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ADA.org: CODA Minutes July 2009 - American Dental Association

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The second PGD RC new business item was also considered at the Standing Committee on<br />

Documentation conference call on Thursday, June 25, <strong>2009</strong>. This item related to the PGD RC’s<br />

review of the Accreditation Standards that includes a requirement regarding The Joint<br />

Commission. The outcome of the evaluation would impact all advanced education Accreditation<br />

Standards. In preparation for the discussion, the Documentation Committee members reviewed<br />

Standard 1, Institutional Commitment/Program Effectiveness of the accreditation standards for<br />

advanced education programs, which states “accreditation by The Joint Commission or its<br />

equivalent.” The Committee also reviewed documentation obtained from the websites of The<br />

Joint Commission, the Centers for Medicaid and Medicare Services (CMS), and the<br />

Accreditation <strong>Association</strong> for Ambulatory Health Care (AAAHC). Finally, the committee<br />

reviewed the Accreditation Council for Graduate Medical Education’s (ACGME) Institutional<br />

Requirements. Following lengthy discussion, the Documentation Committee concluded that each<br />

of the <strong>org</strong>anizations reviewed has a different mission and vision and that it may not be possible<br />

to determine if accreditation or recognition by CMS or AAHC is “equivalent” to that of The<br />

Joint Commission. The Committee also identified that the ACGME evaluates The Joint<br />

Commission equivalency on a case by case basis through its Institutional Review Committee,<br />

which reviews the overall sponsoring <strong>org</strong>anization. The Documentation Committee considered<br />

whether each review committee of the Commission could consider equivalency on an individual<br />

basis and determined that differences of opinion may exist between review committees.<br />

As a result of the discussion, the Documentation Committee concluded that it may be most<br />

appropriate to strike “or its equivalent” from the accreditation standards for advanced education<br />

programs. However, prior to making a final recommendation to the Commission, the<br />

Documentation Committee would like to seek input from its communities of interest related to<br />

this matter.<br />

The Documentation Committee suggested that a public notice of potential action, identifying that<br />

the Commission is investigating the elimination of “or its equivalent” from Standard 1,<br />

Institutional Commitment/Program Effectiveness (Appendix 48) and seeking comment, be<br />

circulated to the communities of interest. Open Hearings could be conducted at the<br />

September/October <strong>2009</strong> <strong>American</strong> <strong>Dental</strong> <strong>Association</strong> (<strong>ADA</strong>) Annual Session, the March 2010<br />

<strong>American</strong> <strong>Dental</strong> Education <strong>Association</strong> (ADEA) Annual Session, and other advanced education<br />

meetings that may present a cost-effective opportunity for Open Hearings. Comments could be<br />

reviewed at the Commission’s <strong>July</strong> 2010 meeting. The Commission concurred with the<br />

Committees recommendation.<br />

Commission action: The Commission directs circulation of a public notice of<br />

potential action related to the elimination of “or its equivalent” from Standard 1,<br />

Institutional Commitment/Program Effectiveness (Appendix 47) to all of its<br />

communities of interest, with final consideration of comments received at the<br />

August 2010 meeting.<br />

Informational Report of the Commission on <strong>Dental</strong> Accreditation of Canada: Dr. Claude<br />

Lamarche, Chair of the Commission on <strong>Dental</strong> Accreditation of Canada, thanked the<br />

Commission for the opportunity to be present at the Commission meeting, on behalf of himself<br />

and the director of CDAC, Ms. Susan Matheson. The CDAC report is Appendix 48.<br />

Commission action: This report is informational in nature; no action was taken.

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