Joint Accreditation Criteria Review: JAC2

The first grouping of JA criteria is headed Mission and Overall Program Improvement. They focus on the continuing education (CE) program as a whole.

JAC2 states: 

The provider gathers data or information and conducts a program-based analysis on the degree to which its CE mission—as it relates to changes in skills/strategy, or performance of the healthcare team, and/or patient outcomes—has been met through the conduct of CE activities/educational interventions.

You’ve met JAC1, meaning you have a mission statement that talks about educating the healthcare team. Now you need to determine whether or not you’re meeting that mission, and that is the focus of this criterion.

The place to start is with that mission statement. What are the outcomes that you describe in it? Is your mission to educate the team and improve their skills and/or strategies? Are you trying to improve the performance of the healthcare team? Or are you intending to improve patient outcomes? It could also be a combination of the three. Your mission statement is unique to your CE program, so how you evaluate it will be unique to you.

The key is that you do need to have a regular process of reviewing all of the activities that you’ve put on and assessing the impact that they have had on whatever you’ve described in your mission statement. And then it’s up to you to determine if your results show that you are meeting that mission or not.

What exactly you do with that determination is for the next criterion (JAC3). JAC2 is about your program analysis process. What information do you gather? How do you collect it? How frequently? This all depends on what your mission statement says.

I like to start by breaking my mission statement apart. What are the specific goals? Which can be measured? How can I measure them? What is the threshold at which we can consider that goal to be achieved?

Having answered those questions, I’m able to describe the process of conducting a program-based analysis. And once that process is described, it’s much easier to put it into practice. And that is what JAC2 is looking for.

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