Accreditation & Compliance Flashcards
(16 cards)
What is compliance in pharmacy management?
Compliance is meeting specific requirements or rules set by a standard, including adherence to established standards, rules, or regulations.
What is accreditation?
Accreditation is a formal recognition that an organization meets certain standards and is competent to perform specific tasks—serving as a “seal of approval.”
Why is compliance important for accreditation?
Because accreditation often depends on compliance with national standards and quality improvement (QI) measures.
Is accreditation mandatory?
Accreditation is voluntary, but in many cases becomes a de facto requirement due to expectations from users or purchasers.
What do accreditation standards typically include?
They include established quality expectations focused on structure or process measures.
What does internal self-assessment in accreditation involve?
A quality assessment activity conducted in preparation for external review by the accrediting body.
What might accrediting bodies require from pharmacies?
Collection and reporting of specific performance and outcome measures.
Why do some individuals and organizations prioritize accreditation?
Because it provides public accountability, encourages QI, and adds credibility (e.g., students prefer accredited schools).
What is The Joint Commission (TJC)?
A nonprofit founded in 1951 by the American Medical Association and the American College of Surgeons.
- To improve healthcare safety and quality provided to the public through accreditation.
How has TJC evolved in its evaluation method?
From a process-oriented survey to including outcomes and performance data in its accreditation process.
What key dimensions does TJC evaluate?
Efficacy, appropriateness, availability, timeliness, effectiveness, continuity, safety, efficiency, respect, and caring.
What are sentinel events according to TJC?
Unexpected events involving death or serious injury, which signal the need for immediate investigation and response.
What are Sentinel Event Alerts?
Publications by TJC to prevent sentinel events, covering high-priority topics like anticoagulation and pediatric errors.
What is NCQA?
The National Committee for Quality Assurance
- A nonprofit organization established in 1979 by a managed-care trade association
- Works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation.
What is NABP’s role in accreditation?
NABP is developing accreditation programs to evaluate how pharmacists use continuous quality improvement (CQI).
What does ASHP do in terms of accreditation?
The American Society of Health-System Pharmacists accredits pharmacy residencies and assesses pharmacy service standards.
