The largest online database anywhere of free accreditation advice for frontline and management employees in healthcare.
For well over a decade, we've been gathering what we know about accreditation standards and putting that knowledge into plain language. The product of those years of study and writing is this database of accreditation tips. Whenever we learn something new about a standard or the way the reviewers are interpreting it, we update our database.
Search the articles below. Get more accurate results by entering in the standard name or accreditation program.
One of the most important of the URAC standards is this one, which requires that the organization have processes to respond quickly to urgent situations that threaten consumers' well-being.Even though the standard speaks of "a mechanism", the reality is that it requires a system of mechanisms dealing with the full array of urgent situations that are likely to confront the applicant. You can see th...READ FULL POST
This standard says, essentially, that if the organization has a system by which people are provided financial incentives that are based directly on consumer utilization of healthcare services, there must be mechanisms in place to make sure that these incentives don't end up compromising consumer care. This policy includes capitation of providers. Not all URAC reviewers over the years have interp...READ FULL POST
The senior clinician whose qualifications are set forth in Core 31 must, according to this standard, provide guidance and be responsible for all of the clinical aspects of the organization's program being accredited. In addition, the senior clinician must have periodic consultation with individuals in the field or licensed to deliver healthcare services without supervision, i.e. practitioners. F...READ FULL POST
This standard requires that the organization designated at least one senior clinical staff person to perform the functions described in Core 32. This standard sets forth at the required qualifications of that person. Those qualifications are:a current unrestricted clinical license,sufficient qualifications (e.g., experience, credentials, certifications) to conduct clinical oversight for the serv...READ FULL POST
This standard requires that the organization provide the staff with access to:appropriate P&Ps;necessary clinical decision support tools; andregulatory requirements related to the position. First, this means that each employee needs to know where to find the P&Ps and tools that help them understand the proper way to perform his/her job. Having a general notion that the applicable P&Ps are "somew...READ FULL POST
URAC has specific requirements for staff training that relate both to the content of staff training and its administration. This standard focuses on both:ContentThis standard requires that the organization's training program cover the following topics:Initial orientation and/or training for all staff before assuming assigned roles and responsibilities; Ongoing training, at a minimum annually, to m...READ FULL POST
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