Accreditation Professional Orientation Certificate Program - Session 1

April 23, 2024 to April 26, 2024

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

  • Healthcare Quality Professionals
  • Nurses
  • Other Healthcare Professionals

Learning Objectives

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

  • Discuss the roles of leaders and accreditation professionals in continuous accreditation and regulatory readiness. 
  • Identify the sources of truth and strategies for staying current with regulations, standards, and survey processes 
  • Identify the key functions and responsibilities that must be integrated into operations to ensure continuous accreditation compliance and the various approaches that may be used to sustain continuous accreditation compliance. 
  • State the fundamental requirements of the CMS hospital CoPs
  • Explain how to engage operational partners and content experts within an organization to ensure continuous accreditation compliance and optimize effectiveness as accreditation professionals. 
  • Recognize resources available through collaboration and networking with other member accreditation professionals. 
  • Demonstrate teamwork among participants. 
  • Outline the critical activities of a continuous accreditation compliance model organization undergoing an on-site accreditation survey 
  • Define the activities that various continuous accreditation compliance model organization staff perform during an on-site accreditation survey 
  • Describe the appropriate technique for challenging surveyor findings while surveyors are on-site
  • Outline the critical activities that must occur immediately after accreditation surveyors have left the organization
  • Identify and discuss the process for reviewing post-survey report and prioritizing findings, potential clarifications (TJC only) and corrective action plans 
  • Explain the differences between CMS post-survey report response and voluntary accreditation survey reports 
  • Recognize the required elements for submitting clarifications (TJC only) and corrective action plans 
  • Outline the foundational expectations for Life Safety Compliance
  • Identify and examine the common vulnerabilities to a Successful Life Safety Program
  • Discover strategies for partnering with the Facilities Management staff to ensure successful implementation of a compliant Life Safety Program
  • Develop accreditation communication plans using tools and resources provided.

Additional Information

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Course summary
Available credit: 
  • 15.50 ANCC
  • 15.50 General CE - Attendance
Course opens: 
04/23/2024
Course expires: 
06/25/2024
Event starts: 
04/23/2024 - 10:00am CDT
Event ends: 
04/26/2024 - 1:30pm CDT
Add to calendar: 

FACULTY

Planning Committee

Natalie Webb, MHA, RN, CPHQ

Accreditation Director

Vizient, Inc.                  

 

Wendy Forys, MSN, BS, RN

Senior Accreditation Advisor, Regulatory and Accreditation Advisory Services 

Vizient, Inc.

 

Joseph Bellino, MS, CHPA, CHEM, RPI, Certified Yellow Belt

Senior Director, Regulatory and Accreditation Advisory Services 

Vizient, Inc.

 
Faculty

Natalie Webb, MHA, RN, CPHQ

Accreditation Director

Vizient, Inc.                  

 

Wendy Forys, MSN, BS, RN

Senior Accreditation Advisor, Regulatory and Accreditation Advisory Services 

Vizient, Inc.

 

Joseph Bellino, MS, CHPA, CHEM, RPI, Certified Yellow Belt

Senior Director, Regulatory and Accreditation Advisory Services 

Vizient, Inc.

 

Gina Holiway, MHA, MSN, RN

Accreditation Advisor, Regulatory and Accreditation Advisory Services 

Vizient, Inc.

 

DISCLOSURE

As an accredited provider of continuing education, Vizient, Inc. is dedicated to ensuring this activity presents learners with only accurate, balanced, scientifically justified recommendations, and is free from promotion, marketing, and commercial bias. In accordance with The Standards for Integrity and Independence in Accredited Continuing Education, all planners, faculty, and others in control of the educational content have disclosed the absence or existence of all financial relationships (of any dollar amount) with ineligible companies within the past 24 months.
 
Ineligible companies – those companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
 
It is Vizient’s policy that owners and employees of ineligible companies, and any individuals who refuse to disclose the absence or existence of financial relationships with any ineligible companies are disqualified from participating as planners or faculty.
 
Disclosure Statements
 
Absence of Relevant Financial Relationships
 
None of the planners, faculty, or others in a position to control content for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
 
 
 
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.
 
 
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.

 

Joint Accreditation Statement

 

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)

Nurses (CNE)

 
This activity is designated for 15.50 contacts hours.
 
Vizient, Inc. is approved by the California Board of Registered Nursing, Provider Number CEP12580, for 15.50 contact hours.
 
 
Other Healthcare Professionals (General CE Credit)
 
Vizient, Inc. will award all other healthcare professionals who successfully complete the activity a Certificate of Participation.  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

  • 15.50 ANCC
  • 15.50 General CE - Attendance
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Select the “Obtain Credit” button to access the activity evaluation and to claim CE Credit.

Required Hardware/software

 

The Vizient CE Learner Portal is compatible with most modern web browsers (such as Firefox, Google Chrome, Microsoft Edge, Apple Safari) and can also be accessed with mobile devices.