Infection Prevention Boot Camp for Novice Infection Preventionists May 30, 2019 FHA Mission to Care HIIN 1
Accreditation and Regulatory Compliance
Linda R.Greene,RN,MPS,CIC,FAPIC linda_greene@urmc.rochester.edu Manager, Infection Prevention UR Highland Hospital Rochester, NY linda_greene@urmc.rochester.edu
What do all the letters mean?
JC- Joint Commission ( accrediting body) DNV -Det Norske Veritas (accrediting body) CMS - The Centers for Medicare & Medicaid Services-
Regulatory body
FDA- Food and Drug Administration EPA – Protecting environmental health
Role of Accrediting Organization
Federal deemed status In order for a health care organization to participate in and receive federal payment from Medicare or Medicaid programs, one of the requirements is that a health care organization meet the government requirements for program participation, including a certification of compliance with the health and safety requirements called Conditions
- f Participation (CoPs) or Conditions for Coverage (CfCs), which are
set forth in federal regulations. The certification is achieved based on either a survey conducted by a state agency on behalf of the federal government, such as the Centers for Medicare & Medicaid Services (CMS), or by a national accrediting organization that has been approved by CMS as having standards and a survey process that meets or exceeds Medicare’s requirements.