DHA CQM: New Accreditation and Compliance Professionals Course 2024

Program Description: 

Accreditation and Compliance is one of the six Clinical Quality Management (CQM) programs that work together to define, measure, assure, and improve the quality of care received by MHS beneficiaries. This interactive course introduces key knowledge and skills all entry-level CQM Accreditation and Compliance professionals must have. Participants will discover how their Accreditation and Compliance roles support the goal of achieving zero instances of preventable harm to patients.

Target Audience

This activity provides continuing education for physicians, nurses, pharmacists, pharmacy technicians, dentists, dental hygienists, and dental technicians. A certificate of attendance is available for other attendees.

Learning Objectives

  1. Differentiate between accreditation and certification.
  2. Utilize the tools, terms and resources required to support a PI Plan.
  3. Describe the key tools and resources available through The Joint Commission Connect® (TJC) Extranet site.
  4. Analyze compliance data to identify trends and patterns in performance.
  5. Create comparisons between Self-assessment data and Official Surveys.
  6. Identify Joint Commission resources to assist in preparation for The Joint Commission (TJC) survey.
  7. Develop mitigation strategies to prevent patient harm.
  8. Define the TJC Top Priorities via 4-1-1.
  9. Adapt strategies for sustainment of accreditation.
  10. Comprehend the role of DHA Facilities Accreditation and Compliance Program and the Environment of Care and Life Safety requirements.
  11. Incorporate use of the DHA accreditation checklist and timeline in MTF actions to support continuous readiness
  12. Identify key components of the survey process.
  13. Define process and requirements to complete a Focused Self Assessment (FSA).
  14. Identify issues of non-compliance in a timely manner and how the process will be used to monitor future compliance.
  15. Comprehend the collaborative process to facilitate Dental Treatment Facility (DTF) accreditation.
Course summary
Available credit: 
  • 20.00 ACCME Non-Physician CME Credit
    DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. ACCME Non-Physician CME Credit providers will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. ACCME Non-Physician CME Credit providers may receive a maximum of 20.00 hours for completing this Course activity.
  • 20.00 Pharmacists (ACPE)
    <JA4008136-0000-24-089-H99-P>
    No valid paper/electronic statement of credit will be offered. DHA, J-7, CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacists. This knowledge based activity will provide a maximum of 20.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 20.00 Pharmacy Technicians (ACPE)
    <JA4008136-0000-24-089-H99-T>

    No valid paper/electronic statement of credit will be offered. DHA, J-7, CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacy Technicians. This knowledge based activity will provide a maximum of 20.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.

  • 20.00 Dentists and Allied Dental Staff (ADA CERP)

    DHA, J-7, CEPO is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education (CDE). ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

    DHA, J-7, CEPO designates this activity for 20.00 continuing education credits

  • 20.00 Physicians (ACCME)

    DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    DHA, J-7, CEPO designated this Course for a maximum of 20.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 20.00 Nurses (ANCC)
    DHA, J-7, CEPO is accredited by the Joint Accreditation/ Interprofessional Continuing Education (IPCE) to provide this Continuing Nursing Education Course for a maximum of 20.00 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
  • 20.00 Certificate of Attendance
Course opens: 
05/21/2024
Course expires: 
12/31/2024

Defense Health Agency Clinical Quality Management Education and Training Team. Presenter has no financial or non-financial relationships to disclose.

Disclosure: DHA J-7 staff, Planning Committee Members and reviewers have no financial or non-financial interest to disclose. All faculty members have no financial or non-financial interest to disclose.

Available Credit

  • 20.00 ACCME Non-Physician CME Credit
    DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education. ACCME Non-Physician CME Credit providers will be provided a certificate of participation for educational activities certified for AMA PRA Category 1 Credit™. ACCME Non-Physician CME Credit providers may receive a maximum of 20.00 hours for completing this Course activity.
  • 20.00 Pharmacists (ACPE)
    <JA4008136-0000-24-089-H99-P>
    No valid paper/electronic statement of credit will be offered. DHA, J-7, CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacists. This knowledge based activity will provide a maximum of 20.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.
  • 20.00 Pharmacy Technicians (ACPE)
    <JA4008136-0000-24-089-H99-T>

    No valid paper/electronic statement of credit will be offered. DHA, J-7, CEPO is accredited by the American Council for Pharmacy Education (ACPE) to provide continuing education for Pharmacy Technicians. This knowledge based activity will provide a maximum of 20.00 contact hours of pharmacy continuing education credit. Participant CE records will be electronically communicated to CPE Monitor. There is no cost to participate in this activity.

  • 20.00 Dentists and Allied Dental Staff (ADA CERP)

    DHA, J-7, CEPO is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education (CDE). ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to the Commission for Continuing Education Provider Recognition at ADA.org/CERP.

    DHA, J-7, CEPO designates this activity for 20.00 continuing education credits

  • 20.00 Physicians (ACCME)

    DHA, J-7, CEPO is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    DHA, J-7, CEPO designated this Course for a maximum of 20.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • 20.00 Nurses (ANCC)
    DHA, J-7, CEPO is accredited by the Joint Accreditation/ Interprofessional Continuing Education (IPCE) to provide this Continuing Nursing Education Course for a maximum of 20.00 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
  • 20.00 Certificate of Attendance
Please login or register to take this course.


Access Codes: Some courses require an access code to register. Please reach out to the point of contact at the organization providing the activity for the registration code. The Continuing Education Program Office (CEPO) does not provide access codes.

Accommodations: CEPO provides captions and transcripts to hearing-impaired learners upon request. For real-time closed captioning, contact CEPO at least three (3) business days before the event. If we cannot arrange for live captioning, a video recording and audio transcript will be provided after the event, typically within ten business days. For events delivered by CEPO’s partners, please contact the course instructor to inquire about accommodations.

For more details, or to submit a request, email dha.ncr.j7.mbx.cepo-cms-support@health.mil.