Improving Quality and Safety In Your Endoscopy Unit: Live and Virtual | October 2022-Preparing for a Successful Endoscopy Unit Survey Accreditation

Video Transcription

Video Summary

In this video, Jim Collins discusses the importance of accreditation in the healthcare industry. He begins by explaining the difference between licensure, certification, and accreditation. Licensure is required for hospitals and healthcare facilities to operate legally, while certification is necessary for participating in federal payment programs like Medicare. Accreditation, on the other hand, is a voluntary process that compares the quality of an organization's services against nationally recognized standards.<br /><br />Collins emphasizes the benefits of seeking accreditation, such as competitive advantage, improved customer satisfaction, and the opportunity for ongoing education and training. He discusses the role of survey readiness in maintaining accreditation, stressing that it is the responsibility of every individual in the organization.<br /><br />Collins highlights key areas that surveyors focus on during accreditation surveys, including infection prevention, high-level disinfection practices, medication safety, personnel considerations, and the environment of care. He recommends conducting regular rounding and gap analyses to identify and address deficiencies before the survey takes place.<br /><br />The video also touches on the importance of documentation, including consents, medical records, and staff credentials. Collins encourages collaboration among various departments in the facility to promote quality improvement and diversity in healthcare.<br /><br />In conclusion, Collins states that preparation for a successful accreditation survey is an ongoing process that requires the involvement of all staff members. He advises following best practices, complying with manufacturer recommendations, and continuously striving for excellence in patient care and safety.

Asset Subtitle

Jim Collins. RN CNOR

Keywords

accreditation

healthcare industry

licensure

certification

quality improvement

survey readiness

patient care