2025 Accreditation Professional Orientation Certificate Program
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
- Nurses
- Other Healthcare Professionals
Learning Objectives
At the conclusion of this activity, participants should be able to:
1. 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.
2. State the fundamental requirements of the CMS hospital CoPs
3. Explain how to engage operational partners and content experts within an organization to ensure continuous accreditation compliance and optimize effectiveness as accreditation professionals.
4. Recognize resources available through collaboration and networking with other member accreditation professionals.
5. Demonstrate teamwork among participants.
6. Outline the critical activities of a continuous accreditation compliance model organization undergoing an on-site accreditation survey
7. Define the activities that various continuous accreditation compliance model organization staff perform during an on-site accreditation survey
8. Describe the appropriate technique for challenging surveyor findings while surveyors are on-site
9. Outline the critical activities that must occur immediately after accreditation surveyors have left the organization
10. Identify and discuss the process for reviewing post-survey report and prioritizing findings, potential clarifications (TJC only) and corrective action plans
11. Explain the differences between CMS post-survey report response and voluntary accreditation survey reports
12. Recognize the required elements for submitting clarifications (TJC only) and corrective action plans
13. Discover strategies for partnering with the Facilities Management staff to ensure successful implementation of a compliant Life Safety Program
14. Develop accreditation communication plans using tools and resources provided.
FACULTY & PLANNERS
Planning Committee:
Natalie Webb, MHA, RN, CPHQ
Accreditation Director
Vizient, Inc.
Wendy Forys, MSN, BS, RN
Sr. Director Accreditation Advisory Services
Vizient, Inc.
Joseph Bellino, MS, CHPA, CHEM
Sr. Director Accreditation Advisory Services
Vizient, Inc.
Rebecca Easterwood
CE Programs Manager
Vizient, Inc.
Marilu Kelly, MSN, RN, NPD-BC, CHCP
Director, Continuing Education
Vizient, Inc.
Faculty:
Natalie Webb, MHA, RN
Accreditation Director
Vizient, Inc.
Diana Scott, MHA, RN, CPHQ
Prinicipal, Accreditation Advisory Services
Vizient, Inc.
Wendy Forys, MSN, BS, RN
Sr. Director Accreditation Advisory Services
Vizient, Inc.
Joe Bellino, MS, CHPA, CHEM
Sr. Director Accreditation Advisory Services
Vizient, Inc.
Diane Cullen
Advisor, Accreditation
Vizient, Inc.
DISCLOSURE
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.
Nurses (CNE)
Available Credit
- 15.50 ANCC
- 15.50 General CE - Attendance
- If the "Register/Take Course" tab is displayed instead of the "Obtain Credit" tab, you must first login to proceed with the credit claim process.
- This activity requires learners to confirm their attendance using an activity code. An Access Denied error message indicates that your attendance was not recorded via SMS text or QR code scanning.
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.