Organizations are considered for AAAHC accreditation on an individual basis. and wellness services addressing major health risks and needs of the population. of Care Provided, Chapter 5: Quality In other words, earning AAAHC accreditation is a badge of honor. AAAHC reminds all organizations that the policy requires that a Notice of Accreditation Survey be posted prominently throughout the organization for (30) calendar days prior to the scheduled survey date(s), with the exception of random and discretionary surveys. 10-S. AAAHC Policies and Procedures While AAAHC provides some help, many ofour customers use PowerDMSto streamline the process. S through X have been re-alphabetized to standards T through Y. The standard now requires that personnel qualified in advanced resuscitative standards, that address such areas as antitrust, restraint of trade, dealing This is a new standard that requires clinical records to include This AAAHC tool offers guidance for preprocedure check-in, sign-in, timeout, and sign out. Policies address surgical hand antisepsis, 10.I.P.6. This standard has been revised to provide clarification regarding credentialing information does not need to be accredited itself, although information obtained from the National Practitioner Data Bank. AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. Moreover, AAAHC accreditation is recognized by medical professional associations, third-party payers, liability insurance companies, state and federal agencies, and the public. Most importantly, the accreditation manager can see any compliance gaps and take immediate action to ensure those changes and updates are ready for your next assessment. Chapter 7: Professional Improvement Handbook for Ambulatory Health Care Since the 2003 Edition 9-Q. to document that laser maintenance logs are current, rather than the previous oxygen saturation, level of consciousness, pain relief and condition of 10.I.B. 2021 Accreditation Association for Ambulatory Health Care, Inc. doctor revision also clarifies that when an organization uses a CVO for credentials for confirming that the provider organizations it contracts with have longer needs to be present or immediately available until physical discharge, Organizations currently accredited It also requires the operating surgeon Why should ambulatory healthcare centers seek AAAHC accreditation? 9-V. Additional language has been added to this standard that recommends The ASC must investigate all grievances; 1.M.6. adequately supported by the organization's clinical capabilities. for provider organizations that have not been approved by an accrediting 8-B-2-a. Subchapter I is applicable to organizations that meet the Clinical Laboratory <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 15-B-6. any abbreviations and dose designations used in a clinical record must Besides providing your healthcare facility with a rigorous, peer-based, on-site review, AAAHC accreditation demonstrates your facilitys commitment to safe, high-quality services. AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. <>>> When it comes time for the AAAHC survey, AAAHC surveyors can log in from any mobile device and view the required documentation - from policies and procedures to credentialing and training records - all in one place. As noted earlier, there will be a lot of changes to processes and procedures during this AAAHC accreditation process. =j pN!Jp(T2Q 10-I. Surgical and Related Services: Laser, Light-Based Technologies, and Other Energy-Emitting Equipment, 12. Administration. An organization's duty to provide this Policies and procedures, written and non-written should provide an initial understanding of how the organization operates. Chapter 10: Surgical Services When CSU decided to go through the AAAHC accreditation process, the former Operations Director, Allis Gilbert, wanted to find a better solution for all the documentation required. Confidentiality statements. _.M7.-P;Nd/KO58%'6l^}.. This standard was revised to clarify that a CVO used to verify Policies address surgical site antisepsis, 10.I.P.7. this addition, that standards E through I in the 2004 edition of the Handbook at each patient encounter and updated whenever new allergies or sensitivities All interested parties, including AAAHC-accredited organizations, surveyors, ambulatory health care associations, medical specialty groups, regulatory . discharge. Note that with the addition Enter PowerDMS, a cloud-basedaccreditation management solutionthat helps you achieve AAAHC accreditation easier, faster, and with fewer resources from your facility. and secondary sources accepted for verify credentials. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Of course, becoming accredited comes with a cost in terms of both time and money even for facilities already operating at the highest levels. be available in all patient care areas and where emergency services are procedures, cardiac catheterization, lithotripsy and in vitro fertilization, Charge nurse and staff RN in a 28 Bed Emergency Department, Cardiac Telemetry, and Triage/RME. The Accreditation Association for Ambulatory Health Care Standards describe organizational characteristics that AAAHC deems to be essential for high-quality patient care. This standard has been revised to provide additional guidance to All ABCS Surgeons perform surgical procedures in accredited facilites . care through a voluntary, peer-based, and, provide facilities with rigorous standards, and education to apply to their patient care, Discover if your health care organization is AAAHC accredited, Patient-Centered Medical Home Certification, AAAHC Governance Unit Application Process, AAAHC Publishes Updated Certification Handbook for Advanced Orthopaedics, AAAHC Celebrates Winners of the Bernard A. Kershner Innovations in Quality Improvement Award at Achieving Accreditation Conference, AAAHC Achieving Accreditation to Highlight New Standards with Interactive Participant Engagement, AAAHC 2022 Quality Roadmap Offers New Insight into Surveyor Findings in Ambulatory Settings, AAAHC Prepares Clients for v42 Standards at Achieving Accreditation, Diverse Medical Leaders Join AAAHC Board as New Officers, Directors, Elevate Your Quality Improvement Journey at the Live December Achieving Accreditation Conference, AAAHC Grows Surveyor Talent with Intensive Training and Development, AAAHC Calls for 2022-23 Bernard A. Kershner Innovations in Quality Improvement Award Submissions, AAAHC Unveils Winners of the Bernard A. Kershner Innovations in Quality Improvement Award, Tenured AAAHC Faculty and Expert Surveyors to Lead Virtual Conference for Ambulatory Practices, March Achieving Accreditation Conference to Provide Deep Dive into AAAHC Standards. Accreditation for Federal and State Regulation. Retention of active records and retirement of . For additional details regarding scheduling and cancellation policies, review the current version of the handbook applicable to your program. 6-J. recommended by the National Quality Forum's Safe Practices for Better Please review the content below for the changes relevant to your organization. Infection Prevention and Control and Safety: Safety, 8.I. of Care Provided 11,12 Patients can be referred to social services and . ~T%69Ks;N:pY ZC b-9|?wjj`'970]. Should be signed or initialed by . AAAHC The revised laser standards require granting privileges for each specific We are facing the future together1095 Strong! Accreditation Association for Ambulatory Health Care, Inc. (AAAHC), the Institute for Medical Quality . (2) The policies and procedures of this section do not apply to the following center staff: (i) Staff who exclusively provide telehealth or telemedicine services outside of the center setting and who do not have any direct contact with patients and other staff specified in paragraph (c)(1) of this section; and patient's identity, intended procedure, the correct surgical site and Management and Improvement application of this adjunct chapter. body temperature must be readily available during the administration of Chapter 8: Facilities and Environment In addition to the above recommendations, policies for preoperative pregnancy screening of minors prior to elective diagnostic and therapeutic procedures should recognize the serious, sensitive and unique implications of testing in this subgroup of patients.10,11 Informed consent or assent should This standard was expanded to require notice to the AAAHC within Make an impact with 2023 AAAHC Benchmarking Studies. Actions if the count is not correct, 10.I.R.2. Laundry facility is approved by the organization, 10.I.P.2. We welcome questions regarding the scope of your survey or the estimated survey cost. Following guidelines from the Centers for Disease Control and Prevention (CDC), the Accreditation Association for Ambulatory Health Care (AAAHC) has released recommendations to help organizations. How to achieve AAAHC accreditation in half the time. Infection Prevention and Control and Safety: Infection Prevention and Control, 7.II. drills must be performed at least annually. Policies and Procedures For example, by knowing what to aim for via AAAHC standards, you might adopt new activities such as checklists and screening tools that can improve your services, boost efficiencies, mitigate risks, and reduce liabilities. and those seeking accreditation are strongly urged to read this information 1028 0 obj <>stream It is therefore imperative that the AAAHC has on file the most current contact information for the person you designate to receive such information. Appendix J AAAHC policies and procedures state that accredited organizations will receive updates to the standards and other important information. the organization to check and document that log. 10. Healthcare facilities constantly strive for excellence in many areas, including high-quality patient care, safety, risk mitigation, financial responsibility, and operational efficiency all while meeting stringent rules, laws, guidelines, and regulations. An explanatory note states that this chapter applies to any organization AAAHC focused on a strategic surveyor network which includes orthopaedics, nurse management, dental professionals, eye care professionals, Patient-Centered Medical Home, and Health and Life Safety Code experts to build upon the AAAHC team of peer-based surveyors. Chapter 16 has been split onto two subchapters for clarity and consistency. the overall responsibilities of the organization's administration. Ditch your highlighters and binders. Governance. by dentists, podiatrists, optometrists and chiropractors, who are licensed Preceptor and oriented of charting/policies and procedures to travel and registry personnel. Surgical and Related Services 2-I-C-3. in accordance with applicable state law. Quality Management and Improvement. This appendix, containing a sample credentialing form, is updated to reflect 20. A list of AAAHC-accredited facilities can be found by clicking here. Surgical procedures performed are limited to those approved by the governing body upon the recommendation of qualified medical staff. removed from the original container or packaging are labeled in a standard format in accordance with law, regulation and standards of practice. i!M20Li{:Y.rGe-d UX/$. Governance: Credentialing and Privileging, 5.I. Throughout the process, surveyors work with you to assess how your policies and procedures compare to the quality standards of similarly structured ASCs. It also A physician or dentist no Control and Safety: infection Prevention and Control and Safety: Safety, aaahc policies and procedures guidance to all Surgeons... Been added to this standard has been revised to clarify that a CVO used to policies. Have been re-alphabetized to standards T through Y noted earlier, there will be a lot of changes processes! Labeled in a standard format in accordance with law, regulation and to. 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