ACTUAL QUESTIONS AND CORRECT
ANSWERS
What is accreditation? - CORRECT ANSWER Accreditation is the formal declaration
by a designated authority that an organization, service or individual has demonstrated
competency, authority or credibility to meet a predetermined set of standards.
What is the purpose of accreditation? - CORRECT ANSWER The purpose of
accreditation is to provide a means by which to evaluate product, service, individual,
organization or system against established standards or measures. Accreditation is a
mechanism that seeks to reassure external stakeholders that quality and safety standards are
demonstrated.
How has this purpose changed over time? - CORRECT ANSWER Although
accreditation still assures that the entity subject to accreditation has met certain standards,
other goals are now being met through accreditation. A secondary and more recent goal in
some applications, notably healthcare, is to provide a basis for quality improvement
initiatives. The shift to accreditation, notably from the 1970s onward, is representative of a
shift in philosophy by governments whereby they have sought to provide a framework for the
governance of services rather than to provide those services themselves. Through
accreditation and other regulation strategies, governments have sought to lessen or control
societal risks indirectly.
How is accreditation utilized within the health care industry? - CORRECT
ANSWER Accreditation is an element in a network of activities that seeks to regulate
conduct in the health sector. Health organizations, and individual professionals, are
networked together , and their behavior is assessed by independent bodies through
accreditation programs, standards and quality indicators. Regulation via this network has
been called "nodal governance;" that is, organizations, services and professional behavior in
health care are shaped by an increasing variety of government and non government bodies
related to but independent of each other.
How is accreditation utilized within the health care industry? - CORRECT
ANSWER Health care organizations are accredited for the management and provision
of their services, including hospitals, general practices, geriatric care facilities and public
, health. Within health organizations, specialized health services can be accredited, such as
tissue banks, pharmacies and aeromedical transportation services. Additionally, individual
professionals from medical, nursing and allied health fields, and administrators, including
medical administrators, are increasingly required to be certified.
Discuss the origin of accreditation in the health care industry and its present scope globally. -
CORRECT ANSWER Accreditation was first initiated in the US through the work of
the American College of Surgeons, which in 1917 developed the "Minimum Standards for
Hospitals." This organization subsequently collaborated with colleges and associations from
the US and Canada to create, in 1951, the Joint Commission on Accreditation of Hospitals,
which is now referred to as the TJC. From this beginning, accreditation has spread to be
practiced across the world. A few figures highlight the global extent and reach of
accreditation. As of this, accreditation is now practiced in more than 70 countries.
Discuss the origin of accreditation in the health care industry and its present scope globally. -
CORRECT ANSWER There are 22 national bodies and an international agency, the
International Society for Quality in Health Care, that are focused on the issue. In the US TJC
accredits more than 4,000 organizations, or 82% of the hospitals in the country. The HAS
accredits all acute health care organizations in France, which total more than 700 hospitals.
Accreditation Canada and the Australian Council on Healthcare Standards each accredit more
than 1,000 organizations in their respective countries. These, and many other major
international health care accreditation agencies are independent, not-for-profit,
nongovernmental agencies.
Summarize how accreditation is conducted and how its focus has expanded to encompass
quality improvement. - CORRECT ANSWER Accreditation agencies assess
organizations and services against standards and develop and supervise peer reviewers to
maintain a surveyor workforce. Additionally, some accreditation agencies set and revise their
own standards. Accreditation involves assessment against minimum standards and more
recently has evolved, as a result of higher quality and safety inspections, to be a
developmental process promoting continuous quality improvement.
Summarize how accreditation is conducted and how its focus has expanded to encompass
quality improvement. - CORRECT ANSWER Accreditation programs in their initial
phase typically focused on standards aimed at the structures and process of organizations. As
programs have matured, and new ones have emerged, attention has shifted so that
organizations have been increasingly required to demonstrate that in addition to having
structures and processes in place they are functioning effectively. That is, there has been a
philosophical shift from quality assurance to quality improvement. The former is regarded as