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Accreditation: When leaders face difficult decisions

Credibility, Trust and Safety

Candice Rettie, PhD 0 795
The news in DC this week is full of stories about major public institutions and public figures and their credibility or lack thereof, safety or lack thereof, and trust or lack thereof.  There were two consistent questions: “Were they adhering to their core beliefs and ‘doing the right thing’?”  and “What would the consequences be?”


The question for us is, what does all this have to do with accreditation?  Credibility, safety and trust.  Or lack thereof. Taking the high road.  Taking decisive action.  Being willing to take a potentially controversial position because it is the right thing to do.  Courtesy of David DeWolf, it is important to “Be deliberate, decisive, and move on.”  Again… doing the right thing…

More Musings on Accreditation

Purple Martins and Accreditation

Candice Rettie, PhD 0 927
What does establishing a thriving purple martin colony have to do with creating a successful accreditation organization?  The answer is shared attributes: having an idea, consensus building, careful planning, effective delivery and responding to the needs of the constituency, be they birds or people.

Interprofessionalism -- the DNA of NPs

Blinding Flash of the Obvious (BFO)

Candice Rettie, PhD 4 1226

One of my colleagues from a previous nonprofit association introduced me to the concept of BFO – Blinding Flash of the Obvious.  Now, I have frequent, and occasionally embarrassing, encounters with BFO’s.  I would love to say that all my BFOs are the result of inspired synthesis of previously unrelated concepts.  It’s a lovely aspiration; not necessarily reality…

My most recent set of BFOs occurred this past week.  I was preparing to join a panel at the Veterans Health Administration’s conference that brings together the seven VA Centers of Excellence in Primary Care.  The theme of the conference was interprofessional education, training and practice. I was asked to address the intersection of IPE and accreditation.  

My first BFO:  the FQCH model of care and the NP postgraduate training programs embedded in the FQHC’s (and other safety net settings) are steeped in interprofessionalism.  My second BFO moment occurred when I realized that for NPs, the interprofessional approach to training and practice isn’t only philosophical, it is actually the heart and soul of the profession and of the accreditation process.

The Arc of Success

Empowering Nurse Practitioner Postgraduate Training Program Directors

Candice Rettie, PhD 0 1381

This time, I contemplate some lessons learned from the presidential primary races about clarity and consistency of messages and values. During this long primary season each candidate’s arc of success depends upon the clarity of their messaging and how their actions reflect their values.  It is all about clear delineation of desirable qualities and differentiation from the rest of the pack.  

All of which got me to thinking about the National Nurse Practitioner Residency and Fellowship Training Consortium. The Consortium is at the very beginning of its arc of success. How does the Consortium's messaging communicate its unique role as an accreditor?  Is the message clear?  Do people know what the Consortium does and why we do it?  Do our actions coincide with our values?  When we ‘take the stage’ do people listen or do they scoff?

Musings on Accreditation: the Paradox of Change

Candice Rettie, PhD 0 1007
This week's variable Spring weather inspired me to consider the delicate balance between change and predictability. Spring occurs every year, yet it continues to surprise us on a daily basis. Spring is a great example of the constancy of unpredictability and change, in the context of predictable and desirable seasonal transition.  Postgraduate NP training is the nexus between change and consistency.  What can we learn from Spring -- simultaneously unpredictable and predictable -- as we think about accreditation?