_OnDemandwithModule-basedContent-942_20220330_Joint-Accreditation-Policy-Regarding-Inquiries-and-Allegations-of-Noncompliance-that-Arise-Outside-of-the-Accreditation-Process

942_20220330_Joint-Accreditation-Policy-Regarding-Inquiries-and-Allegations-of-Noncompliance-that-Arise-Outside-of-the-Accreditation-Process

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Pdf Summary

The Joint Accreditation Policy, updated in March 2022, outlines procedures for addressing inquiries and allegations of noncompliance that arise outside the standard accreditation process. The Policy applies to situations triggered by notices sent on or after March 31, 2022, and can be amended or reviewed at any time. Key definitions include terms like "Notice of Inquiry," "Notice of Alleged Noncompliance," and "Adverse Action."<br /><br />The inquiry process begins with Joint Accreditation reviewing concerns from third parties or initiated by the organization itself. If a concern is deemed irrelevant to compliance, it's dismissed. Relevant concerns lead to a Notice of Inquiry to the provider, who must supply requested information within 21 days. Noncompliance can be confirmed through an independent content review if necessary, with costs partially borne by the provider.<br /><br />For allegations of noncompliance, Joint Accreditation may issue a Notice of Alleged Noncompliance without prior inquiry, especially in policy violations related to content validity. Providers can respond to these notices, and Joint Accreditation may engage independent reviewers for further evaluation. Compliance findings close the matter, while confirmed noncompliance leads to corrective actions and potential adverse or accreditation status changes. Providers may appeal adverse decisions.<br /><br />Joint Accreditation maintains confidentiality during the review process but reserves the right to publicly disclose noncompliance issues without naming the provider. Immediate suspensions occur if a credible threat to patient safety is identified. In such cases, providers are notified and can appeal under specified joint accreditation decision procedures. Whistleblower protections are recommended for third-party concerns submitted by provider employees.

Keywords

Joint Accreditation Policy

noncompliance

Notice of Inquiry

Notice of Alleged Noncompliance

Adverse Action

content validity

independent review

corrective actions

confidentiality

whistleblower protections

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