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CASP Certification Program
Module 17: Accreditation Readiness & Continuous Improvement
Moving Beyond Compliance: Building a Culture of Quality and Safety.
From Checklist to Culture: Mastering Quality Systems
Throughout your pharmacy career, you have been meticulously trained in precision, accuracy, and adherence to protocols. Checking prescriptions, verifying doses, and following standard operating procedures are second nature. You understand the critical importance of getting things right every single time.
This module takes that innate drive for precision and elevates it from individual tasks to system-wide excellence. We move beyond simply *following* rules to actively *building* and *improving* the systems that ensure quality and safety on a larger scale. This is the world of accreditation and continuous quality improvement (CQI).
Think of accreditation (by bodies like URAC, ACHC, or The Joint Commission) not as a hurdle to jump over, but as a blueprint for building a high-performing, safe, and efficient pharmacy operation. Achieving accreditation isn’t the end goal; it’s the *validation* that you have robust systems in place. This module is your masterclass in understanding those systems, identifying gaps, and implementing proven methodologies to not only *achieve* accreditation but to foster a true, ongoing culture of quality improvement long after the surveyors leave. You already possess the core skills of attention to detail and process adherence; we will now translate those skills into the language of quality management systems.
Your Roadmap to Quality Mastery
This module provides the tools and frameworks needed to prepare for accreditation and embed continuous improvement into your practice.
Accreditation Gap Analysis and Roadmap
Learn how to dissect accreditation standards (like URAC or ACHC for specialty pharmacy), perform a thorough self-assessment to identify deficiencies, and build a strategic roadmap to achieve readiness.
PDSA, RCA, and CAPA Methodologies
Master the core tools of quality improvement: Plan-Do-Study-Act (PDSA) cycles for iterative improvement, Root Cause Analysis (RCA) for investigating errors, and Corrective And Preventive Actions (CAPA) for implementing lasting solutions.
Incident Reporting Systems and Root-Cause Tracking
Explore the design and implementation of effective incident reporting systems (including near-miss reporting) and learn techniques for aggregating data to identify systemic weaknesses rather than just individual errors.
Internal Audit Templates and Frequency
Develop practical skills in creating targeted internal audit tools (checklists, tracers) based on accreditation standards and establish a sustainable schedule for ongoing self-monitoring.
Post-Accreditation Maintenance & Renewal
Understand the requirements for maintaining accreditation status between surveys, including ongoing data submission, policy updates, and preparing for successful re-accreditation cycles.
