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.
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This standard sets forth what appear to be simple requirements regarding how your organization manages the delegation process. In short, it says that if your organization delegates functions that are within the scope of your URAC accreditation, it retains accountability for compliance with URAC standards regarding those functions and conducts periodic oversight of the performance of the delegated...READ FULL POST
This standard both requires that your organization conduct an annual evaluation of the effectiveness of your QM program and describes the required components of that evaluation, which must be provided to the leadership at least annually. The required components include:Recommendations to leadership on how to improve the QM program;An analysis of the organization's performance as compared to the or...READ FULL POST
This standard focuses on the data side of the QM program. Your QM documentation needs to clearly identify:how you collect performance indicator data;how you analyze those data; andhow and to whom you report data.In addition, the performance indicators must be relevant to your organization's performance and must be quantifiable. You'll need to benchmark your performance on these performance indicat...READ FULL POST
This standard puts the meat on URAC's QM requirements, mandating that your program include:selection and definition of performance indicators and how each is to be measured under what time frames;valid and accurate measurement of processes and/or events such as errors, satisfaction (of consumers if you serve consumers directly, or clients being served); complaints (again, consumers if you are cons...READ FULL POST
Your organization must have a quality management committee ("QMC") that performs the following functions:overseeing and guiding the QM program;keeping tabs on the organization's progress in meeting its QM goals;guides the staff on meeting the organization's QM goals;approves the quality improvement projects ("QIPs"); and conducts a periodic evaluation of how effective the QM program is.The QMC sho...READ FULL POST
Your organization must implement a quality management ("QM") program that:applies to the functions within the scope of the present URAC accreditation application;establishes quantifiable goals for improvement;addresses the design and implementation of interventions to advance toward those improvement goals; andmakes clear the scope and goals of the organization's QM program.READ FULL POST
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