Acreditations Flashcards
Why accrededations?
To improve:
Patient outcomes
Patient safety
Employee satisfaction
Customer service
Reimbursement
Job security
Meet standards of accrediting agencies
What are some of the things that evaluations might care about
fall risk
nursing strikes
surgical outcomes
hand washing
QA: Quality Assurance
Focus on eliminating defects
CQI: Continuous Quality Improvement
Focus on Consistency in Processes
TQM: Total Quality Management
More of a style of management where you are focused on three strategies:
- CQI
- Culture, customer satisfaction
- Core values communicated
regulatory boards
Government law or rule - often paid for by the government,
Governmental Regulatory Programs history
started in end of 1800’s. 1906 - national regulation of food and drugs (FDA), 1935 - social security act set standards for maternal and child standards. 1965 - medicare established.
Regulatory board
State Health Department (govt pays)
Evaluated facilities~ often focused on preventing abuse and providing a clean and safe environment
NY State Office of the Professions:
licensure (licensee pays for)
Pay a fee to put “L” in the OTR/L
Centers for Medicare and Medicaid Services:
Review charts to verify quality of services (govt pays)
External Agencies as Standard Setters
NBCOT: National Board of Certification of Occupational Therapy
pass certification and put R in OTR
AOTA sets Guidelines which are enforced through the NBCOT Sanction program
Occupational Therapy Code of Ethics and Ethic Standards
Guidelines for Supervision, Roles, and Responsibilities During the Delivery of Occupational Therapy
ACOTE: Accreditation Council for OT Education
Evaluates
academic programs for a fee
Joint Commission:
Provides accreditation of Healthcare Organizations for a fee
CARF:
Commission on Accreditation of Rehabilitation Facilities for a fee
Focus of state health department
Focus
Environment : clean, safe to prevent falls, prevent infection
Do Patient’s have rights (Right to Refuse is a biggie)
Quality of basic physiologic care (more focused on nursing)
Are they being fed well?
DOH Focused on assuring the environment is
safe and that basic physiologic needs are met
Inspection unannounced every 9-15 months
Not voluntary => state pays for
Requirements of the NY State Office of the Professions(NYSED) to be an OT
- Establishes licensure ($294 for OT)
- Must be of good moral character
- 21 years of age (18y for OTA)
- Graduate from accredited OT Program
- For full license: pass national NBCOT exam
- offers temp license ($70 extra and must have a job with an identified mentor/supervisor)
- Requires 36 hours of Continuing Competency every 3 years
- 24 hours must be directly related to pertinent area of OT practice
Centers for Medicare & Medicaid(CMS) evaluates OTs for
- Mainly evaluate by chart review
- ## Strong standard setters as standards directly relate to reimbursement
Center for medicare and medicaid CMS are focused on outcomes related to
- Improvement in Function
- Improving patient safety
- Not concerned with pain (views medication as the intervention for pain management)
NBCOT:National Board for Certification in Occupational Therapy EXAM
Administer certification exam (good in all states) to validate knowledge.
NBCOT Applicants must:
Graduate from an accredited program & complete FW
Must not have a felony conviction
NBCOT recertifications happens when
Re-certification Every 3 years
What do you need to recertify for OTR/L?
36 Units PDU=Professional Development Units/CAU= Competency Assessment Units
Specific rules on how to verify (logs, certificates, documentation) and a maximum in each category
