M5: Accreditation of HCS

Question 1

JCAHO

Answer 1

Joint Commission on Accreditation of Healthcare Organizations

Question 2

3 Levels of Accreditation of JCAHO

Answer 2

1st level, 2nd level, 3rd level

Question 3

Categories of JCAHO Hospital Standards

Answer 3

1. Patient-focused functions
2. Organizational functions
3. Structures with functions

Question 4

NCQA

Answer 4

National Committee for Quality Assurance

Question 5

Industry’s gold standard

Answer 5

NCQA’s Health Plan Accreditation

Question 6

AAHC

Answer 6

American Accreditation Healthcare Commission

Question 7

URAC

Answer 7

Utilization Review Accreditation Commission

Question 8

Accredits many types of healthcare facilities according to function

Answer 8

URAC

Question 9

Offers 9 program accreditation

Answer 9

AAHC

Question 10

AAAHC

Answer 10

Accreditation Association for Ambulatory Health Care, Inc.

Question 11

Year of AAAHC

Answer 11

1979

Question 12

leader in developing standards to advance and promote patient safety, quality and value for ambulatory health care

Answer 12

AAAHC

Question 13

NHIP

Answer 13

National Health Insurance Program

Question 14

Health care institutions that are licensed or certified by DOH or other body duly recognized by PhilHealth

Answer 14

Automatic Accreditation

Question 15

HCIs that are not licensed or certified by DOH or Centers for Health Development (CHD).

Answer 15

Non-automatic Accreditation

Question 16

minimum level of participation granted by PhilHealth to all HCIs that comply with the requirements set by the Corporation

Answer 16

Basic Participation

Question 17

uninterrupted participation of those under the basic participation until withdrawn or terminated based on the rules set by the Corporation

Answer 17

Continuous Participation

Question 18

When do you submit requirements for Continuous Participation?

Answer 18

January 1-31

Question 19

When is an organization subject for re-accreditation?

Answer 19

See M5

Question 20

PCAHO

Answer 20

Philippine Council on Accreditation for Healthcare Organization

Question 21

body recognized by the Department of Health and PhilHealth in certifying the presence of quality management systems in health care organizations

Answer 21

PCAHO

Question 22

PTAHF, Inc.

Answer 22

Philippine Tripartite Accreditation for Health Facilities, Inc.

Question 23

independent, non-profit organization, dedicated to improve and promote quality and safety in the delivery of healthcare in the Philippines

Answer 23

PTAHF, Inc.

Question 24

3 Major Associations in PTAHF

Answer 24

ANSAP, AHA, PAGHAO

Question 25

When did the 3 major organizations form PTAHF?

Answer 25

January 25, 2008

Question 26

PTAHF Eligibility Requirements

Answer 26

SEE M5

Question 27

Assessment Tools (6 columns)

Answer 27

See M5

Question 28

Pharmacy program state by PAASCU

Answer 28

Level 2 accredited Given a clean paper for 5 years Visited last March 5 and 6, 2020

Question 29

To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.

Answer 29

JCAHO Mission

Question 30

All people always experience the safest, highest quality, best-value health care across all settings

Answer 30

JCAHO Vision

Question 31

hospitals, home health, long-term care, behavioral healthcare, clinical laboratories, ambulatory care, health networks

Answer 31

JCAHO Target Areas for Accreditation

Question 32

nurses, physicians, consumers, medical doctors, administrators, providers, employers, labor representative, health plan leaders, quality experts, ethicists, health insurance administrators, and educators

Answer 32

BOC JCAHO

Question 33

American College of Physicians, the American College of Surgeons, the American Dental Association, the American Hospital Association, and the American Medical Association

Answer 33

JCAHO Corporate Members

Question 34

To improve the quality of health care delivered to people everywhere

Answer 34

NCQA Mission

Question 35

To become the most widely trusted source of information driving health care quality improvement

Answer 35

NCQA Vision

Question 36

Managed care plans

Answer 36

NCQA Target Area for Acc

Question 37

Employer, consumer, and labor representatives, health plan representatives, quality experts, policy makers, and representatives from organized medicine

Answer 37

NCQA Board Members

Question 38

NCQA Pharm. Companies

Answer 38

Merck, Pfizer, and SmithKline Beecham have made significant contributions

Question 39

US Health Care Financing Administrations, the Commonwealth Fund, the Henry J. Kaiser Foundation, the Robert Wood Johnsons Foundation, and the David and Lucile Packard Foundation

Answer 39

NCQA Main Source of Funding

Question 40

access and service, qualified providers, staying healthy, getting better, and living with illness

Answer 40

NCQA Standards and Performance Measures

Question 41

To promote continuous quality improvement and establish standards for the managed care industry. It also supports programs aimed at education and communication.

Answer 41

AAHC/URAC Mission

Question 42

Managed care organizations (emphasis on preferred provider organizations and workers’ compensation programs)

Answer 42

AAHC/URAC Target Area for Accred.

Question 43

providers, regulators, consumers, payers, and managed care entities.

Answer 43

AAHC/URAC Members

Question 44

AAHC has how many accreditation programs?

Answer 44

9

Question 45

AAHC was formed when?

Answer 45

1979

Question 46

To assist ambulatory healthcare organizations in improving the quality of care they provide to their patients” through educational efforts, performance measurement, and the setting of standards

Answer 46

AAAHC Mission

Question 47

Ambulatory surgery, birthing centers, urgent care, community health centers, college and university health services, faculty medical practices

Answer 47

AAAHC Target Areas for Acc.

Question 48

A body recognized by the Department of Health and PhilHealth in certifying the presence of quality management systems in health care organizations

Answer 48

PCAHO

Question 49

industrial medical clinics and confirmatory drug testing laboratories

Answer 49

PCAHO Target Area of Accreditation

Question 50

A globally recognized, self-sustaining Third-Party Accrediting Organization, committed to assist health facilities achieve safe and quality services

Answer 50

PTAHF Mission/Vision

Question 51

PTAHF Core Values

Answer 51

REPLEC (Recognition, Excellence, Professionalism, Leadership, Empowerment, and Competence)

Question 52

When was PTAHF formed?

Answer 52

Jan. 25, 2008

Question 53

PTAHF Eligibility Requirements

Answer 53

The HCO operates within the Philippines and nearby countries such as but not limited to Asian Countries. The HCO is duly licensed by the Department of Health (DOH) or their country’s health ministry or its equivalent to operate as a healthcare facility. The HCO provides services addressed by the PTAHF Quality Standards The HCO complies with the PTAHF Quality Standards and requirements The HCO is open and in full operation at least six (6) months which will sustain compliance on the required track record of the PTAHF Quality Standards. The HCO assumes, or is willing to assume, responsibility for improving the quality of its care and services.