arthroplasty, certification, clinical nurse specialist, diabetes, disease-specific care, hip replacement, knee replacement arthroplasty, leadership, sepsis, stroke, The Joint Commission



  1. Frost, Kristen DNP, APRN, AGCNS-BC, CCRN
  2. Stafos, Andrea DNP, APRN, ANP-BC, BC-ADM
  3. Barbay, Kathryn MSN, APRN, ACNS-BC, ONC
  4. Henderson, Kathleen MN, APRN, ACNS-BC, SCRN, LNC


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.