Joint Accreditation Criteria Review: JAC10

The second grouping of JA criteria is headed Activity Planning and Evaluation. This set of 8 criteria focuses on how individual activities are designed, implemented, and evaluated.

JAC10 states: 

The provider implements strategies to remove, overcome, or address barriers to change in the skills/strategy or performance of the healthcare team.

As educators, we can provide knowledge, resources, and strategies, but we don’t have control over the everyday working lives of our learners. After they walk out of an activity, they return to a place where they have to deal with insurance companies, time constraints, and other people. Learners may leave with every intent to take what they learned and put it into their practice, but they will, undoubtedly, encounter at least 1 barrier that makes that change difficult or even impossible.

Barriers to change can occur anywhere from the individual level to the systemic level. Common barriers include:

  • Lack of time
  • Lack of organizational support
  • Lack of resources/money
  • Patient adherence

Depending on the type of organization in which you work, you’ll find that your ability to address barriers will vary. The first thing to note is that this criterion does not expect you to be able to address the issue of patient adherence. But we can provide additional supports to help overcome potential barriers to change in the actions of the healthcare team itself.

It’s also important to remember that Joint Accreditation is about the team. What barriers might the team face? This criterion does not ask about the individuals within the team. Instead, it is looking at the team as a whole. And it goes hand-in-hand with JAC9, the criterion about using support strategies as an adjunct to educational activities. Do any of these support strategies help the team overcome barriers? Perhaps a checklist will streamline patient handoff and help the team overcome a lack of time.

So to meet this criterion, you must first identify potential barriers to change. And then look at what your activity can offer, either within the accredited piece or as a support strategy, to help the team address that barrier. Will you always be successful? Not necessarily. Systemic change is hard and may be out of your control. What matters is that you try.

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