Abstract This paper describes various accreditation models used in the US in the field of health care. Different models of accreditation and the situations in which they are used are presented. The similarities and differences in models are also discussed. The length of time accreditation is valid and the accrediting body's credentials are also explored. Pertinent research studies are analyzed. The author concludes that the accreditation process, along with accreditation standards and operations must directly involve research participants.
From the Paper "In the United States accreditation efforts "followed one of two models, although a third model can also be observed". The first of these models consists in supplementing government regulation through accreditation. In this case, accreditation would be considered a mark of excellence held by organizations already regulated by the government. Only a fraction of these entities are accredited. This model was illustrated by the NCQA program (NCQA 2001a). In the United states the organizations are regulated by state insurance departments, state health departments, or DHHS. Accreditation is perceived as an indicator of performance higher than the required minimum."
Tags:accreditation, Institute, of, Medicine, standards, certification, HRPP, IOM
Abstract This piece analyzes an article on the accreditation of universities. The slant of the article is that the accreditation system is archaic, pedantic, and has no real utility. Using two supporting article, the author of this piece agrees with the primary article and argues that as college degrees become more important and colleges themselves become more numerous, having valid information on how well a particular school is doing is essential before enrolling. The author goes into detail as to why the current accreditation system is fundamentally flawed and offers some guidelines on how colleges should develop a more honest, accurate, and useful accreditation system more focused on the consumer. The end result will be that college shoppers won't have to rely on the media for such information.
Abstract This paper discusses the hospital accreditation process as directed by the Joint Commission on Accreditation of Health Organizations (JCAHO). The paper begins with a brief review of the strengths and weaknesses of the process. Then the paper cites criteria for accreditation, including standards and code of ethics.
Abstract This paper examines healthcare licensing and accreditation, focusing on the legality of licensing, as well as the guidelines that have been set out. The paper discusses the specific public health benefits, as well as organizational benefits that the health care accreditation process and organization serve. The paper also briefly looks at different types of accreditation for different areas of healthcare.
From the Paper "To frame the perspective more comprehensively, further accreditation is available for unconventional forms of health care, such as holistic health care and osteopathy, which does not require and MD for practice (What's an Osteopath?, 2007). We mention these to provide an accurate and comprehensive perspective on the breadth and diversity of accreditation. This is a direct contrast to the licensing process, which takes place specifically at the state level and virtually straightforward process: either one qualifies or they don't. An application is available for viewing in the holistic accreditation process from research (HFAP, 2007), offered as an example of the healthcare practitioner application process in general. Be it licensing or accreditation, each application process asks specific and pointed questions regarding the applicant's qualifications and background."
Abstract In this article, the writer discusses that professionalism in the field of nursing demands strict self-regulation and continuous improvement of the standard of care through evidence-based recommendations and quality research. The writer notes that professionalism also demands a multi-disciplinary approach in order to arrive at comprehensive, individualized treatment options for the patient. The nurses' roles as researcher, planner, policy-maker, educator, leader and collaborator testify to the ethical responsibilities they share towards patients, colleagues and the populations they affect through their decisions. In practice, the writer maintains that it is the nurse that plays a large part in formulating and implementing patient care plans, evaluating their outcomes and continuously enforcing and improving the quality of care. The writer concludes that accrediting and regulatory bodies are different levels of professional accountability in the nursing profession that protect consumers from unnecessary harm and employers from the legal consequences of the malpractice of individual employees.
Outline:
Introduction
Regulatory Body: Purpose and Scope
Accrediting Body: Purpose and Scope
Similarities and Differences
Conclusion
From the Paper "From the above, it can be seen that both regulation and accreditation provide different strata of professional accountability as they relate to the practice of safe, comprehensive and competent patient care. Accountability can also be seen in terms of institutional and individual accountability. Institution accreditation, while accountable for educating its graduates according to its own set of mission objectives, philosophy and goals, is no longer directly accountable for any shortcomings of the individual nurse in terms of clinical practice and continuing education. As the nurse enters individual practice, jurisdiction falls to the state nursing boards to determine individual accountability. Another difference is that (in the case of the U.S.), accreditation is done through a nationally recognized agency. This is advantageous in that accredited institutions adhere to a uniform set of accreditation prerequisites, which in effect standardizes core education competencies. Regulatory bodies, in contrast, have a more narrow authority, determined by governmental jurisdiction and specialization. This is advantageous in that individual registered nurses, irrespective of higher education, can be restricted in terms of area of practice and prosecuted according to state law if necessary. Additionally, individuals, rather than institutions, can more easily be restricted in practice and monitored."
Tags: practitioner, certification, quality, programs, patient, care
Abstract This paper examines the licensing and accreditation of a health care facility, specifically a nursing home, in the state of Florida. In particular the paper looks at Adventist Care Center in Orange County, Florida and explores which local state and federal agencies regulate it and ensure that it is upholding its solemn responsibility to provide top flight healthcare for elderly residents.
From the Paper "The reason for the choice of Adventist Care Center is that Adventist appears to have a number of nursing homes throughout Florida and therefore it is interesting to see how the state and local counties treat a large and apparently growing nursing home franchise in a part of the country that is aging rapidly and already features a high median age. In any case, the paucity of available information is startling in some respects, but every effort will be made to track down those agencies at the local level which ultimately determine which facilities are appropriate for their vital task - and which ones are not."
Abstract This paper explains that nursing programs are only available through accredited colleges because it is in the public's best interest to have measured standards providing guidelines for the nursing profession. The author points out that the regulatory requirements of higher education form a foundation for accreditation. The paper outlines the five areas required for institutional accreditation. The author also presents several regulations of nursing education institutions.
Table of Contents:
Introduction
Regulatory Purpose
Purpose of Accreditation Similarities and Differences between Regulation and Accreditation Conclusion
From the Paper "The 12-Hour Rule was originally drafted to prevent fraud by what is now as "diploma mills". Diploma mills are found mostly in correspondence programs and they usually do not operate on an academic year. An academic calendar maintains a mandatory 12 hour regularly scheduled classroom session each week allowing students to become eligible for federal financial aid. The 12-hour rule was created by the Education Department."
Abstract This paper discusses the educational requirements for advanced practice nurses (APN) of the National League for Nursing Accrediting Commission (NLNAC) in New York State. It describes what graduate nursing schools need to embody to be accredited and what graduate students need to accomplish to attain degree and certification. The paper also looks briefly at nationwide differences in regards to accreditation for advanced practice nurses.
Table of Contents:
Graduate Nursing School Requirements
Attaining a Graduate Degree
Attaining Graduate Certification
Keeping Accreditation, Graduate Degrees and Certifications
Nationwide Differences in Keeping Accreditation
From the Paper "A nurse practitioner is certified to practice in a specific specialty area; APNs may be certified in more than one specialty, but must submit a separate application and fee for each specialty and demonstrate that have satisfied the education requirements specific to that specialty area (Havens). Current specialty areas in the State of New York are: (a) Acute Care, (b) Adult Health, (c) College Health, (d) Community Health, (e) Family Health, (f) Gerontology, (g) Holistic Nursing, (h) Neonatology, (i) Obstetrics/Gynecology, (j) Oncology, (k) Pediatrics, (l) Palliative Care, (m) Perinatology, (n) Psychiatry, (o) School Health, and (p) Women's Health (Havens). Nurses seeking advanced practice nurse certification in the State of New York must file an application for certification and the other forms indicated, along with the appropriate fee, to the Office of the Professions at the address specified on each form; specific requirements for certification are contained in Title 8, Article 139, Section 6910 of New York's Education Law and Part 64 of the Commissioner's Regulations (Havens)."
Abstract It also discussed its structure, and procedures, relating to its accreditation program through participating states and bodies. Other areas examined include on-site lab assessment procedure, lab accreditation process, fees, and lab quality systems. It also discussed the various methods used for environmental analysis, and finally addressed the growing issue of indoor air pollution in the United States.
Abstract Examines ethical standards established by the Joint Commission on Accreditation of Health Organizations, with a focus on patient welfare and rights, a critique of utilitarianism, bioethics and nursing practice.
From the Paper "GOOD PRACTICE IS GOOD ETHICS IS GOOD MANAGEMENT POLICY": APPLICATION OF THE JCAHO ETHICAL REQUIREMENTS
Introduction
The Joint Commission on Accreditation of Health Organizations (JCAHO) establishes standards for health organizations that cover a wide spectrum of operations and responsibilities. One area for which standards are established by the JCAHO is ethics. Ethical standards for health organizations apply to clinical practice, research, and all other aspects of the management of health organizations (Joint Commission on Accreditation of Health Organizations, 1996c).
To be accredited by the JCAHO, a health organization must be rated satisfactory on an assessment of the organization conducted by the JCAHO. This assessment covers all JCAHO ..."
Abstract This paper reviews the evolution of quality initiatives in health care delivery. It also examines the role of the Joint Commission on the Accreditation of Healthcare Organization (JCAHO) in promoting quality in health care delivery.
From the Paper "This paper reviews the evolution of quality initiatives in American health care. Within the context of the evolution of ..."
A look at the guidelines provided by the Centers for Medicare and Medicaid Services and the Joint Commission on Accreditation of Healthcare Organizations for CAP patients.
Abstract This paper examines the literature concerning the hypothesis that the consolidated standards provided by the Centers for Medicare and Medicaid Services and the Joint Commission on Accreditation of Healthcare Organizations (CMS/JCAHO) on the subject of proper antibiotic selection for sufferers of community-acquired pneumonia are the most optimal standards available.
From the Paper "According the website for the Centers for Medicare and Medicaid Services, the guidelines provided by the program demand a considerable intensification of stringency for the diagnosis of microorganism behaviors in the treatment of CAP patients as well as in the specification of antibiotic identification methods to be used with a central focus. (CMS, 1) This means that participating hospital facilities and medical association must address procedural gaps between guidelines and previous standards in order to adhere to the collective standards now considered relevant. The gaps present at the time of the initiation of these guidelines illustrate the positive transition toward greater specificity and diagnostic effort being impressed upon all facilities and agencies in question. It is clear through comparative examination that the new consolidated CMS/JCAHO guidelines are an appropriate response to the need for more accurate design in the application of favored antibiotic treatment programs. "
Abstract This paper discusses how pain is a global problem that affects all people during their life and how poorly treated pain is a major concern for the millions of Americans currently suffering with pain. It looks at how heath care strives to deliver optimal care and treat patients effectively and how the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has developed pain management quality standards that must be implemented by all health care organizations to be accredited. It shows how providers need help to integrate these standards for optimal pain management and how conceptual models developed by nursing theorists can be useful tools to guide clinical practice. In particular, it explores Orem's Self-Care Framework, Neuman's System Model, and Roy's Adaptation Model as examples of conceptual models that can be used to analyze possible approaches to solving health care problems and clinical concerns.
From the Paper "Roy's Model guides pain management with a nursing process, which includes a behavioral assessment, a stimuli assessment, nursing diagnosis, goal setting, plans for implementation, and evaluation. Each step takes into consideration the patient's perceptions and desires into account. Behavioral assessment is completed keeping in mind the four modes of adaptation. The four modes of adaptation are physiological, self-concept, role function, and interdependence. This allows for a systematic and holistic approach in recognizing the patients? right to proper pain assessment. In the physiological mode, a thorough assessment investigates the underlying disease process of the pain. Once treatment is implemented for the illness or injury causing pain, the focus moves into the actual elimination of pain."
Tags: self, care, framework, system, model, adaptation
Abstract This paper discusses a proposed scientific research investigation of the practice of using doctoral students in the role of supervisors in practicum situations where master's level students are learning the rigors of counseling applications. The author points out that the primary goal of any counseling training program is to assist practicum students develop a dedication to the highest possible standards within the counseling profession wherein recognizing the diversity, which the profession faces. The paper states that the research will use "The Doctoral Students Supervision/Facilitation Survey" to evaluate accredited doctoral programs and non-accredited programs.
Table of Contents
Introduction
Counseling Supervision
Research Questions
Participants
Instrument
Procedure
Data Analysis Procedure
Expected Results
From the Paper "In addition to individual supervision, the counseling student receives group supervision as well. As such, group supervision includes case consultations wherein students are provided an opportunity to gain feedback and share information will other trainees and professional staff with respect to on-going program development (Werstlein, 1994). In fact, in today's world of mega technology researchers investigating the role of group supervision in counseling have even turned to computer-based tactics for group supervision training purposes (Janoff & Schoenholtz-Read 1999)."
Abstract In this essay, the writer discusses that sociological theory is of great value in understanding how religious colleges are eventually transformed into fully accredited secular schools. The writer explains that sociology is the study of social behavior. The writer also notes that it examines the behaviors of individuals and organizations and their evolution through their interactions within and outside of their social systems. Further, the writer maintains that the rational choice axiom might offer some insight in the case of the transformation of a college associated with a religious denomination into an accredited secular university; however, other theories might offer additional insight as well.
