Healthcare Ethics Consultation (HCEC) Certification
HCEC Certification Commission
Based on the results of market research and a role delineation study conducted October 2016 - February 2017, the Board of Directors has determined that ASBH is well positioned to invest in a voluntary, professional certification program that will validate the professional knowledge and legitimacy of individual healthcare ethics consultants.
At its April 2017 meeting, the ASBH Board of Directors approved in concept the development of a certification program.
In July 2017, the ASBH board agreed to appoint an HCEC Certification Commission with responsibility for the development and administration of a certification program.
In August, ASBH is reviewing applications for appointment to the Commission 3-5 clinical ethics consultants who reflect the interests of the general public in the availability and implementation of an HCEC credential and are representative of the stakeholder groups, including community hospitals and regional health systems, that have an interest in the quality, governance, and operation of the certification program. (The ASBH board will also appoint one member who represents the public or non-employer consumer interest.) The Commission is expected to meet face-to-face for at least one and possibly two 1-2 day meetings and 2-3 conference calls in the coming year.
Appointments will be for initial 1-year terms that may be renewed for a total of no more than 3 years of continuous service. In its first year, the commission will develop a detailed marketing plan and budget; select a testing company; initiate a call for volunteers and select item (exam question) writers for an entry-level exam based on the role delineation study; determine eligibility criteria and develop policies and procedures; and plan for the administration of the first exam. For this purpose, ASBH seeks clinical ethics consultants with relevant experience in governance, program management, and/or marketing.
Appointments to the Commission will be announced in October. The work of the commission will be supported by volunteers who respond to surveys, write and review test questions, and participate in the development and maintenance of a certification program as needed.
Credentialing Terminology and Resources
Credentialing is an umbrella term for such concepts as:
- licensure and regulation
- individual certification
- program accreditation.
In healthcare, the term is also used to encompass two separate processes:
- verification of a health care practitioner's education, training, work experience, license, etc., and
- approval for an individual to perform a specific procedure or the granting of a specific set of privileges based on documented competence in a specialty.
Licensure is a mandatory process by which the government tests an individual's competence and grants time-limited permission for that licensed individual to practice his or her profession.
Professional or personal certification is a voluntary process that includes:
- eligibility requirements
- assessment of individuals against predetermined standards for knowledge, skills, or competencies
- assessment of current knowledge and skills independent of a specific class, course, program or provider
- ongoing requirements and a system for revoking requirements, and
- a designation and associated acronym granted to participants who demonstrate that they meet the standards by successfully completing the assessment process.
(Certification programs are distinct from certificate programs. A certificate is based on a predefined course or curriculum with intended learning outcomes and a measurement of learner achievement of intended learner outcomes. Such programs are usually broader in scope and longer in duration than typical continuing education/training programs. Certification programs, on the other hand, cannot be integrated with a learning component that is offered or required by the certifying body, according to international standards [ISO/IEC 17024].)
Accreditation is the process by which an educational or credentialing program is evaluated against defined standards and is awarded recognition if it is in compliance with those standards. For example, the Accreditation Council for Graduate Medical Education (ACGME) accredits residency training programs. If ASBH were to develop a voluntary certification program for individual health care ethics consultants, and were to seek accreditation of this program, the most likely provider of this recognition is the National Commission for Certifying Agencies (NCCA), a separately governed arm of the Institute for Credentialing Excellence (ICE).
In July 2016, the ASBH Board of Directors appointed a Health Care Ethics Consultation (HCEC) Certification Task Force which distributed a survey to HCEC practitioners across the country. The purpose of this survey was in part to analyze and define HCEC performance domains and tasks and associated knowledge and skills (role delineation study). The results of the role delineation study will help to satisfy a fundamental criterion for NCCA if such accreditation for the HCEC Certification Program is sought: The certification program must analyze, define, and publish performance domains and tasks related to the purpose of the credential, and the knowledge and/or skill associated with the performance domains and tasks, and use them to develop specifications for the assessment instruments. The certification program must employ assessment instruments that are derived from this practice analysis and that are consistent with generally accepted psychometric principles.
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