Accreditation

Issues surrounding the PPR

Briefings on Accreditation and Quality, April 1, 2010

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The Periodic Performance Review (PPR) is an annual self-assessment process aimed at supporting continuous accreditation readiness and performance improvement activities required by The Joint Commission. There are traps that many organizations can fall into when scoring the electronic assessment. One pitfall is to score too harshly and end up with a large number of non-compliant standards that must then have Measures of Success (MOS) demonstrated to show compliance. There have been organizations that have scored 30 to 40 standards noncompliant, which resulted in an extremely complex and difficult action plan in which to comply. This dilutes the performance improvement efforts and can lead to only partial compliance when completed. It can become an annual exercise in futility since success is hard to obtain.

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