DHA: New Accreditation and Compliance Professionals Course MAY 2025
Program Description:
Accreditation and Compliance is one of the six Clinical Quality Management (CQM) programs that work together to improve quality of care received by Military Health System beneficiaries. This interactive course introduces key knowledge and skills all entry-level CQM Accreditation and Compliance professionals must have to effectively maintain a continuous state of readiness for accrediting organization (AO) assessment through The Joint Commission (TJC) surveys. Participants will discover how their Accreditation and Compliance roles support the mitigation or elimination of harm to patients, staff, and visitors.
Target Audience
This activity provides continuing education for physicians, nurses, dentists, dental hygienists, and dental technicians. A certificate of attendance is available for other attendees.
Learning Objectives
- Differentiate between accreditation and certification.
- Demonstrate knowledge of terms, resources, and tools required to support a Performance Improvement (PI) Plan.
- Identify key tools and resources available on The Joint Commission Connect® (TJC) Extranet site.
- Analyze Military Treatment Facility (MTF) compliance data to identify patterns and trends.
- Compare and contrast Self-Assessment, Accreditation Assist Visit (AAV), Tracer and Triennial Survey data.
- List Joint Commission resources to assist in preparation for TJC surveys.
- Develop corrective action plans for sustainment to mitigate or eliminate risks to staff, patients and visitors.
- Define the TJC Identified Risk Areas for current year.
- Design accreditation sustainment strategies.
- Understand the role of Defense Health Agency (DHA) Facility Management Accreditation and Compliance Program and the Environment of Care and Life Safety requirements.
- Incorporate the DHA TJC Preparation checklist and timeline in MTF actions to support continuous survey readiness.
- Explain key components of the survey process.
- Specify the process for self-assessment completion.
- Discuss the collaborative process between Dental Treatment Facilities (DTFs) and MTFs to facilitate DTF accreditation.
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 content reviewers have no financial interest to disclose.
Available Credit
- 20.50 ACCME Non-Physician CME CreditDHA, 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 20.50 hours for completing this Course activity.
- 20.50 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 20.50 continuing education credits
- 20.50 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 20.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 20.50 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 20.50 ANCC contact hours. Nurses should only claim credit commensurate with the extent of their participation in the activity.
- 20.50 Certificate of Attendance
- 20.50 Interprofessional Continuing Education (IPCE)
In support of improving patient care, DHA, J-7, CEPO is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team. This activity was planned by and for the healthcare team, and learners will receive 20.50 Interprofessional Continuing Education (IPCE) credits for learning and change.
Requirements: CE/CME certificates are awarded to participants who fully complete the activity, successfully submit the evaluation survey, and pass the posttest. The deadline to claim credit is May 22, 2025.
Access Code: Some activities require an access code to register or claim credit. Please contact the organization providing the activity for the access code. The Continuing Education Program Office (CEPO) does not provide access codes.
Accommodations: Please contact the course instructor to inquire about accommodations. For additional technical support, email [email protected].