Licensure, Certification and Accreditation
hospitals must meet various requirements in order to legally function as hospitals. Three avenues/requirements are: state licensure, based on minimum state requirements for a hospital; DHHS certification based on requirements for participating in Medicare and Medicaid; and JCAHO accreditation, based on meeting standards set by the Joint Commission. Though JCAHO accreditation is an indication of at least better-than-State standards for performance and quality of care, the accreditation process has some inherent weaknesses.
The Role of Accreditation
In order to understand the role of "Accreditation" in health care, particularly for hospitals, it is best to also review the nature and roles of "Licensure" and "Certification." All three terms apply to many types of health care providers; however, this work focuses on hospitals. As we learned in our course, hospital "Licensure" is overseen by State governments and is usually administered by each State's department of health. Essentially, a license is a privilege to operate as a hospital, based on meeting minimum standards for sufficient facilities, safety, space, equipment and personnel. For example, the New York State Department of Health governs licensure for medical facilities within New York State, oversees hospital performance, may suspend or revoke a hospital's license and imposes fines for violations (New York State Department of Health, 2001). Consequently, the role of licensure is to establish, maintain and monitor minimum State standards for the privilege of operating as a hospital. We also learned that hospital "Certification" is governed by the Department of Health and Human Services and allows hospitals to participate in Medicare and Medicaid programs, provided the hospitals meet "conditions of participation" (Centers for Medicare & Medicaid Services, 2012). Consequently, the role of certification is to establish, maintain and monitor minimum...
Kaiser Permanente (N. California) NCQA Accreditation Kaiser Permanente (Northern California) NCQA Accreditation Accreditation is a comprehensive evaluation process in which a health care organization's systems, processes and performance are examined by an impartial external organization -- an accrediting body -- to ensure that it is conducting business in a manner that meets predetermined criteria and is consistent with national standards (Iglehart, 1996). The 2010 federal Affordable Care Act (ACA) calls for use
This includes checking equipment, employee licensing, and general health concerns. California also has special requirements which aim to ensure a complete lack of racist inequalities within the hospital environment. Every facility must incorporate a system where different languages, including nonverbal communication, are available to those patients who do not speak English as a first language. Proof of this system is necessary in order to fully give accreditation the specific facility. Along
Health Care -- Regulatory Scheme and Licensure Requirements -- Operating a Health Care Organization California's licensing process for health care organizations is governed by the State's Health and Safety Code, with responsibility for licensing, licensing, inspecting, regulating and/or certifying shouldered by State and Federal agencies. In a straightforward yet rigorous process aided by online application packets and checklists, these agencies are intent on ensuring compliance with State and Federal laws and
Cross-Sectional Study to Determine Factors in the Educational Advancement of the Licensed Practical Nurse to the Registered Nurse in the State of North Carolina According to the Harvard Nursing Research Institute, United States nursing school enrollments dropped by 20.9% from 1995 to 1998 (Healthcare Review, 2000). Behind headlines such as this one are the overwhelming issues which threaten the nursing workforce: 1) staffing cuts, 2) mandatory overtime, and 3) the
Consensus Model The question of why the Consensus Model was developed in the first place is a worthy first point to make in this paper. The number of advanced practice registered nurses (APRNs) has greatly grown in numbers over the past twenty to thirty years in the United States. The healthcare system in America needed the skills and experiences of these nurses, not just because the APRNs had more education and
Value of Professional Credentialing in the Health Care Industry Discussion of the intended role of licensing and credentialing It crucial that process of conforming credentials and licensing be done in the health care sector. The role of licensing, credentialing and certification in any field, and particularly in the field of health care and medicines is critical because these processes by government and other accredited agencies are essential to ensure that all practitioners
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