We support organizations in their goals of planning and growing quality assurance, capacity, improvement, and the overall effectiveness of management systems. This process ensures that you meet federal and state licensing requirements as well as URAC, NCQA, TJC (JCAHO), CARF, or COA accreditation standards. Each one of our clients has achieved their desired accreditation.
Accreditation
Accreditation can be daunting for both new and existing organizations, however with our professional guidance and assistance this is a process that you will not have to go through alone. Our experts have many years of experience, and to date every client assisted by BHM with accreditation has received their desired credentials.
ACCREDITATION ORGANIZATIONS
At BHM our consultants are familiar with the following accreditation organizations including processes, protocols, and how to achieve the desired accreditation for your organization quickly and effectively.
- COA- Council on Accreditation
- CARF- Commission on Accreditation of Rehabilitation Facilities
- TJC (formerly JCAHO)- Joint Commission on the Accreditation of Healthcare Organizations
- NCQA- National Committee for Quality Assurance
- URAC- Utilization Review Accreditation Commission
- HIPAA Compliance- Health Insurance Portability and Accountability Act
THE IMPORTANCE OF ACCREDITATION
Accreditation from various agencies is not only vital to the success of any healthcare organization, but essential to licensure and compliance in some cases. Two of the most important organizations that we deal with are NCQA and URAC. NCQA is the National Committee for Quality Assurance and is responsible for evaluating preferred provider organizations on a standardized set of measures which looks at things such as clinical measures and patient experience ratings to provide a comparable ranking for the organization. URAC stands for Utilization Review Accreditation Commission. URAC is the largest accrediting body for healthcare and has accreditation programs which operate in every state. In addition some states also recognize URAC accreditation meaning that the accreditation can be used to meet state regulatory requirements instead of reporting to the state. Some states currently require URAC accreditation in order for an organization to conduct business.
Some additional benefits of Accreditation include:
- Accreditation standards promote quality healthcare in an organization
- Meeting standards ensures that your organization is keeping pace with the rapid changes in healthcare
- Management standards ensure consistency in all organizational processes
- Accreditation improves client care and satisfaction ratings
- Ensures that your clients and customers are protected and informed
- May be used to meet licensure requirements
- May be a condition for reimbursement for certain insurers or other payers
- Provides a data driven management structure
- Supports the delivery of safe, quality services
- Supports improvement within the organization
- Can be used as a standard by which to see how your organization compares
BHM ACCREDITATION SERVICES
Our accreditation preparation services may include:
- Direction and support in writing effective policies and procedures that are in compliance with applicable accreditation standards
- Formation of policies to reflect the desired goals of the organization
- Writing of procedure manuals to reflect the activities of the organization
- Program creation for credentialing and privileging programs for organization staff
- Strategic goals for quality management and improvement activities
- Discussion of benchmarking and risk management strategies that can be implemented by the organization
- Liaison with the administrator and attorney for preparation of applicable materials
Our follow up program:
BHM can continue to work with your organization after accreditation is achieved. Accreditation is an ongoing process and our consultants can help keep your organization current with changing standards and procedures in your field. In the fast changing field of healthcare we can assist you now and in the future to ensure that your organization meets, and stays within compliance.
SPECIFIC PROGRAMS
ACCREDITATION COMPLIANCE ANALASIS
(URAC/NCQA/TJC/CARF/COA)
This compliance analysis will focus on the review and assessment of the organization compliance with detailed applicable accreditation standards. This process includes:
- Full evaluation of materials to be assessed during your survey
- Full implementation of results findings with a dedicated BHM consultant
- Internal interviews will be conducted to prepare staff for the survey process
- Detailed analysis of key statistics involved in survey
- Identification of all compliance issues
- Improvement of recommendations
