1. Accreditation Benefits of Recognition

2. Certification vs. Accreditation Certification/Licensure –Implies compliance with certain requirements –Mandatory for providers filing Medicare and Medicaid Accreditation –Ability to treat any type of patient –Right to offer any type of health care service –Signifies conformance to more stringent requirements

3. Accreditation Organizations CARF – Commission on Accreditation of Rehabilitation Facilities JCAHO – Joint Commission on Accreditation of Healthcare Organizations The National Committee for Quality Assurance Professional Associations –AHA –APTA –CAPTE

4. Benefits of Accreditation Patient care is improved Facilitates safety and quality improvement efforts Attractive to managed care plans Offers the company a competitive edge Enhances public image May fulfill state licensure requirements May substitute for certification surveys for Medicare and Medicaid

5. How is Quality Measured? Length of Stay Press Ganey Scores FIM Scores Outcomes Measurements

6. Length of Stay Strive to reach goals faster, with less need for professional intervention Requires increased emphasis on patient education and responsibility Affects reimbursement –DRG- diagnoses related groups –PPS- prospective payment system –Workman’s comp

7. Press Ganey Scores National Benchmarking system Survey scores of your patients are compared to similar patients throughout the nation Emphasizes customer satisfaction

8. FIM Scores Functional Independence Measure Mainly used in Rehab units Collected within 72 hours of admission, within 72 before discharge, and between 80 and 180 days after discharge

9. Outcomes Measurements FOTO – Focus on Therapeutic Outcomes Oldest Rehabilitation Outcomes measurement base (1993) Research based program Large, extensive database May be a factor with Pay- for-performance OPTIMAL- by the APTA counterpart to FOTO