Accreditation problems: How much will it cost hospitals seeking accreditation to comply with JCAH's new quality assurance standard?
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At least 50 vocational or professional groups, exclusive of specialties within categories, now provide a health service. Many have established accrediting procedures for maintaining educational standards, and the number is increasing. So great is the demand from the accrediting bodies that universities and academic health centers find that the cost in terms of money, time, and duplication of effort has become exhorbitant, and thereby a major problem in the management of educational institutions. The duplication of effort leads to fragmentation of the entire accrediting process, and this, in turn, fosters inadequate sharing of health professions educational experiences. A model is presented that would lessen the burden of accrediting on educational institutions and simultaneously permit testing of the feasibility of a multiprofessional accrediting mechanism.
This presents a brief history of programs for accrediting occupational health activities with discussion of weaknesses and strengths. The relatively short life of the Occupational Health/Safety Program Accreditation Commission is reviewed with emphasis on its charge, goals and accomplishments. The mechanisms for accreditating Occupational Health and Safety Programs is described and some reasons for seeking accreditation are given.
The standards developed in 1972 by the Accreditation Council for Psychiatric Facilities of the Joint Commission on Accreditation of Hospitals cover 28 components of mental health programs, including the environment and patient safety. The author discusses the standards related to those two areas as they are set forth in the council's Accreditation Manual for Psychiatric Facilities, and he describes the difficulties psychiatric hospitals have faced in complying with them.