October 2026 CPHQ Prep Virtual Class-Module 3: Regulatory & Accreditation

Module 3: Regulatory & Accreditation | Slide Deck

Pdf Summary

Module 3, “Regulatory and Accreditation,” introduces core concepts and practical considerations for healthcare accreditation. It emphasizes why accreditation matters, highlighting its value in improving quality, demonstrating compliance, and supporting organizational performance and credibility. Learners are prompted to compare major accreditation and certification organizations and understand their areas of focus—for example, identifying the National Committee for Quality Assurance (NCQA) as an accreditor focused on quality in managed care and recognizing which accrediting bodies hold “deemed status” from the Centers for Medicare & Medicaid Services (CMS).<br /><br />The module also centers on accreditation survey readiness as an ongoing organizational discipline rather than a one-time effort. Key success factors for survey readiness include leadership commitment and willingness to drive cultural change, executive accountability for accreditation, understanding the business case for compliance, integrating continuous readiness into strategic priorities, routinely evaluating compliance with standards, and educating new employees.<br /><br />Participants review common activities organizations use to prepare for and manage surveys across the full cycle: leadership commitment, manager accountability, readiness and requirement oversight, organizational assessment, staff education, survey procedure planning, presurvey preparation, on-site survey support, postsurvey follow-up, and staff recognition.<br /><br />The module concludes with a recap of learning objectives: explaining the benefits of healthcare accreditation, selecting appropriate accreditation and certification options, preparing for an accreditation survey, and clarifying the roles of quality leaders and quality managers in supporting successful accreditation outcomes.

Keywords

healthcare accreditation

regulatory compliance

quality improvement

NCQA

CMS deemed status

survey readiness

managed care

continuous readiness

leadership accountability

quality management