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Because the second project towards concluding the Treatment Long Task, please answer the following is likely to words:

1 ) What is certification?

2 . What makes it important?

several.

What organizations accredit handled care organizations in the U. S.?

some. What is involved in the accreditation process? (In various other words, what do they look for? Do earning site appointments?

5. What is the accreditation status of your health care provider business (hospital, center, treatment facility, etc, )? In case you are not protected under a maintained care program, identify virtually any managed attention plan and explain its accreditation position.

Limit the responses to 1-2 pages. Be sure to properly cite every references.

This Web sites will assist you to complete this assignment:

Glossary of handled care terms

What is certification?

National Panel for Quality Assurance (NCQA)

Precisely what is NCQA & Why is accreditation important?

Joint Commission upon Accreditation of Healthcare Organizations (managed care accreditation information).

http://www.jointcommission.org/AboutUs/joint_commission_facts.htm

http://www.jointcommission.org/HTBAC/benefits_accreditation.htm

JCAHO Quality Check to look up accreditation status of facilities www.qualitycheck.org/consumer/searchQCR.aspx

URAC http://www.urac.org/consumer_how.asp

Frequently Asked Questions regarding Accreditation

http://web.ncqa.org/tabid/65/Default.aspx

http://www.jointcommission.org/AccreditationPrograms/Networks/mco_facts.htm

http://www.urac.org/healthcare/accreditation/

Other resources to help with the assignment:

http://www.ncqa.org/communications/news/clas.htm

What is accreditation?

Accreditation can be described as procedure where a neutral firm reviews the criteria of attention provided by the company. This method would make sure the business performed by the business is done as per the standards set down.

Why is it important?

People is made certain that the specifications of quality is managed whilst offering medical care

There may be some amount of healthier competition in the market

There is a reductions in dangers

Patient basic safety levels will be improved

Negligence is reduced

Good practices are encouraged

The process of researching the operational activities with the company is conducted

Staff recruitment and expansion may be motivated

The company might be brought into Medicare certification with no undergoing another type of review method

Insurers and third parties might automatically identify the company is accreditation exists

Some declares require that a company achieve accreditation so that it could fulfill the regulatory system’s requirements

Framework and functions in the organization is preserved

What businesses accredit managed care companies in the U. S.?

Accreditation of maintained care agencies in the US is usually brought about by particular accreditation businesses such as the URAC, Joint Commission rate and the NCQA. Yet , an certification organization can be accrediting several types of healthcare agencies. The corporation may be accrediting all the providers of the company or a particular service. Once the company meets selected standards made by the accreditations organization, it might receive recognition.

What is involved in the accreditation method? (In other words, what do they look by? Do they make site appointments?

Before a company applies for accreditation, it will have to conduct a thorough self-check by ensuring it meets while using standards provided by the accreditation organization. At least a lot of changes would be required. The entire process of accreditation should be taking regarding 4 to 6 weeks. A software for accreditation is submitted by the health care organization. The critics at the certification organization carry out a thorough overview of the details in the application. This might be an study of the accreditation or an onsite assessment. Improvements may be necessary to meet the requirements. With respect to the ability of the company to satisfy these criteria, accreditation is usually provided.

Precisely what is the certification status of the health care provider organization (hospital, medical center, treatment facility, and so forth )? If you are not protected under a maintained care prepare, identify virtually any managed treatment plan and explain the accreditation position.

The company which i work in is definitely accredited simply by some of the best accreditation businesses in the US. I do sign up for a handled care prepare, which has been approved by the Joint Commission. The Joint Commission looks into several requirements provided by the HMO including performance, wellness promotion, disease prevention, use, management details, education method, HR administration, etc . The Joint Commission selection interviews the management procedures focused on the plan plus the various HOURS. The documents happen to be constantly examined and the ability to meet with the criteria is determined.

References:

NCQA. “About NCQA.  2007. NCQA. 21 Jul. 2007 http://web.ncqa.org/tabid/65/Default.aspx

The Joint Commission. “Benefits of Joint Commission Accreditation.  3 years ago. Joint Percentage. 21 Jul. 2007 http://www.jointcommission.org/HTBAC/benefits_accreditation.htm

The Joint Commission. “Facts about The Joint Commission rate.  2007. Joint Commission rate. 21 Jul. 2007 http://www.jointcommission.org/AboutUs/joint_commission_facts.htm

The Joint Commission. “Facts about Managed Care Firm Accreditation.  2007. Joint Commission. twenty-one Jul. 2007

URAC. “General Questions Regarding URAC Certification.  2007. URAC. 21 years old Jul. 2007

http://www.urac.org/healthcare/accreditation/

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