BHA FPX 4006 Assessment 4 Voluntary Accreditation

BHA FPX 4006 Assessment 4 Voluntary Accreditation

BHA FPX 4006 Assessment 4 Voluntary Accreditation


Capella university

BHA-FPX4006 Health Care Regulation and Compliance

Prof. Name


Overview of Accreditation in Health Care

Accreditation in healthcare refers to the process of evaluating and certifying the quality and safety of healthcare organizations and programs (Mate, Rooney, Supachutikul, & Gyani, 2014). Accreditation is typically granted by third-party organizations like The Joint Commission or the Accreditation Association for Ambulatory Health Care (AAAHC), which have established standards for healthcare organizations to meet (Mate et al., 2014). While accreditation can be voluntary or mandatory depending on the organization and service provided, it plays a crucial role in ensuring high-quality care, improving patient outcomes, and increasing patient satisfaction (Mate et al., 2014).

Accreditation Requirements

In response to market dynamics and increasing patient expectations, both national and global accreditation agencies have emerged to ensure quality control and enhance patients’ access to improved medical care (Flodgren, Gonçalves-Bradley, & Pomey, 2016). Accreditation criteria typically cover various aspects such as organizational purpose, treatment quality, patient safety regulations, financial stability, and compliance with laws and regulations (Flodgren et al., 2016). Healthcare institutions undergo on-site evaluations by accrediting agencies to demonstrate compliance with these criteria (Flodgren et al., 2016).

Accreditation and Regulatory Compliance: Compare and Contrast

Accreditation and regulation are two distinct methods of ensuring performance or quality standards. While accreditation involves third-party evaluation against established standards, regulation entails setting and enforcing standards within a sector (Nicklin, Engel, & Stewart, 2021). Accreditation is often voluntary, focusing on access, cost, efficacy, and evidence-based treatments, while regulation is typically mandatory, aiming to standardize healthcare delivery and ensure quality care (Nicklin et al., 2021).

How Accreditation Helps Health Care Organizations Meet Regulatory Requirements

Accreditation offers benefits such as on-site inspections, peer reviews, and guidance on organizational and patient care tasks, including governance and leadership (Araujo, Siqueira, & Malik, 2020). By incorporating regulations and evaluation procedures, accreditation helps ensure safe, high-quality services and effective leadership within healthcare organizations (Araujo et al., 2020).

Joint Commission Standards

The Joint Commission sets patient safety and operational standards annually, emphasizing critical aspects such as patient identification, staff communication, medication administration, alarm management, infection prevention, and continuous performance improvement (Bogh et al., 2015). These standards guide healthcare institutions in implementing policies and processes to enhance patient care and reduce errors (Bogh et al., 2015).

Accreditation Best Practices

Sustaining accreditation requires ongoing efforts, including routine surveys, identifying gaps between current practices and accreditation standards, learning from past deficiencies, creating a positive first impression during surveys, and fostering a culture of preparedness among personnel (Nicklin et al., 2017).

Other Accrediting Organizations

Organizations like the American Accreditation Healthcare Commission (AAHC) provide accreditation services to healthcare organizations, promoting quality care, patient safety, and regulatory compliance (Jha, 2018). AAHC accreditation offers various benefits, including demonstrating commitment to quality care, improving patient satisfaction, enhancing credibility, and facilitating regulatory compliance (Jha, 2018).


Accreditation is vital for healthcare organizations to demonstrate their commitment to quality care, improve patient outcomes, and enhance regulatory compliance. While it requires investment in time and resources, accreditation offers numerous benefits, including improved patient safety, satisfaction, and organizational credibility. However, the decision to pursue accreditation should consider the institution’s unique objectives, requirements, and potential advantages and disadvantages (Jha, 2018).


Araujo, C. A. S., Siqueira, M. M., & Malik, A. M. (2020). Hospital accreditation impact on healthcare quality dimensions: a systematic review. International Journal for Quality in Health Care, 32(8), 531–544. doi:10.1093/intqhc/mzaa090

Bogh, S.B., Falstie-Jensen, A.M., Bartels, P., Hollnagel, E., Johnsen, S.P (2015). Accreditation and improvement in process quality of care: a nationwide study. International Journal Quality in Health Care.;27(5):336–43.

BHA FPX 4006 Assessment 4 Voluntary Accreditation

Brubakk, K., Vist, G. E., Bukholm, G., Barach, P., & Tjomsland, O. (2015). A systematic review of hospital accreditation: the challenges of measuring complex intervention effects. BMC Health Services Research, 15(1), 280. doi:10.1186/s12913-015-0933-x

Flodgren, G., Gonçalves-Bradley, D. C., & Pomey, M.-P. (2016). External inspection of compliance with standards for improved healthcare outcomes. Cochrane Database of Systematic Reviews, 12, CD008992. doi: 10.1002/14651858.CD008992.pub3

Jha, A.K (2018). Accreditation, Quality, and Making Hospital Care Better. JAMA.;320(23):2410–2411. doi:10.1001/jama.2018.18810

BHA FPX 4006 Assessment 4 Voluntary Accreditation

Mate, K. S., Rooney, A. L., Supachutikul, A., & Gyani, G. (2014). Accreditation as a path to achieving universal quality health coverage. Globalization and Health, 10(1), 68. doi:10.1186/s12992-014-0068-6

Nicklin, W., Engel, C., & Stewart, J. (2021). Accreditation in 2030. International Journal for Quality in Health Care, 33(1). doi:10.1093/intqhc/mzaa156

Nicklin, W., Fortune, T., van Ostenberg, P., O’Connor, E., & McCauley, N. (2017). Leveraging the full value and impact of accreditation. International Journal for Quality in Health Care, 29(2), 310–312. doi:10.1093/intqhc/mzx010