2023 Accreditation Professional Orientation Program - Establishing the foundation – On Demand

This activity will provide the participants with a foundational understanding of the continuous accreditation and regulatory readiness process from a regulatory / accreditation perspective.  Participants will learn about the history of healthcare regulations / accreditation; regulatory / accreditation sources of truth; managing the continuous readiness process prior to, during and following an external survey visit.   Each session will include perspective from those who have successfully addressed requirements and/or a resource to help the participant in their compliance strategy. There will be facets of this program that address knowledge, competence and performance.

Target Audience

  • Nursing
  • Novice accreditation leaders or leaders with new accreditation and regulatory responsibility

Learning Objectives

At the conclusion of this activity, participants should be able to:

  1. Define the historical evolution of accreditation and certification and its purpose and value (Welcome Webinar).
  2. Explain how the Centers for Medicare and Medicaid Services’ (CMS) Conditions of Participation (COP) form the foundation of voluntary accreditation for various health care providers. (Welcome Webinar).
  3. Discuss the roles of leaders and accreditation professionals in continuous accreditation and regulatory readiness.
  4. Identify the sources of truth and strategies for staying current with regulations, standards, and survey processes.


Course summary
Available credit: 
  • 1.50 ANCC
  • 1.50 CBRN
  • 1.50 General CE – Attendance
Course opens: 
Course expires: 
On Demand Activity
United States

Planning committee

Natalie Webb, MHA, RN, CPHQ
Accreditation Director
Vizient, Inc.

Robert Durkee, MHA, RN, FACHE
Sr. Director Accreditation Advisory Services
Vizient, Inc.



Natalie Webb, MHA, RN, CPHQ
Accreditation Director
Vizient, Inc.


Diana Scott, MHA, RN, CPHQ
Principle, Accreditation Advisory Services
Vizient, Inc.



Absence of Relevant Financial Relationships

Vizient, Inc., Jointly Accredited for Interprofessional Continuing Education, defines companies to be ineligible as those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

An individual is considered to have a relevant financial relationship if the educational content an individual can control is related to the business lines or products of the ineligible company.

No one in a position to control the content of this educational activity have relevant financial relationships with ineligible companies.


Statement of content validity

Vizient, Inc. educational activities are intended to assist healthcare teams advance their professional responsibilities in accordance with the definition of continuing education. It is the policy of Vizient, Inc. to review and ensure that all content and recommendations for patient care within accredited CE is evidenced-based, based on current science and clinical reasoning while ensuring the content is fair and balanced. All recommendations must conform to the generally accepted standards of experimental design, data collection, analysis, and interpretation. Vizient, Inc. does not permit accredited continuing education if it advocates for unscientific approaches to diagnosis or therapy, or if the education promotes recommendations, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients.


FDA off-label/unapproved usage

Faculty/Presenters are required to identify any new and evolving topics for which there is a lower/absence of evidence base. This is to ensure that our content does not advocate for, or promote, practices that are not, or not yet adequately based on current science, evidence, and clinical reasoning. Faculty/Presenters are required to disclose any discussion of (1) off-label/unapproved or investigational uses of FDA approved commercial products or devices and/or (2) products or devices not yet approved in the United States.

Disclaimer: The education provided through this activity is for continuing education purposes only. The views and opinions expressed in this activity are those of the faculty/presenters and do not necessarily reflect the views of Vizient, Inc.

In support of improving patient care, Vizient, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.


Designation Statement(s):


This activity is designated for 1.50 contact hours.

Vizient, Inc. is approved by the California Board of Registered Nursing, Provider Number CEP12580, for 1.50 contact hours.



Vizient, Inc. will award all other healthcare professionals who successfully complete the activity a Certificate of Participation indicating the maximum credits available. Various state license boards and credentialing bodies accept certificates of participation from accredited CE activities to meet CE requirements for license renewals and re-certification. It is the responsibility of the participant to contact their state licensing board and/or certifying body for verification on credit eligibility reciprocity.


Available Credit

  • 1.50 ANCC
  • 1.50 CBRN
  • 1.50 General CE – Attendance
Please login or register to take this course.