Differentiate between accreditation and certification. |
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Demonstrate knowledge of terms, resources, and tools required to support a Performance Improvement (PI) Plan. |
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Identify key tools and resources available on The Joint Commission Connect® (TJC) Extranet site. |
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Analyze Military Treatment Facility (MTF) compliance data to identify patterns and trends. |
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Compare and contrast Self-Assessment, Accreditation Assist Visit (AAV), Tracer and Triennial Survey data. |
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List Joint Commission resources to assist in preparation for TJC surveys. |
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Develop corrective action plans for sustainment to mitigate or eliminate risks to staff, patients and visitors. |
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Define the TJC Identified Risk Areas for current year. |
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Design accreditation sustainment strategies. |
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Understand the role of Defense Health Agency (DHA) Facility Management Accreditation and Compliance Program and the Environment of Care and Life Safety requirements. |
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Incorporate the DHA TJC Preparation checklist and timeline in MTF actions to support continuous survey readiness. |
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Explain key components of the survey process. |
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Specify the process for self-assessment completion. |
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Discuss the collaborative process between Dental Treatment Facilities (DTFs) and MTFs to facilitate DTF accreditation. |
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