5. Discuss the difference between accreditation and certification. Discuss why a health plan may or may not participate in a voluntary accreditation program.
In the health industry, accreditation and certification are related but not interchangeable. Certification is a particular set of skills up to an established criterion that a certified individual should have the competence to perform. In most cases, certification includes testing; however certification can also include or be based on education and experience alone. (Roat, 2006) .On the other hand, accreditation is usually earned and applied to an entire organization instead of individuals. Within an accredited organization, certified individuals and programs may be present.
However, certification can become problematic when it excludes individuals who are competent but poor test takers which can be similar for accreditation, as a result, some health plans may or may not voluntary participate in accreditation programs .When organizations become accredited there is potential to “improve organizational performance, quality of care, safety standards and consumer satisfaction” (Braithwaite, 2011). In addition, Braithwaite (2011) suggests that accreditation programs can promote change in the standardization of services and organizational process (p.3); however there are not much evidence supports these findings. In addition, accreditation programs usually give the seal of approvals so voluntary participation can backfire on an organization because particular things may be overlooked or focused on causing some type of consequence such as probation or even worse loss of accreditation.
6. What is statutory accounting? What are a few of the key differences between statutory...
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Varadan, S. (n.d). What are the differences between statutory accounting principles and GAAP? Retrieved from http://www.ehow.com/about_4884642_between-statutory-accounting-principles-gaap.html
Acharya, V., Biggs, J., Richardson, M., & Ryan, S. (2009). On the financial regulation of insurance companies. Retrieved from http://www-vs.stern.nyu.edu/cons/groups/content/documents/document/con_030706.pdf
Braithwaite, J., Westbrook, J., Johnston, B., Clark, S., Brandon, M., Banks, M., & ... Moldovan, M. (2011). Strengthening organizational performance through accreditation research-a framework for twelve interrelated studies: the ACCREDIT project study protocol. BMC Research Notes, 4390.
Roat, C., (2006) Certification of Health care interpreters in the United States. Retrieved from http://www.calendow.org/uploadedFiles/certification_of_health_care_interpretors.pdf
I now that I have the knowledge to aspire to take up my role within one of the identified population foci. APRNs program developed my core competencies by allowing me to be more efficient adaptability with regards to newly emerging APRN roles or population focus. Furthermore, achieving my course objectives enable me to understand the specific APRN roles. For example, course objectives provide me with a better detail, and align my licensure goals with the responsibilities expected of each role. Licensure will provide me and my fellow APRN graduates with the full authority to practice. Also, certification is required to meet the highest possible standards as APRNs are expected to align knowledge, skills and experience with the standards of health care professionals. This field has very narrow margins for error, and it is therefore important, for APRNs to meet the highest and most stringent academic qualifications. In order to be a recognized as APRN graduate, one is required to complete formal education with a graduate degree or post-graduate certificate awarded by an academic institute and accredited by a recognized accrediting agency empowered by the relevant government education
In the twentieth century the medical field has seen many changes. One way that hospitals and nursing specifically has changed and implemented the changes is by pursuing accreditations, awards, and recognitions. The purpose of this paper is to understand Magnet Status and the change required by hospitals to achieve it.
Margaret E. O’Kane is the founder and president of the National Committee for Quality Assurance (NCQA). NCQA is one of the nation’s leading advocates for improving healthcare through measurement, reporting, and accountability. NCQA is the foremost accrediting organization for health plans including HMOs, PPOs, and consumer directed plans. (Margaret) “Our goal is to increase the value of NCQA accreditation both to organizations pursuing accreditation and to the audiences who seek help in assessing the quality of health care provided by those organizations”. NCQA has developed, maintained, and expanded the nation’s most widely used health care quality tool, which is known as the Healthcare Effectiveness Data and Information Set (HEDIS). HEDIS is responsible for evaluating whether and how well
Ask each person what they learned about themselves and how it will help them communicate with patients and improve quality care.
Merwin, E & Thornlow, D. (2009). Managing to improve quality: the relationship between accreditation standards, safety practices, and patient outcomes. Health Care Managment Review, 34(3), 262-272. DOI: 10.1097/HMR.0b013e3181a16bce
To gain accreditation, TJC sets rigorous safety and quality of care standards and evaluates organizations to see whether or not they meet their standards. After the survey, TJC provid...
The top priority of the medical interpreters is removing language barrier between the medical practitioners and the patients and helping the patients to treat properly. Indeed, impartiality can be challenged in medical setting. However, some articles are pointed out that the interpreter who is related to the patient is not always harmful to the patients and the medical practitioners. Therefore, when the medical interpreters take an assignment, they should consider what the best is for the patients and the medical practitioners.
Midterm Exam Accounting 598 Part 2 2. What is the difference between a.. A critical component of any accounting theory course is an understanding of the conceptual framework. 2a. What is the difference between a'' and''?
The American Board of Nursing Specialties describes certification as the proper acknowledgment of specialized skills, knowledge, and practice demonstrated by the accomplishment of standards outlined by a nursing specialty. The certification associated with specialty practice regularly functions as a professional landmark. Validation by an outside source endorses that an individual has met the established national standards. When an advanced practice nurse prepares to become certified in his/her specialty there must be proper preparation in order to be successful.
On February 17, 2009, President Barack Obama signs into law the American Recovery and Reinvestment Act of 2009 (ARRA). The law promotes electronic medical records (EMR) and infrastructure development, such as reimbursement-based pay, to cut health care costs (Frequently Asked Questions, 2009). Likewise, the ARRA is restructuring Medicare disbursements to reimburse for quality not quantity. While the law does not mandate EMR use, the federal government has set aside twenty billion dollars to help in the development of a strong health information technology infrastructure. Title IV states, “NO INCENTIVE PAYMENT IF FIRST ADOPTING AFTER 2014” (American Recovery and Reinvestment Act of 2009, 2009). In times of economic turmoil, hospitals and physicians, who are not hospital-based, can receive incentive payments (Frequently Asked Questions, 2009). So, most institutions will comply with the restructuring and use EMR’s, even though there are pros and cons.
Rousmaniere, Peter. “Facing a tough situation.” Risk & Insurance 17.7 (June 2006): 24-25. Expanded Academic ASAP. Web. 23 March 2011.
The Malcolm Baldrige National Quality Award is recognized as an extraordinary means for for-profit, not-for-profit, educational, and healthcare organizations to improve organizational performance and competitiveness. The Baldrige criteria provide a structured approach to achieve performance excellence and an ideal set of performance and quality criteria toward which an organization should continuously strive. The criteria are used to help organizations assess their improvement efforts and to diagnose their overall performance management system (Byrne, 2003).
... is an abstract model that proposes an exploratory plan for health services and evaluating quality of health care. In accordance with the model, information about quality of care can be obtained from three categories: structure, process, and outcomes. In addition, not long ago The Joint Commission include outcomes in its accreditation valuations (Sultz, & Young, 2011, p. 378).
Marshall, M.H., McManus, W.W., Viele, V.F. (2003). Accounting: What the Numbers Mean. 6th ed. New York: McGraw-Hill Companies.
...n of Healthcare Organizations (JCAHO), and the American Medical Accreditation Program (AMAP), just to name a couple. Each of the accrediting bodies is unique in terms of their mission, activities, compositions of their boards, and organizational histories, and each develops their own accreditation process and programs and sets their own accreditation standards. . "Accreditation of a health care facility or program is a symbol of quality, similar to the Good Housekeeping Seal of Approval that indicates to the public that the organization or program has met certain standards." (Goode, 2001) The accreditation proves that healthcare facility underwent the accreditation process and met all of the necessary requirements to become qualified. Accreditation has been generally viewed as a desirable process to establish standards and work toward achieving higher quality care.