Question

HA3120D - Essentials of Managed Care SU20 B - Section D01

HA3120D - Essentials of Managed Care

Discussion 06.2: Role of Accreditation

As MCOs continue to find ways to distinguish themselves in the market place, many seek to obtain accreditation for different services and different reasons. What role does accreditation play in managed care? Why would an organization pursue accreditation? What impact does accreditation have on the administration of an MCO? Please cite references in your post which should be 150-200 words.

Answer 1

* What role does accreditation play in managed care?

Studies have shown that accreditation improves the over all quality of care in health Care facilities.in certain speciality area areas, accreditation programs even improve patient outcomes....The standards ensure that patients will receive consistent,excellent care throughout the the facility.

Accreditation to a health Care organisation stimulates continues improvement.it enables the organisation in demonstrating commitment to quality care.it raises community confidence in the services provided by the health Care oraganisation.it also provides opertunity to health care unit to benchmark with the best.

*Why pursue accreditation

Ali on human research protection program (HRPP) accreditation signals to the research community your organization's desire to exhibit excellence,integrity,and leadership in the field.what follws is a list of reasons commonly cited for pursuing accreditation.

Recognition

Demonstrate your HRPP meet and exceed universal and rigorous satandars

Confidence

Comfort of independent assessment

Preparedness

Protectively addresses issues

Commonly found in audits

Reduce prospect of FDA audit's and warning letter or OHRP compliance letter

Sponsorship

Signals to sponsors and granting agencies high standards of performance and confidence in the compliances and integrity of your HRPP

Make your organization competitive for grants

Increase your organization's access to clinical trials

Collaboration

Facilitates collaboration across institutions

Expand access to multi- site research

Signal confidence in IRB reliance agreement

Publication

Recruitment

Enhances recruitment of research participants by demonstrating your concern for protection

Attracts qualified personnel and knowledgeable employees

Improvement

Encourage continues cycle of education and improvement for research oversight practices.

* what impact does accreditation have on the administration of an MCO?

Accreditation is an important aspect of MCO validation in terms of quality of service provided to the patients as well as the validation to the prospective physicians who would like to associate themselves with the MCO.Accreditation process comprises of strigent on- site and off- site evaluation of the facility by the health Care experts and physicians. The validation and certifications provided by the validating authorities' means a lot to get Patients as well as good physicians onboard.