Accreditation & Certification by Outside Organizations
All hospitals must undergo regular review and approval processes from regional, state and federal regulatory agencies in order to provide care. Hospitals that offer highly specialized care, such as ours, apply for certification and accreditation to provide care in specific medical specialty areas as well.
Accreditation Council for Graduate Medical Education (ACGME)
Accreditation Status: We are accredited by ACGME
The Accreditation Council for Graduate Medical Education is a private, non-profit council that evaluates and accredits medical residency programs in the United States. The ACGME was established in 1981 from a consensus in the academic medical community for an independent accrediting organization. Its forerunner was the Liaison Committee for Graduate Medical Education, established in 1972. The mission of the ACGME is to improve health care by assessing and advancing the quality of resident physicians’ education through accreditation.
American College of Surgeons (ACS)
Accreditation Status: Level 1 Pediatric Trauma Center (effective 6/11/2007 - 6/10/2010)
The designation of trauma facilities is a geopolitical process by which empowered entities, government or otherwise, are authorized to provide designations. The ACS does not designate trauma centers; instead, it verifies the presence of the resources listed in Resources for Optimal Care of the Injured Patient. This is a voluntary process and only those trauma centers that have successfully completed a verification visit are designated.
American Nurses Credentialing Center (ANCC) (a subsidiary of the American Nurses Association (ANA))
Recognition Status: Magnet Recognition accorded in January 2008
Provides individuals and organizations throughout the nursing profession with the resources they need to achieve practice excellence. ANCC's internationally renowned credentialing programs certify nurses in specialty practice areas; recognize healthcare organizations for promoting safe, positive work environments through the Magnet Recognition Program® and the Pathway to Excellence Program™; and accredit providers of continuing nursing education.
Association for Assessment and Accreditation of Laboratory Animal Care International
Recognition Status: Accredited
AAALAC International is a private, nonprofit organization that promotes the humane treatment of animals in science through voluntary accreditation and assessment programs. When animals are used, AAALAC works with institutions and researchers to serve as a bridge between progress and animal well-being. This is done through AAALAC's voluntary accreditation process in which research programs demonstrate that they meet the minimum standards required by law, and are also going the extra step to achieve excellence in animal care and use.
Association of Clinical Pastoral Education, Inc (ACPE)
Accreditation Status: The hospital's accrediation was renewed by ACPE in 2010
The ACPE is a multifaith organization for the clinical training of interfaith clergy - in public institutions, such as hospitals, prisons etc. Through this organization's accreditation process, theological students must complete a basic course of 400 hours. Professional chaplains are required to take 1600 hrs of CPE (Clinical Pastoral Education) for their certification. The training is recognized by the U.S Department of Education and the hospital received its accreditation status as a training center for all levels (including supervisory training) in 20011. The hospital's Spiritual Care Advisory Board oversees the quality of CPE Program.
College of American Pathologists (CAP) Commission on Laboratory Accreditation (COLA)
Accreditation Status: The hospital is accredited by COLA (Point-of-Care Testing and the Department of Pathology & Laboratory)
The CAP operates voluntary programs in proficiency testing (PT) and quality monitors. Its peer-based laboratory accreditation program covers over 6,100 clinical laboratories. Participation requires successful PT and on-site inspections using checklists structured along traditional subdisciplines of laboratory medicine and anatomic pathology. The laboratory general checklist contains questions covering broad issues affecting all disciplines. CAP does not define the specific technical details, recognizing the uniqueness of each laboratory setting and the patients it serves.
Cystic Fibrosis Foundation
Accreditation Status: The hospital is an accredited Center of Care
The Foundation funds and accredits 115 cystic fibrosis care centers nationwide, including 94 adult programs. In addition, 54 affiliate programs provide multidisciplinary care for cystic fibrosis with Foundation support. The high quality of specialized care available throughout the care center network has directly contributed to the improved length and quality of life for people with cystic fibrosis. Located at teaching and community hospitals across the country, cystic fibrosis care centers offer comprehensive diagnoses, treatments, care and counseling for those with this disorder.
Emergency Department Approved for Pediatrics (EDAP)
Certification Status: The hospital is EDAP-approved
This approval process is a component of the Los Angeles County Emergency Medical System, which indicates the designation to receive 911-ambulance traffic of pediatric patients. There are currently 42 EDAP hospitals in Los Angeles County. To qualify as an EDAP, a hospital emergency department must meet specific criteria, including requirements for pediatric equipment, physician coverage, ongoing pediatric education and policies, as well as having a designated Pediatric Liaison Nurse (PdLN).
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Extracorporeal Life Support Organization
Certification Status: The hospital is designated as a Center of Excellence in Life Support
The Extracorporeal Life Support Organization (ELSO) is an international consortium of health care professionals and scientists who are dedicated to the development and evaluation of novel therapies for support of failing organ systems. The Organization is an advocate for all aspects of extracorporeal support including regulatory issues, education, and research. In order to receive ELSO's international designation as a Center of Excellence, medical centers must: 1) have a program providing Extra-Corporeal Membrane Oxygenation, 2) demonstrate a commitment to excellence in care provision, and 3) deliver evidence-based medicine, in compliance with the care guidelines of ELSO.
The Foundation for the Accreditation of Cellular Therapy
Accreditation Status: The hospital is accredited by FACT
Founded in 1996, FACT establishes standards for high quality medical and laboratory practice in cellular therapies. FACT is a non-profit corporation co-founded by the International Society for Cellular Therapy (ISCT) and the American Society of Blood and Marrow Transplantation (ASBMT) for the purposes of voluntary inspection and accreditation in the field of cellular therapy. The major objective of FACT is to promote high quality patient care and laboratory performance in the belief that a valid accreditation must assess both clinical and laboratory aspects.
The Joint Commission (TJC)
Accreditation Status: The hospital is accredited by TJC for its inpatient and ambulatory services
An independent, not-for-profit organization, The Joint Commission accredits and certifies more than 15,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards. Its mission is to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.
If you have concerns about the quality and safety of your child’s care at Children's Hospital Los Angeles, please contact the hospital’s Risk Management Office at (323) 361-4527. If you feel your concerns have not been addressed properly by Children's Hospital Los Angeles, you may contact The Joint Commission at 1-800-994-6610.
American Society of Histocompatibility and Immunogenetics (ASHI)
Accreditation Status: The hospital has received laboratory accreditation by ASHI
The mission is to promote quality practice in Histocompatibility and Immunogenetics through the objective and consistent evaluation of compliance with ASHI standards. The purpose of the accreditation program is to evaluate laboratory personnel, procedures and facilities to determine if they are in compliance with those published standards of ASHI and with those standards of organizations by which ASHI is deemed and which apply to the activities of that laboratory. Laboratories will be evaluated for the technology utilized and, if applicable, the clinical services provided. With the objective of maintaining the highest standards of reliability and quality in histocompatibility testing laboratories, ASHI established its accreditation program in 1974. ASHI Accreditation was originally and still remains voluntary. Its purpose is to evaluate laboratory personnel, procedures, and facilities to determine if they are in compliance with ASHI standards; to promote the educational aspects of the accreditation process, particularly in assisting laboratories in the correction of deficiencies; to provide expert advice and assistance to committees of the society; and to maintain the society's awareness of standard and novel procedures and methodologies. This voluntary program has accredited over 200 histocompatibility laboratories and is administered through the ASHI Accreditation Review Board. The Centers for Medicare and Medicaid (CMS), National Marrow Donor Program (NMDP), United Network for Organ Sharing (UNOS), The American Foundation for Donation and Transplantation (AFDT, formerly SEOPF) and the states of California, Florida, Oregon and Washington grant deemed status to ASHI accredited labs. The Joint Commission recognizes ASHI Accreditation with Complimentary status. Any of these organizations may do their own inspections, however, for validation purposes or complaint response.
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