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Joint Commission accreditation manual that you can access using course reserves

Your hospital organization wants to do a comprehensive review of where they are with the Joint Commission standards and what work needs to be done to meet those standards.  The organization has established a Lead Team to coordinate the work.  Using the Joint Commission accreditation manual that you can access using course reserves, find the table of contents listing accreditation requirements.  You will be putting together a team to work on ensuring that your organization is meet one of the standards.  Review the list of requirements in the table of contents and select one chapter for your “team” to work on. (Do not select Accreditation Participation Requirements (APR) or Waived Testing (WT)).  Review the standard and the “elements of performance” for the chapter that you have selected and provide the following: 

  1. Select ten (10) elements of performance in your selected chapter.
  2. Who are your team members? (use a functional title)
  3. Describe how you will divide the work for your team.
  4. Describe what your team deliverables will be to the organization’s lead team.
  5. In a written document, provide the standard, the elements of performance and how your team will demonstrate meeting that element

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Define and discuss the differences between licensure, certification, and accreditation as they relate to health care facilities

  • Define and discuss the differences between licensure, certification, and accreditation as they relate to health care facilities.
  • Discuss the ethical or legal requirements and responsibilities that a health care organization has in ensuring its facility is licensed, certified, and accredited. When discussing licensure requirements, ensure that you research requirements based on the state in which you reside.
  • Define and discuss the differences between the licensure and certification as they relate to healthcare providers or professionals.
  • Discuss the ethical or legal requirements and responsibilities that a health care organization has in ensuring its staff members are licensed and certified.
  • Research and discuss an accrediting body that will provide accreditation to the facility you are proposing. Ensure that you provide a history of the organization, what types of facilities they accredit, and how the organization has impacted the quality of health care in the United States.

Note: You must include a minimum of 3 scholarly references.

3-4 pages

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