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Forward2021 - Accreditation Professional Orientation Certificate Program – April
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
Learning Objectives
1. Discuss the roles of leaders and accreditation professionals in continuous accreditation and regulatory readiness
2. Identify the sources of truth and strategies for staying current with regulations, standards, and survey processes
3. Identify the key functions and responsibilities that must be integrated into operations to ensure CARR and the various approaches that may be used to sustain CARR
4. State the fundamental requirements of the CMS hospital and critical access CoPs
5. Explain how to engage operational partners and content experts within an organization to ensure CARR and optimize effectiveness as accreditation professionals
6. Recognize resources available through collaboration and networking with other member accreditation professionals
7. Demonstrate teamwork among participants
8. Outline the critical activities of a CARR model organization undergoing an on-site accreditation survey
9. Define the activities that various CARR model organization staff perform during an on-site accreditation survey
10. Describe the appropriate technique for challenging surveyor findings while surveyors are on-site
11. Outline the critical activities that must occur immediately after accreditation surveyors have left the organization
12. Identify and discuss the process for reviewing post-survey report and prioritizing findings, potential clarifications (TJC only) and corrective action plans
13. Explain the differences between CMS post-survey report response and voluntary accreditation survey reports
14. Recognize the required elements for submitting clarifications (TJC only) and corrective action plans
15. Outline the foundational expectations for Life Safety Compliance
16. Identify and examine the common vulnerabilities to a Successful Life Safety Program
17. Discover strategies for partnering with the Facilities Management staff to ensure successful implementation of a compliant Life Safety Program
18. Develop accreditation communication plans using tools and resources provided.
Additional Information
| Attachment | Size |
|---|---|
 Helpful Tips for Users | 23.36 KB |
| Information for CE | 127.75 KB |
Relevant financial relationships: None of the planning committee or presenters have anything to disclose.
Planning committee members
Natalie Webb, MHA, RN, CPHQ
Accreditation Director
Vizient
Diana Scott, MHA, RN, CPHQ
AVP Accreditation Advisory services
Vizient
Course reviewer
Natalie Webb, MHA, RN, CPHQ
Accreditation Director
Vizient approved nurse planner
Vizient
Presenter pool
Natalie Webb, MHA, RN, CPHQ
Accreditation Director
Vizient
Diana Scott, MHA, RN, CPHQ
AVP, Accreditation Services
Vizient
Greg Cochran, BS, LSCS, CHFM
Advisor, Accreditation
Vizient
Joe Bellino, MS, CHEM, CHPA
Advisor, Accreditation
Vizient
Robert Durkee, MHA, RN, FACHE
Advisor, Accreditation
Vizient
Mitchel Gesinger, MSN, RN, CJCP
Advisor, Accreditation
Vizient
Gina Holiway, MHA, MSN, RN,
Advisor, Accreditation
Vizient
Ahnna Parker, MSN, RN-CB, CIC
Advisor, Accreditation
Vizient
Susan Cymbor, MD
Advisor, Accreditation
Vizient
Twila Loudder, MS, BSN, RN, CPHQ
Advisor, Accreditation
Vizient
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 Statements:
NURSING
This activity is designated for a maximum of 12.00 contact hours.
Vizient, Inc. is approved by the California Board of Registered Nursing, Provider Number CEP12580, for a maximum of 14.40 contact hours.
CEU
Vizient, Inc. will award CEUs to each participant who successfully completes this program. The CEU is a nationally recognized unit of measure for continuing education and training programs that meet certain criteria (1 contact hour = 0.1 CEU).
Available Credit
- 12.00 ANCC
- 14.40 CBRN
- 12.00 General CE - Attendance