Posted: July 14th, 2022

Practicum Mentor Interview on Accreditation

Practicum Mentor Interview on Accreditation

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Practicum Mentor Interview on Accreditation
What is the general process for accreditation of public health organizations?
D. Tadsen indicates that accreditation is a well-established process for improving performance within an organization. The accreditation process takes place when a formal authority concludes that an organization meets predetermined standards (Siegfried et al., 2018). D. Tadsen adds that the standards allow health departments to demonstrate they are providing services individually or in partnership with other providers. The requirement in the public health service is necessary to keep communities healthy and safe. In the health care field, the Joint Commission and National Committee for Quality Assurance are long-standing, respected accreditation authorities (Bender et al., 2018). According to D. Tadsen, the authorities are recognized for establishing standards and advancing quality through the accreditation of health care organizations. Essential lessons can be learned from the programs regarding the need for and development of individual facilities performance improvement plans.
Explain how this agency/organization is accredited?
During the interview, D. Tadsen highlighted that accreditation is usually a voluntary program, sponsored by a non-governmental organization. It involves a trained external peer reviewer who evaluates a healthcare organization’s compliance and compares it with pre-established performance standards. D. Tadsen emphasized that a Joint Commission Accreditation is awarded upon successful completion of an on-site survey. The on-site survey is conducted by a specially trained Joint Commission surveyor or team of surveyors who assess our organization’s compliance to their standards (Bender et al., 2018). Accreditation is a three-year award. During the survey, D. Tadsen noted that surveyors select patients randomly and use their medical records as a roadmap to evaluate standards compliance. As surveyors trace a patient’s experience through the facility, D. Tadsen notes that surveyors talk to the doctors, nurses, and other staff who interact with the patient.
The surveyors observe doctors and nurses providing care, and often speak to the patients themselves. D. Tadsen emphasized that all regular Joint Commission accreditation surveys are unannounced. The hospital is required to be following the Federal requirements outlined in the Medicare Conditions of Participation (CoP) to receive Medicare/Medicaid payment (Yeager et al., 2020). The goal of the hospital survey is to determine if a facility is adhering to participation conditions. Certification of hospital compliance with the conditions of participation is accomplished through observations, interviews, and document or record reviews. According to D. Tadsen, the survey process focuses on a hospital’s performance of patient-focused and organizational functions and processes. D. Tadsen adds that both Joint Commission and Centers for Medicare and Medicaid surveys are the means used to assess compliance with the Federal health, safety, and quality standards that assure the patient of safe and quality care services. The Joint Commission and Centers for Medicare and Medicaid go hand in hand at the facility.
What are the responsibilities of the public health nurse leader with regard to accreditation?
Because Public Health nurses are in leadership positions, they are responsible for setting the policies and priorities of their departments. D. Tadsen notes that public health nurses are responsible for coaching and training subordinate staff. It would be desirable for these leaders to have formal education in the full range of public health principles and skills (Yeager et al., 2020).
Who are the other individuals with whom the PHN leader collaborates in order to ensure accreditation preparation?
The collaborators in the accreditation preparation process include health professional educators and accreditors. During the interview, D. Tadsen notes that accreditors will be vital in providing information on the appropriate accreditation process. It is essential to collaborate with officials working in Joint Commission and National Committee for Quality Assurance to establish the accreditation standards (Beitsch et al., 2018). Collaboration should comprise nurse leaders and managers working in the healthcare system.

References
Beitsch, L. M., Kronstadt, J., Robin, N., & Leep, C. (2018). Has voluntary public health accreditation impacted health department perceptions and activities in quality improvement and performance management?. Journal of Public Health Management and Practice, 24(1), S10-S18.
Bender, K., Kronstadt, J., & Nicola, B. (2018). Looking ahead: applying foresight principles to public health accreditation. Journal of Public Health Management and Practice, 24, S126-S128.
Siegfried, A., Heffernan, M., Kennedy, M., & Meit, M. (2018). Quality improvement and performance management benefits of public health accreditation: national Assessment findings. Journal of Public Health Management and Practice, 24(1), S3-S9.
Yeager, V. A., Wharton, M. K., & Beitsch, L. M. (2020). Maintaining a competent public health workforce: lessons learned from experiences with public health accreditation domain 8 standards and measures. Journal of Public Health Management and Practice, 26(1), 57-66.

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