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The Critical Role of State Licensure in Healthcare Quality Assurance

An Hospital Operating License permits an institution or agency to provide healthcare as well as therapeutic and diagnostic services, under the supervision by an established medical staff. An official state license is required prior to providing services to anyone.

The tool assists healthcare institutions to manage compliance by identifying any gaps in the policies and procedures they use and formulating a solution. It also includes a customizable Hospital Standards Compliance Assessment Workbook which includes a clear set of questions that are correlated with every EP.


The Hospital license requires that the hospital adhere to certain regulations. The hospital, among other things, should have a method of code and indexing medical records for them to be easily found for diagnosis or procedures. Hospitals must keep patient records confidential and restrict access for authorized personnel. In some instances, however, the hospital may be obligated to divulge details about patients to law enforcement agencies.

Finally, the institution must ensure that their physicians are licensed and have a current medical board certificate. It is also required that the hospital has a credentialing panel that is able to act swiftly and efficiently in the event of an application for privileges by any licensed physician or podiatrist, as well as a dentist.

A hospital also needs to have procedures giay phep tu van du hoc for modifying or revoking the clinical privileges of an advanced practice nurse or physician assistant. This procedure must also include procedures for the advanced practice health professional or doctor, like a hearing, and a in writing notice of the hospital’s decision.


State licensure’s goal is to ensure the safety of the public through the establishment of minimum standards for competence. Licensing boards generally accomplish this through requiring training in assessing the character of applicants and testing with tests.

Health professionals usually seek independent accreditations which validate their skills and knowledge specific subject areas. They can also be employed in institutions that have to be accredited by an organization. These swaying points, in conjunction with licensure play a crucial part in determining how the educational establishments and employers support the development of lifelong learning capabilities.

The committee thinks that geographic licenses and the scope-of-practice law require an examination in order to be sure that they are not hindering fully achieving the promise of top-quality medical care through interprofessional teams and the use of informatics. This will require additional study and coordination with professional boards.


The law prohibits any person, firm or partnership corporate or other legal entity may establish, operate, conduct and run a facility for the care and treatment of people within this state without first obtaining approval from the department to operate such a facility. This includes a general, critical access hospital or psychiatric facility.

Prior to the start of construction, the hospital must file plans and specifications with the department. The plans must be accompanied by an architect’s endorsement that they are drawn up according to state and local codes, ordinances on zoning as well as building standards.

The department reviews all CON applications, including those for changes in ownership and new construction/additions. Projects that can be reviewed for a limited amount don’t require a recommendation to be approved by the PHHPC and include proposals with budgets of less than 6 million ($15 million in the case of hospitals) and certain requirements.


Healthcare facilities must comply with the various regulatory bodies that oversee healthcare. Failure to comply can result in penalties, fines and recoupments as well as other penalties that may affect the image of an organization. Additionally, patients are at risk of not receiving top-quality care. This can affect their wellbeing.

The Department has to notify the hospital and all affected health system agency about any decision that requires the Commissioner to decide to revoke or suspend facility’s operating certificate. The notice must specify the reason and the time frame for a public hearing.

The hospital has to be equipped with a well-organized medical staff and an governing body accountable for the quality of health care offered by the hospital. The hospital must also provide an evaluation of patients’ plans for discharge during the initial stages of the hospital stay or at the request from a patient, person acting on their behalf or the physician.


Hospitals need to keep up-to-date their state licensing. They must also conduct background checks specially designed for the healthcare industry. They include criminal background checks identification verification, sex status checks for offender and further. Using background checks designed specifically for healthcare professionals helps ensure that your hospital’s employees are up to the highest standards and deliver the highest quality of service.

The benefits of staffing with the highest level of license are for healthcare organizations and employees. In the event that nurses, CNAs MAs and RNs work in the top tier of their licenses, hospitals experience increased employee involvement, less absences from care, improved outcome for patients, and lower cost.

Every hospital’s or clinc’s Operating certificate contains details on the amount of beds with licenses and other services that are offered by the facility. It also identifies Extension clinics offered by the clinc or hospital.