the issues at stake in the accreditation process. According to the preparatory research involved for this work, there has been no study published nor is there any documentation available on such a topic, specifically on carrying out the sensitization process to successful completion. The aims of this study are to evaluate the effectiveness of the sensitization phase and to refine general recommendations to serve as a guide for health institutions and their communications policies. A transversal randomised study was conducted through the distribution of a questionnaire to 107 health professionals from 23 clinical services in the public hospital system in Marseille. The results demonstrate that the knowledge about accreditation seems to be well integrated, with only 7 of the professionals being unaware of the accreditation programme, and 58% of them associating the accreditation process with an administrative procedure. Grouping the staff's responses according to professional category has shown to have almost no influence on the results. The level of overall knowledge is greater in more highly trained personnel (p < 0.05), but there was a poor level of knowledge regarding the internal organisational structures that existed. 75% of the health professionals thought that communication about accreditation was insufficient. The study authenticated the positive benefits of communication and identified a certain number of stumbling blocks to avoid. Several recommendations are proposed.

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PubMed2003

[The major trends of the French accreditation process. A review of the first 182 reports published].

OBJECTIVES: To reply to the following questions: what is the status of the accreditation process and what are the general trends pointed out by the experts-visitors ? METHODS: A study was conducted on the 182 accreditation reports regarding health centres, published by the Anaes from June 2000 to July 2002. A reading scale was developed and data was registered in the database. Statistical analysis first described the hospitals (legal status, location, size, number of sites, presence or lack of technical devices, emergency units, and consultations) and then matched them with the specific parameters of the accreditation process (date of involvement, date of audit, date of the accreditation deliberation, number of experts and visitors and number and type of decisions. RESULTS: The results underlined the most frequent decisions among the 10 referentials of the accreditation process. The patients' case reports and the management of quality and prevention predominated. Recent French laws and the decision of the Anaes to apply these themes in their strategic orientation can explain this. COMMENTS: The large hospital size and multi-sites organisation appeared to be negative elements and justify the apprehension felt by the 'major hospitals'.

Accreditation↗
PubMed2005

A an investigation of interrater reliability among athletic training accreditation site visitors.

Accreditation plays an important role in many allied health professions. The main purpose of this study was to determine interrater reliability among athletic training accreditation site visitors assigned to interpret and judge a college or university's educational program in accordance with published standards. Ten scenarios were sent electronically to 135 site visitors, of which 93 (68%) responded. Respondents rated whether hypothetical situations described in each scenario were compliant (i.e., meets standard) or noncompliant (i.e., does not meet standard). A comment section was included for site visitors to justify their responses and/or to clarify their selections. The results of this study showed that there was poor interrater reliability in the judgments made by the site visitors. Moreover, a majority of the respondents responded to two of the 10 scenarios incorrectly (scenarios 5 and 10). The average score was 6.77 +/- 1.57, or 68%. Site visitors who misinterpret standards or apply personal values pose serious threats to the accreditation process because they may judge educational programs compliant when in fact programs are noncompliant and vice versa. Furthermore, this study suggests that there may be a great deal of variability across academic programs in applying accreditation standards because of the low agreement among site visitors. Therefore, educational methods and training procedures for accreditation site visitors should be continually reexamined in an attempt to improve and ensure consistency in allied health professions.

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PubMed2006

ACR accreditation of nuclear medicine and PET imaging departments.

The accreditation programs of the American College of Radiology (ACR) are the most established and widely proven for all imaging modalities. For facilities committed to quality imaging, the ACR Nuclear Medicine and PET Accreditation Program provides a solid foundation for a continuous quality improvement program through a peer review and educational process. This article provides general information describing the goals and development of the ACR accreditation programs. The ACR Nuclear Medicine and PET Accreditation Program evaluates the qualifications of personnel, equipment, image quality, and quality control measures. It is believed that these are the primary factors that have an impact on the quality of patient imaging. This article describes the application process, including the clinical examinations that are required and the quality control and performance tests that are expected from each facility. Outcomes and pass/fail statistics are discussed, as are common pitfalls that may cause deficiencies. Upon completion of this article, the reader should be able to describe the application process, the components of the ACR accreditation program, the most common causes for failure, and the site survey process.

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PubMed1991

Accreditation of predoctoral dental education: clinical outcomes assessment.

The Curriculum Outcomes Review and Evaluation (CORE) system of outcomes assessment used in the accreditation of Canadian Dental Faculties by the Commission on Dental Accreditation of the Canadian Dental Association is described. The CORE system, which has become an integral part of the regular accreditation site visit of Canadian dental predoctoral programs consists of (a) two methods of chart review, (b) assessment of the performance of a random sample of final year students in both diagnosis and treatment planning and in case presentation, (c) a structured observation in the clinical setting, (d) the application of a detailed and focused survey instrument prior to the site visit, and (e) the solicitation of feedback from involved students, faculty members, school administrators and accreditation site visitors. The overall response to the CORE program was favorable and plans to expand the program to dental hygiene accreditation are described.

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PubMed1990

The accreditation of graduate educational programs in orthopedic surgery.

The development and evaluation of graduate medical education in the United States from the late 19th century to the present are founded on the structure, role, and function of the accrediting bodies (the Accreditation Council for Graduate Medical Education and the Residency Review Committees). The general and specific requirements for accreditation of orthopedic programs, the processes for accreditation of existing and new residency programs, and the current status of fellowship accreditation are continuously under evaluation.

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