_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 outlines processes for handling inquiries and allegations of noncompliance with accreditation standards that occur outside the regular accreditation review. Effective from March 31, 2022, this policy ensures providers adhere to Joint Accreditation's Rules, established by the Accreditation Council for Continuing Education (ACCME), Accreditation Council for Pharmacy Education (ACPE), and American Nurses Credentialing Center (ANCC). <br /><br />Key components of the policy include definitions of terms and structures such as "Adverse Action," "Provider," and "Third-Party Concern." The policy provides guidelines on how concerns—whether initiated by Joint Accreditation or submitted by third parties—are assessed. If a concern is deemed relevant, a Notice of Inquiry is sent to the provider, prompting them to respond. Providers must provide requested information within set timeframes to demonstrate compliance. Failure to respond or comply can result in adverse actions, such as probation or loss of accreditation.<br /><br />When noncompliance is alleged, Joint Accreditation may conduct reviews, involving Independent Reviewers, to ensure unbiased evaluations. Providers have opportunities to counter allegations or provide corrective action. If noncompliance is confirmed, Joint Accreditation may require corrective action and issue Notices of Noncompliance, detailing next steps and potential further consequences.<br /><br />Confidentiality is emphasized throughout, with identities of third-party complainants and Independent Reviewers protected, unless legally compelled otherwise. The policy allows for immediate suspension of accreditation if a provider is deemed a danger to patient safety, with avenues for appeal provided.<br /><br />The policy also mandates regular review and allows Joint Accreditation to make amendments as necessary, maintaining alignment with its overarching mission.

Keywords

Joint Accreditation Policy

noncompliance

accreditation standards

ACCME

ACPE

ANCC

adverse actions

Notice of Inquiry

confidentiality

patient safety

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