Compass Clinical Consulting Director of Accreditation and Clinical Compliance, Victoria Fennel, PhD, RN-BC, CPHQ, has been published in Becker’s Hospital Review with the second article in an eight-part series on accreditation options, which reviews some of the options for hospital accreditation by organizations with deemed status from CMS and discusses the Healthcare Facilities Accreditation Program, titled “Accreditation options update: Understanding the Healthcare Facilities Program (HFAP).”
HFAP’s organizational mission is to “advance high quality patient care and safety through objective application of recognized standards.” The standards meet or exceed the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs), with which they are aligned closely in intent and execution.
In fact, 80% of the HFAP standards “cross-walk” to the CoPs for each type of facility it surveys.
In addition to meeting the CoPs, HFAP structures its standards with a focus on patient treatment, quality improvement, patient safety, and environmental safety.
In the hospital accreditation manual, there are 32 chapters with four chapters reserved for future use. Note that HFAP adopted the national Quality Forum’s Safe Practices and utilizes the CMS Hospital Patient Safety Initiates (PSI): Discharge Planning Worksheet, Infection Control Worksheet, and QAPI Worksheet.
In the next installment in the Accreditation Options series, we focus on accreditation by The Joint Commission, and the implications, costs, and benefits associated with the other accrediting bodies.
Contact us or call our office at 513.241.0142 to find out more about the ways Compass can work with your organization to prepare for accreditation and meet regulatory quality and safety requirements.