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.
C-OPIN 3-3: Formal Acknowledgment of Compliance with the Organization’s Legal Requirements and Code of Conduct
This standard requires a formal, signed acknowledgement from each staff member and all other "relevant persons" (members of oversight bodies and committees) that they:have access to the Code of Conduct;received compliance training, including training on the Code of Conduct;they understand the consequences of failure to comply with the Code of Conduct, the organization's policies, and applicable la...READ FULL POST
The organization must train its staff members in the following areas:Privacy and security of information (HIPAA, HITECH, and applicable state laws and regulations);New-hire orientation and training in role performance expectations before being allowed to assume the position;Healthcare ethics;The organization's code of conduct, which defines ethical business practices dealing, at a minimum, with co...READ FULL POST
This standard requires that your organization hires qualified staff, and that the measure of staff's qualifications is, in part on the extent to which staff meet the qualifications required by written job descriptions. In other words, each position in the organization has a written job description, and each staff member meets the qualifications of the applicable job description.Each such job descr...READ FULL POST
This standard requires that your organization operate under policies and procedures governing its core business processes, and particularly those processes within the scope of the accreditation being sought. All staff must have access to a master list of such policies. All policies must be reviewed and, where necessary, revised, no less frequently than every 36 months. If changes are approved as a...READ FULL POST
Under this standard your organization must implement a Code of Conduct. It must be adopted by the executive leadership of the organization, and must outline:the organization's ethical principles;which behaviors and business practices are expected of staff, and which are prohibited;how to handle whistleblower situations; andthe consequences of staff non-compliance with this code's expectations and...READ FULL POST
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