OPERATIONS SERIES - Beyond the Audit: Turning Accreditation into Everyday Excellence

Operation Ignite: Common Accreditation Deficiencies (February 17)

This session will introduce professionals to an overview of the most common deficiencies found during an accreditation audit.

1. Describe the most common areas of deficiencies cited.
2. Identify competency deficiencies in specialty pharmacy and nursing.
3. Formulate a plan to review and address common deficiencies in your organization

Operation Elevation: Process Changes to Improve Patient Outcomes (February 18)

This session explores how leaders can transform accreditation deficiencies into actionable opportunities through a robust quality improvement framework. Participants will learn strategies to align compliance gaps with performance goals, driving sustainable improvements in patient care and organizational outcomes.

1. Analyze the current state of improvement activities driven by deficiencies.
2. Describe how to transform accreditation deficiencies into improvement opportunities.
3. Apply learned strategies to drive sustainable improvements in patient care and organizational outcomes.

Operation Ignite: Practical Steps to Ensure Accreditation Standard Sustainability (February 19)

This follow-up session offers operational leaders practical strategies to embed accreditation standards into daily operations, fostering long-term compliance and continuous improvement. Participants will explore tools and routines that transform readiness from a one-time event into a sustained culture of excellence.

1. Apply practical strategies for accreditation integration.
2. Develop tools and routines for continuous readiness.
3. Foster long-term compliance and excellence.

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