Health Care Accreditation
Using the same health care organization from the last assignment,(Mayo Clinic, Wisconsin)
write a 550-900 word analysis of licensing and accreditation governing the organization to
assess the impact in the organization’s function and operations. Include the following:
Identify two types of accreditation governing the organization, or a branch of the
1.Identify whether or not the accreditation is mandatory. Explain the purpose for the
accreditation and how it supports the organization.
2.Discuss why this accreditation is important to the patient, to the organization, to the
community, and to health care.
3.Identify accreditation requirements for the organization, and resources needed to
4.Describe the consequences for the organization if they were to lose the accreditation.
5.Evaluate which type of accreditation and licensures your health care organization
Identify two types of licensing the organization has received.
1.Identify whether or not the licensure is mandatory. Explain the purpose for the licensure.
2.Discuss why this licensure is important to the patient, to the organization, to the
community, and to health care.
3.Identify licensure requirements for the organization, and resources needed to maintain
4.Describe the consequences for the organization if they were to lose the licensure.
5.Evaluate the consequences associated with both the accreditation process and licensing.
Include three to five references, to in your analysis.
Health Care Accreditation
HEALTH CARE ACCREDITATION 2
Mayo Clinic, Wisconsin receives accreditation from Wisconsin Accreditation Organization for
Hospitals and The Joint Commission. Before offering accreditation, The Joint Commission
evaluates health care organizations for compliance with the set standards. Wisconsin
Accreditation Organization for Hospitals evaluates health care organizations at an interval of
three years. Accreditation is mandatory for Mayo Clinic, Wisconsin because the organization
cannot be allowed to provide medical services to patients if it is not accredited. The main
purpose of accreditation, therefore, is to validate if the Clinic meets quality standards
documented by the two accrediting bodies. Accreditation supports Mayo Clinic to make
improvements on its systems to meet the set quality standards (Mayo Clinic Health System,
Accreditation of Mayo Clinic by Wisconsin Accreditation Organization for Hospitals and
The Joint Commission is important to heath care because it results in improved care across all
departments of the organization. Additionally, accreditation helps patients to receive the highest
and best quality health care. Furthermore, accreditation influences Mayo Clinic, Wisconsin to
engage in socially responsible behaviors thereby promoting the safety of the community. Again,
since Accreditation encourages Mayo Clinic to maximize quality in all its health care delivery
processes, it has contributed significantly to the clinic’s expansion and growth (Alkhenizan and
The accreditation requirements for Mayo Clinic include safe and high-quality patient
care, effective communication with stakeholders, high level of coordination and planning to
promote mitigation of risks, facility safety, and effective leadership. Mayo Clinic, Wisconsin
requires highly performing technology systems and competent employees to maintain
accreditation. If the organization loses accreditation, it will lose clients due to reduced quality of
HEALTH CARE ACCREDITATION 3
care and compromised patient safety. Failure to make improvements on its systems will result in
closure (Mayo Clinic Health System, 2016).
Mayo Clinic should be accredited to offer medical services related to prevention,
treatment, and control of infections. The organization requires licensure in the following areas;
perinatal care, disease-specific care, palliative care, medication compounding, and health care
staffing (Mayo Clinic Health System, 2016).
Mayo Clinic has been licensed to provide Acute Stroke Management and Diabetes
Management services which fall under disease-specific care. These two licensures are mandatory
because, without them, the clinic will not be authorized to offer acute stroke management and
diabetes management services. The purpose of the licensures is to confirm that Mayo Clinic
meets the standards required for an organization to offer acute stroke management and diabetes
management services (Mayo Clinic Health System, 2016).
The licensures are important to Mayo Clinic because they help it to implement strategies
that are aimed at improving the quality of care for acute stroke and diabetes management.
Furthermore, the licensures contribute to the provision of the highest and best quality health care
for patients (Alkhenizan and Shaw, 2011). Moreover, they are essential to heath care in the sense
that, it results in improved health care across all departments of the organization. Additionally,
the licensures help Mayo Clinic, Wisconsin to become a socially responsible organization by
influencing it to engage in activities that promote safety of the community (Rooney and
HEALTH CARE ACCREDITATION 4
The licensure requirements for Mayo Clinic about the provision of acute stroke and diabetes
management services include care delivery, admission, discharge and referrals, a continuum of
care, and emergency management. Mayo Clinic, Wisconsin needs three significant resources to
maintain these licensures, and they include competent and enough medical practitioners, highly
performing technological systems, and a safe facility (Mayo Clinic Health System, 2016).
Suppose the Clinic loses the licensure, it will no longer be authorized to provide acute stroke and
diabetes management services. While the loss of accreditation will prevent Mayo Clinic from
serving as a health care organization in Wisconsin, loss of licensure will only prevent the
organization from providing care services related to acute stroke management and diabetes
management (Rooney and Ostenberg, 1999).
HEALTH CARE ACCREDITATION 5
Alkhenizan, A. & Shaw, C. (2011) Impact of accreditation on the quality of healthcare services:
A systematic review of the literature. Annals of Saudi Medicine, 31(4): 407-416.
Mayo Clinic Health System (2016). Accreditation. Retrieved from mayoclinichealthsystem.org
Rooney, A. & Ostenberg, P. (1999). Licensure, accreditation, and certification: Approaches to
health services quality. Wisconsin: Bethesda