Definition and the discussion on the variations between licensure, certification, and accreditation in relation to the hospitals


Healthcare Management Capstone (HSS491-1803B-02)

Christopher Slaton

Professor: K. Darby

12 Sep 18

Definition and the discussion on the variations between licensure, certification, and accreditation in relation to the hospitals

Certification refers to the course of action of openly confirming that a particular quality of the standard has been attained or have been surpassed. For instance, in the healthcare, the quality of the healthcare provisions is required to meet certain level for the certification to take place. The licensure is the non-voluntarily process whereby the organization or the government agencies is regulating a profession. In this case, the government is granting an individual to take part in an occupation when it discovers that the person applying for the certificate has satisfied the extent of competency needed in ensuring that the public health, wellbeing, and the safety is logically protected. On the other hand, the accreditation process refers to the non-governmental and the voluntary process carried by the organization or the association which grant public acknowledgment to institution such as healthcare organization and the specific program of study (McSweeney-Fed, Nelson, Whitner, & Engineer, 2017).

The differences that are existing between the accreditation, licensing, and the certification can be due to the location and the entity which provides the credential. In the healthcare sector, accreditation is considered to be both course of action and the credential while licensing is existing mainly due to the safety of the public and the welfare of the clients. The certification, on the other hand, is showing the ability to provide a specialized service or a specific program. Both the accreditation process and the certification and the certification are typically voluntary. However, it certain occasion, the regulatory bodies require the certification for the purposes of offering specific services. On the other hand, the licensing is typically involuntary. The accreditation process is targeted at accrediting agencies or the health programs with the licensing process targeting the facilities, programs, organizations or the agencies. On the other hand, certification is targeting the individuals, healthcare facilities, organizations or the agencies dealing with medical products or health (Kevin, 2017).

The ethical or legal necessities and the roles of healthcare firms for the purposes of receiving the license, certificate, and accreditation

Based on the requirements of states, the system of accreditation, certification, and the licensure offers valuable information concerning the ability, value, and the safety of healthcare facility together with its practitioners. It is the responsibility of each healthcare facility to maintain or observe it’s ethical as well as the legal obligations and the requirements towards strengthening the delivery of the quality healthcare services. The legal and the ethical practices by the healthcare facility before the issuing of the license has to involve an indication of the need for the service being provided y the healthcare facility within the local area for the purposes of proper allocation of the healthcare resources (Abdullah & Charles, 2011).

Ethical requirements demand that the healthcare providers work completely and without bias, based on the scope of the education and the knowledge. They are responsible for advocating for the processes that are just, without discrimination, and reliable with the evidence-based practices. It is the responsibility of the healthcare provider to understand the recipients of the healthcare services and treat with empathy and respect, honoring the autonomy and the privacy of the patient. At Texas State, the ethical and legal responsibilities of the healthcare facilities need to offer services and beds for use not less than 24 hours for the two or more unrelated individuals requiring the diagnosis, the healing and the care for the illnesses, injuries, deformities, abnormalities, and the pregnancy. The licensing of the healthcare facilities within Texas State also requires that there is the continuous maintenance of the medical laboratory services, investigative x-ray services, the treatment facilities which includes surgery or the obstetrical care (McSweeney-Fed, Nelson, Whitner, & Engineer, 2017).

Defining and discussing the variations between the licensure and certification in relation to the health care professionals

Licensure refers to the mandatory process whereby the government agency is granting the time-restricted consent to an individual to be involved in a given occupation following the verification that the person is meeting the predetermined and the standardized criteria. Conversely, certification is the deliberate process in which the non-governmental entity is granting a time-restricted appreciation to an individual after the verification that the person has met the predetermined as well as the standardized criteria.

In the healthcare professionals, the differences between the licensure and the certification come in place with regard to who is supposed to administer the qualification. The doctors, nurses, and other healthcare providers are earning the licenses from the state or the federal government. In contrast, the certification does not originate from the public body but form the private entity, for example, the association of the nurses or the non-profit organizations.

While the certificates are voluntary, the licenses remain a requirement for example healthcare providers are not allowed to practice without the licenses. The certificate is simply meant to indicate the prospective consumer or the general public that the person serving them has attained the high standard of qualifications. Because the process of attaining the certificate is voluntary, the decision to have one involves choosing or considering the value of the qualification. On the other hand, one can legally practice without certification, for example, the licensed surgeon who is holding the certificate from the ABS which has assured of his or her potential (Kevin, 2017).

Discussing the ethical or legal necessities and roles of the healthcare firm with regard to making sure that its employees are provided with license and certificate

It is the responsibility of the hospital to ensure that their members are registered with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). The healthcare organization must ensure that the healthcare providers are engaged in the work performance improvement by applying the science-based practices created within the established quality frameworks. Healthcare providers need to engage in activities which are aimed at supporting the complex populations’ advocate for the wellness practices and the management of the diseases.

It is important for the healthcare organization to practice quality review and the accountability by encouraging the healthcare providers to advocate for the coaching or the mentoring activities to promote the accountability. This can also be achieved when the healthcare providers foster the transparent team-based non-punitive strategies towards the mitigation of the problems and resolving the disputes. Training is an important factor towards improving the skills of the healthcare providers. Therefore, the healthcare organizations need to sponsor the training of the healthcare providers to help them in developing the skills by having further education, certification, professional experience, and the training process.

Researching on the accrediting body

The selected accreditation body is the Joint Commission which was previously known as the Joint Commission on Accreditation of Healthcare Organizations. This is a United States-based not for profit tax exempted 501 firm which accredits over 21,000 United States healthcare firms and the programs. This accreditation organization is offering the accreditation choice the date that the accreditation was awarded amongst other principles that were recommended for the improvement (Tivey, 2017).

The impact of this accreditation firm on the healthcare quality is that its program has improved the clinical results of a widespread range of the clinical state of affairs. It has improved on the structure and the process of healthcare since hospitals have made efforts to act in accordance with and attain the accreditation standards for the indicators like the size of the healthcare facility, staff levels, the qualification of the staffs, and the budget levels (Abdullah & Charles, 2011).

References Abdullah, A., & Charles, S. (2011). Impact of Accreditation on the Quality of Healthcare Services: a Systematic Review of the Literature. Annals of Saudi Medicine, 31 (4), 407-416. Kevin, W. (2017, September 26). The Difference Between the Certification & Licensing of a Health Care Professional. Retrieved September 12, 2018, from Classroom: McSweeney-Fed, M. H., Nelson, H. W., Whitner, W., & Engineer, C. Y. (2017). Emergency Preparedness Content in Health Care Administration Programs: A Decade Later. Journal of Health Administration Education, 34 (1), 85-102. Tivey, D. (2017). INAHTA impact story: Legislative and accreditation requirements for office-based surgery in Australia. International journal of technology assessment in health care, 33 (4), 434-441.

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