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Achieving Disease-Specific Care Joint Commission Certification

The Impact of Clinical Nurse Specialist Practice

Frost, Kristen DNP, APRN, AGCNS-BC, CCRN; Stafos, Andrea DNP, APRN, ANP-BC, BC-ADM; Barbay, Kathryn MSN, APRN, ACNS-BC, ONC; Henderson, Kathleen MN, APRN, ACNS-BC, SCRN, LNC

doi: 10.1097/NUR.0000000000000483
Feature Article

Purpose: The aims of this study are to describe a program to achieve disease-specific care (DSC) certification from The Joint Commission and highlight the value of the advanced practice nurse in the certification outcome.

Description of Program: The expertise in clinical practice, performance improvement, and leadership skills demonstrated by the clinical nurse specialist (CNS) can be instrumental in building a strong foundation for a DSC certification program. As an organization prepares for a DSC on-site review, the CNS can guide the program stakeholders in identifying gaps in care, developing action plans to meet certification standards, and preparing team members for the DSC on-site review.

Outcome: At this Midwestern, 504-bed facility, The Joint Commission DSC certifications were achieved in 5 separate categories: diabetes, stroke, sepsis, total hip replacement, and total knee replacement.

Conclusion: By influencing a certain patient population throughout the organization, population-focused CNSs are in a unique role to lead an interprofessional team or serve as an expert consultant in pursuing DSC certification from The Joint Commission.

Author Affiliations: Critical Care Clinical Nurse Specialist (Dr Frost), Diabetes Clinical Specialist (Dr Stafos), Orthopedic and Progressive Care Clinical Nurse Specialist (Ms Barbay), and Neuro Clinical Nurse Specialist (Ms Henderson), AdventHealth Shawnee Mission, Overland Park, Kansas.

The authors report no conflicts of interest.

Correspondence: Kristen Frost, DNP, APRN, AGCNS-BC, CCRN, Advent Health Shawnee Mission. 5405 N 102nd St, Kansas City, KS 66109 (

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