Accreditation Specialist

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1 Accreditation Specialist Register and receive a $200 VISA card! Sustainable solutions to accreditation challenges Dates and Locations Chicago, IL September 14 16, 2009 Orlando, FL October 5 7, 2009 Los Angeles, CA November 2 4,

2 sustainable solutions to accreditation challenges The Accreditation Specialist Boot Camp, an intensive two-and-a-half-day course, will teach survey coordinators everything they need to succeed in their jobs. It will cover Joint Commission and CMS requirements and teach best practices for survey prep, training, and overall management. The Accreditation Specialist Boot Camp will provide you with the core skills necessary to: Interpret accreditation standards and regulations Maintain organizational readiness and identify vulnerabilities Implement continuous survey readiness plans Coordinate site visits Execute evidence-based approaches to patient safety and performance improvement Identify future trends likely to affect organization compliance Every class is taught by one of the industry s top instructors with years of real world experience and expertise in professional education. Our instructors are committed to ensuring that you understand the materials you need to be an effective accreditation professional. Other unique features of the boot camp include: Custom-Designed Course Materials All course materials were custom developed for the Boot Camp s intensive learning format. Hands-On Each course module includes exercises that are reviewed and discussed in class. Small Class Size The number of participants is limited in order to retain a low student-teacher ratio. To register or for more information, visit or call 800/

3 Course agenda Module 1: Assessment Maintaining expertise on accreditation and regulatory issues Interpreting standards and regulations for organizations Assessing organizational readiness and vulnerabilities for external evaluation by regulatory bodies Measuring organizational compliance with standards Interpreting future trends likely to affect organizational compliance Module 2: Education Disseminating information on standards and regulations to your organization Educating organizational staff on standards and regulations (e.g., orientation, in-service) Simplifying the link between the standard and the organization s practice Collaborating with leadership in establishing accountability for organizational compliance with standards/regulations Directing organizational staff performance to achieve compliance with standards/regulations Module 3: Implementation Building collaborative relationships within the organization Facilitating a multidisciplinary team to achieve standards compliance Employing change management skills to achieve compliance with standards Resolving conflict by employing negotiation and mediation skills Synthesizing the roles and responsibilities of the structural components of the organization Translating standards into actions Integrating standards with organizational policies and procedures Implementing a practical applicability of standards Executing evidence-based approaches to patient safety and performance improvement Implementing plan for continuous survey readiness Ensuring documentation is in compliance with regulations/ standards Resolving non-compliance issues with plan of correction (e.g., pre and post) Coordinating site visits, and follow up Coordinating disease-specific certification and other related surveys Agenda subject to change. Register and receive a $200 VISA card!

4 2009 Dates and Locations Schaumburg (Chicago), IL September Courtyard by Marriott Chicago/Schaumburg 1311 American Lane Schaumburg, IL Reservations: 847/ Room Rate: $109/night Room Rate Cutoff: August 24 Orlando, FL October 5 7 Homewood Suites by Hilton Orlando International Drive/Convention Center 8745 International Drive Orlando, FL Reservations: 407/ Room Rate: $129/night Room Rate Cutoff: September 22 Monrovia (Los Angeles), CA November 2 4 Courtyard Los Angeles Pasadena/Monrovia 700 West Huntington Drive Monrovia, CA Reservations: 626/ Room Rate: $134/night Room Rate Cutoff: October 19 Register and receive a $200 VISA card! Class Times 8:00 a.m. 5:30 p.m. Monday Tuesday and 8:00 a.m. 12:00 p.m. on Wednesday. Special room rates listed above are available! Limited availability register early! HOTEL RESERVATIONS We have negotiated a special rate for a limited number of rooms at each course location. Please note that the room block may sell out before the listed cutoff date, at which time the special rate may no longer be available. Please call the hotel directly to determine availability and to make your reservation. Be sure to identify yourself as a participant of HCPro s Accreditation Boot Camp program and register early to receive the discounted rate! To register or for more information, visit or call 800/

5 Learning objectives Demonstrate an understanding of The Joint Commission s hospital standards and CMS s Conditions of Participation Identify methods to apply standards/cops to everyday practices Demonstrate an ability to communicate survey readiness strategies to staff Discuss ways to educate hospital leadership of their role in survey readiness Implement solutions to many of The Joint Commission s most challenging requirements Identify methods to apply general management skills to the accreditation professional role Explain methods for maintaining awareness of new and evolving standards Discuss methods to assess organizational readiness and vulnerabilities for future surveys Identify documentation challenges and methods for improving existing practices Coordinate disease-specific certification and other related surveys Common Questions Who should attend? Survey coordinators, accreditation professionals, regulatory specialists Are continuing education credits provided? Continuing education credits will be available for this program. Visit for more information. How much does this course cost? The registration fee is $1,295, ($1,195 for AHAP members) and includes all HCPro, Inc., course materials. For information regarding administrative policies, such as cancellations, transfers, refunds, or comments, call 800/ or visit Can I sit for the CSHA exam? Upon completion of the Accreditation Specialist Boot Camp, attendees will have the knowledge needed to take the Certified Specialist in Healthcare Accreditation (CHSA) exam. For exam information visit www. certifiedaccreditationprofessional.com/exam What are the details of the $200 Visa card offer? Use your Visa card to offset travel expenses, pay for your meals or any way you choose. The card will be delivered after full payment is received. BRING THE ACCREDITATION SPECIALIST BOOT CAMP TO YOUR FACILITY The Accreditation Specialist Boot Camp is also available as an on-site program (with a substantial discount) for organizations that have a number of employees who need training. To explore the possibility of hosting an Accreditation Specialist Boot Camp or to discuss other training programs, please contact us at 800/ or bootcamps@hcpro.com.

6 Become an AHAP member and SAVE! The Association for Healthcare Accreditation Professionals is a vibrant community of over 450 survey coordinators and other accreditation specialists sharing the latest tested tips, tools, and strategies to implement successful accreditation programs and achieve professional growth. Become an AHAP member for the reduced rate of $149 (reg price $199) and attend the Boot Camp for only $1,195 Call our customer service representatives at 800/ for this special offer. AHAP members SAVE $100! AHAP s Certified Specialist in Healthcare Accreditation (CSHA) Exam After attending the Accreditation Specialist Boot Camp, you will also be qualified to take the Certified Specialist in Healthcare Accreditation (CSHA) Exam. What is THE CSHA EXAM? The CSHA credential is a new professional certification offered exclusively to survey coordinators. How much is it to take the certification exam? $240 for AHAP members and $300 for non-ahap members Where is the application form? Go to to download a copy of the application form. When is the test? This examination is offered online in a computer-based format and may be taken by the candidate at any time after the application has been submitted. Candidates who apply to take the examination will be contacted by a customer service representative when they have been approved. Who is eligible? Candidates who wish to take the exam must meet certain general requirements. For complete details, visit For additional information on the CSHA credential, call 800/ or application@certifiedaccreditationprofessional.com

7 Instructors Jean Clark, RHIA, CSHA is the director of health information services at Roper St. Francis Health Services in Charleston, SC. She is a past president of the American Health Information Management Association (AHIMA), is AHIMA s 2000 Distinguished Member, and is the current vice president of the International Federation of Health Records Organizations (IFHRO). She is the author of five editions of Ongoing Records Review, five editions of Information Management: The Compliance Guide to JCAHO Standards, and contributing editor to Medical Records Briefing, all published by HCPro, Inc. Lisa Eddy, RN, CPHQ, CSHA is a senior consultant for The Greeley Company (a division of HCPro, Inc.) with over 18 years of healthcare management and leadership experience with hospitals, physicians, and nurses nationwide. Applying her management and nursing experiences, she helps medical facilities and staffs develop solutions to their toughest problems. She has extensive expertise in Joint Commission and American Osteopathic Association accreditation and CMS surveys. She has consulted in the areas of NCQA and Utilization Review Accreditation Committee accreditation, corrective action plans for regulatory body deficiencies, The Joint Commission requirements, credentialing, quality structure and redesign, healthcare leadership, performance improvement, healthcare education, quality management, medical staff compliance, and patient care operations. Jodi L. Eisenberg, MHA, CPHQ, CPMSM, CSHA, is program manager, accreditation and clinical compliance at Northwestern Memorial Hospital in Chicago. She is responsible for leading the full range of Joint Commission and other accreditation and regulatory compliance activities, including organization of continuous compliance activities for Joint Commission and other regulatory agencies. Additionally, Jodi serves as an editorial advisor for Briefings on The Joint Commission, published by HCPro, Inc. Patricia Pejakovich, RN, BSN, MPA, CPHQ, CSHA is a senior consultant for The Greeley Company. She brings over 25 years of management experience to her work with healthcare organizations across the nation. She applies leadership and nursing experiences to help hospitals and medical staffs develop solutions to their toughest problems. She has particular expertise in accreditation standards and regulatory compliance. Prior to joining The Greeley Company, she worked for 15 years in hospital senior management, with responsibility for quality improvement, medical staff credentialing, continuing medical education, infection control, case management, Joint Commission accreditation, and data abstracting. She also served as corporate director of quality improvement for a large HMO and with a state medical society assisting physicians in negotiating third-party payer contracts. Instructors subject to change. Faculty disclosure statement: HCPro, Inc., has confirmed that none of the faculty/presenters or contributors have any relevant financial relationships to disclose related to the content of this educational activity. To register or for more information, visit or call 800/

8 200 Hoods Lane P.O. Box 1168 Marblehead, MA Register and receive a $200 VISA card! Course Registration Registration Rate: Standard rate $1,295 AHAP Member Rate $1,195 Course Location Course Dates AHAP Members SAVE $100! Please mail or fax the completed form to: HCPro, Inc. 200 Hoods Lane Marblehead, MA Phone: 800/ Fax: 800/ Name Nickname Organization Title Address City State ZIP Phone Fax Address Payment Type A check for my course fee is enclosed (made payable to HCPro, Inc.) Charge my course fee to (circle one): Visa MasterCard American Express Discover Name on Card Cardholder Street Address Card Number Signature ZIP Exp. Date 2009 HCPro, Inc. All rights reserved. Upon receipt of this form and your course fee, we will send confirmation of your registration, including hotel information and information about any manuals/texts required for class (this information is also available on our Web site at Your $200 Visa card will be delivered once full payment is received. MT79947

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