Accreditation

accreditation in hospitals and nursing schools

1. Accreditation Prepared by:- Ahmed Mohammed Zinhom Under supervision of: prof . Magda El Mola

2. objectives At the end of this lecture each participant will be able to :- Define key terms listed. List Characteristics of accreditation. Enumerate Principles of accreditation. Differentiate between Program and institutional accreditation. Identify Institutional accreditation agencies in Egypt. ( NAQAAE ) Compare between Types of accreditations. understand the Processes of accreditation:-

3. Outlines: Definition of accreditation, standard, indicator. Characteristics of accreditation. Principles of accreditation. Difference between Program and institutional accreditation. Institutional accreditation agencies in Egypt. ( NAQAAE ) Types of accreditations. the Processes of accreditation. Challenges and barriers for accreditation.

4. Introduction “The World is divided into three classes of people. The first category comprises of a few people who make things happen; the second type are the many who watch things happen; and the third category are the overwhelming majority who have no notion of what happens.” - (N. M. Butler)

5. A process of quality assurance that determines whether an institution meets established standards for function, structure, and performance . ACCREDITATION IS DEFINED AS:

6. It is a self-regulatory process by which governmental and non-governmental organizations grant formal recognition to programs or institutions that meet stated standards of quality by fulfilling indicators established by each institution. Accred …cont.

7. Standards are a model or an example to strive to achieve . Standards represent “ what ” universities are required to fulfill in order to be accredited. STANDARDS:

8. An indicator is a statistic that represents a measure of one characteristic. Indicators are measurable variables (or characteristics) that can be used to determine the degree of adherence to standards or level of quality achieved. INDICATOR:

9. Indicators are used as evidence of success in accomplishing a goal and /or institutional objectives.

10. Indicators should be consistent with internationally accepted best practices.

11. Institutional Accreditation Agencies in Egypt the National Authority for Quality Assurance and Accreditation of Education ( NAQAAE )

12. The Egyptian National Quality Assurance Agency(NAQAAE) manages accreditation. NAQAAE grant formal recognition to educational institutions (universities) that meet NAQAAE defined standards of educational quality. ACCREDITATION IN EGYPT:

13. Educational institutions achieve accreditation standards by fulfilling indicators established by each institution, however, must be consistent with internationally accepted best practices adapted to the Egyptian context. Accreditation in Egypt…cont

14. Responsibilities of NAQAAE : According to NAQAAE establishment law,  the authority is responsible for evaluating more than 50,000 educational institutions to be accredited within 5 years,  such institutions are categorized as follows: A- Higher Education : A Total of 623 institutions (34 universities, 589 faculties and institutes) with a total of approximately 4 million students. B- Pre-University Education : A total of 49,640 educational institution hosting 18,482,872 students. These institutes include governmental schools, private schools and Al- Azhar institutes. C- Technical education : A total of 2063 technical schools

15. 1.Is to ensure that at least minimum standards of quality are met.( most accrediting agencies state they aim to achieve higher-than minimum standards as determined by peers in the field. PURPOSES OF ACCREDITATION:

16. 2. Is to provide recognition for funding and student financial aids. 3. Is to ensure consistency in quality across academic programs , thus facilitating transfer of academic credit from one institution to another.

17. 4.To acknowledge the comparability of one degree to another in the same field across institutions.

18. Accredited hospitals report significant improvements in: Leadership Medical records management Infection control Reduction in medication errors Staff training and professional credentialing Clinical outcomes Does it make a difference in hospitals?

19. Characteristics of accreditation A.)     its strong tradition of self-regulation B.)     its reliance on evaluation techniques C.)     its primary concern with quality

20. Principles of Accreditation 1- Based on accepted standards Each organization seeking accreditation will be surveyed and evaluated in terms of the appropriateness and adequacy of its philosophy and objectives and its terms of the degree and competence and which it achieves its goals.

21. Principles of Accreditation Cont. 2-Admits periodic review, criticism and readjustment of its criteria, policies and procedures to changes in education 3- provide opportunities for institutional growth through self-survey and evaluation and self-regulation.

22. Types of Accreditation 1- Institutional accreditation 2- Specialized or programmatic accreditation

23. “ Program Accreditation ,” refers to the accreditation of academic courses such as sciences , education, commerce, law, engineering, nursing, etc. PAASCU’s policy extends accreditation by program. What is the difference between program accreditation and institutional accreditation?

24. In contrast. “ Institutional Accreditation ,” refers to the accreditation of the school, college, universities or institution as a whole. Under PAASCU policy, institutional accreditation is not undertaken by itself; only individual programs are accredited. Only when all the programs of an institution are accredited may that particular institution be considered an accredited institution under the PAASCU policy.

25. The Council for Higher Education Accreditation CHEA was formed in 1969. CHEA (2002) stated that the accreditation process typically involves FIVE major elements: The Accreditation Process

26. 1. Institutional self study : It is a self-analysis of performance completed by the school based on standard of the accrediting association. Accred process….cont

27. 2. Peer Review: Peer review occurs because of the broad involvement of the various stakeholders in the educational environment such as faculty, administrators, key partners, and the public.

28. 3. Site Visits : Are typically conducted to verify the results of the self-study and to provide additional clarification to the accrediting agency. This action occurs after submission of the self study report.

29. 4 . Revision 5. Monitoring and oversight occurring through the idea of annual reports by the school.

30. Probationary Accreditation: It enables the nursing institution or organization applying for accreditation for the first time, for a period no more than 3 years whilst completing requirement for full accreditation Types of accreditation

31. Provisional Accreditation : It enable nursing institution or organization which has been accredited but which complies with most but not all of the required standards to operate for a period not more than 1 year whilst it addresses the areas of concern.

32. Full Accreditation : It indicates that the institution complies with all the required standards and may operate for a period of five years before applying for re-accreditation.

33. PROBLEMS AND CHALLENGES Quality Consciousness at all levels will take time Sustenance and consistency of efforts will be required Commitment on a consistent basis High rates of attrition will require repeated and continual training Public Sector will take a longer time to get into the process

34. Also Nothing Is Impossible For,

35. Impossible Means I’ M Possible

36. Any Question????

37. نسألكم الدعاء لا تحقرن من المعروف شيئا ولو أن تلقى اخاك بوجه طليق