The Science Journal of the American Association for Respiratory Care

1997 OPEN FORUM Abstracts

Competency Documentation for JCAHO and Performance Improvement

Dan Grady, Sunday, December 7, 1997.

Current JCAHO standards require that staff providing Respiratory Care are oriented, well-trained, competent, and held accountable for their performance. In order to comply with accreditation requirements, Respiratory Care managers must ensure that the competence of new and existing employees is periodically assessed and documented.

The purpose of this presentation is to describe a system for the assessment, validation, and documentation of staff competence. An objective, competency assurance system may be used to demonstrate performance improvement. Topics in this discussion include:

* How to select skills for competency assessment. * Examples of competency assessment tools. * How to customize and streamline the competency assessment program. * Integration of competency assessment with inservices and continuing education. * Construction of valid and reliable assessment instruments. * Reporting of competency patterns and trends to the hospital governing board. * How to utilize competency validation data to document departmental performance improvement.

In summary, a competency documentation system was developed to meet the need of JCAHO accreditation requirements for the purpose of assuring high quality Respiratory Care services. Competency assurance data may be utilized to document continuous departmental performance improvement.

AARC 50th Anniversary, December 6 - 9, 1997, New Orleans, Louisiana.

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