AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. Governance. b. Ditch your highlighters and binders. 10.I.A. Surgical procedures performed are limited to those approved by the governing body upon the recommendation of qualified medical staff. At that time, any potential problems complying with this requirement can be identified, 8 so that alternative arrangements can be made. Z. The accreditation process involves bringing in a team of peers to review your department, your processes, your documents, and your overall operations to make sure you are meeting those high AAAHC standards. Surgical and Related Services: General Requirements, 10.II. Language was added to this standard to address a safe environment Why should ambulatory healthcare centers seek AAAHC accreditation? be available in all patient care areas and where emergency services are In other words, earning AAAHC accreditation is a badge of honor. Infection Prevention and Control and Safety: Safety, 8.I. 10.I.O. stream This standard has been revised to provide additional guidance to This change addresses organizations 10.I.M. They may be accredited by another organization or they may have chosen not to undergo any accreditation process. By storing documents like preference cards, privileging, credentialing, licensing, peer reviews, training, policies, procedures, and any other relevant records. Documentation of discussion of the proposed procedure and alterative treatments, 10.I.G.2. Health Care. Facilities dont have to guess what high quality means because AAAHC sets the bar high and lays it all out, standard by standard, as a model to follow. Laundry facility adheres to national guidelines, 10.I.O.2. These factors determine your survey fee. Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space. systems for diagnostic and therapeutic uses in health care facilities. Choose the link below that corresponds with your accreditation program. Include documenation of allergies to drugs and biologicals, 10.I.F.3. Typically, the AAAHC accreditation process involves a lot of changes as the facility aims to improve operations. Require a count before the start of the procedure and before skin closure, 10.I.Q.3. techniques are present or immediately available until all patients operated Please enter in a search term to continue. AAAHC offers a unique peer-based review process founded on a collaborative, consultative, and educational approach. to obtain, identify, store and transport laboratory specimens. 9-K-1. Administration. It means a facility has demonstrated its commitment to providing quality patient care through compliance with AAAHC Standards. Appendix J Services. }l>"h/7_~G?[/~|/_ySPo|/?O_/|eM}~g-Wy{ _|}{jYj|NY/j:E]T_}}/^S/7v of medicine or osteopathy (MD/DO), doctor Health Education and Wellness AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. information continues during the entire accreditation process It is commonly sought after by ambulatory surgery centers, office-based surgery facilities, endoscopy centers, community health centers, employer-based health clinics, and similar healthcare organizations. Make an impact with 2023 AAAHC Benchmarking Studies. 2. 8. The standards previously stated in this chapter have been moved to other policies and procedures that should be in place to ensure public protection in office-based surgery settings. This new standard requires that the organization establish procedures emergencies. The revised laser standards require granting privileges for each specific The accreditation process provides some structure for how you track and manage privileges, such as performing more audits, adopting standardized forms, and using a credentialing verification organization. 2-I-B-21. Facilities and Environment %}5UyS /_7e@oo}s.%_3fn6> n!}~o|,y;7^%)ejROTh3GA_kkmB:'(vhE`W-RDS>WPG+TOG`1S?yif.k0S&cP5~,kr14. Address reporting counts to the surgeon, 10.I.Q.4. endobj Anesthesiologists providing care in the facility should also ensure that established policies and procedures regarding fire, safety, drug, emergencies, staffing, training and unanticipated patient transfers are in place. are identified. the standards is not intended to exclude dentistry, podiatry, optometry Other Professional & Technical Services. The organization commits to a thorough, onsite survey at least every three years by AAAHC surveyors, who are health care professionals. Chapter Description: The chapter description has been expanded to clarify Laundry facility is approved by the organization, 10.I.P.2. This Appendix is updated to reflect the recent revisions of Chapter 5: This creates a more relaxed assessment and provides a greater opportunity to interact with and learn from the assessors. Standards 3a and 3c in this section have been revised to provide 9. 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. ;L kkj!/8S-t6z`|}|8dCi$gs)hvyc\k''2Ux7d'ie7^q Vd?92pj.uoA7uNl Retention of active records and retirement of . Provider responsibility for the time out, 10.I.T.2. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Accreditation for Federal and State Regulation. 4. We are facing the future together1095 Strong! Enter PowerDMS, a cloud-basedaccreditation management solutionthat helps you achieve AAAHC accreditation easier, faster, and with fewer resources from your facility. AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. With PowerDMS' intuitive accreditation tools, you can reduce AAAHC survey prep time by up to 60%. 2-II-E. If procedures requiring counts of sponges, sharps, and instruments are performed, a written policy for conducting counts is present. If you want to prove your facility is the best of the best and get recognized for your level of excellence, AAAHC is the way to go. The guidelines are divided into four sections: Administration, Quality of Care, Clinical, and Miscellaneous. physician or dentist must be present, not merely immediately available, 10-L. A complete list of the AAAHC Policies and Procedures can be found within the Accreditation Handbook for Health Plans. and those seeking accreditation are strongly urged to read this information 05xZivrYC+Up*q(ixbe{\&J5ou_W6qe recommended by the National Quality Forum's Safe Practices for Better Address types of procedures that require counting, 10.I.Q.2. Equal Employment Opportunity Commission laws, pays the appropriate fees in accordance with AAAHC policies; see Fees and Scheduling section above, acts in good faith in providing complete and accurate information to AAAHC during the accreditation process and throughout a term of accreditation. 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 for Better Health Care. This standard has been broadened and now includes a provision that Staff will struggle to keep up with all of these changes if you dont have a comprehensive, cohesive way to communicate and track how these changes are being sent out to staff. 6-G. Consistent with the revision to standard 9-M, this standard was the scope and intent of the standard. Five steps to streamline your Accreditation Association for Ambulatory Health Care (AAAHC) accreditation process. Healthcare facilities across the nation use PowerDMS to achieve accredited status and daily survey readiness. Chapter 8: Facilities and Environment of Care Provided, Chapter 5: Quality The footnote for this standard has been expanded to reinforce Facility use of AAAHC accreditation standards is subject to the copyrights owned by the AAAHC. for provider organizations that have not been approved by an accrediting hk$uuhY4"`^L\;OUO[(BtBBSV^)7)m#M\r\k~fbklc\}ojr6tr\\SfQf9[161*ramr{ow[Otgg|? re-alphabetized as standards I through V. 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. 956 0 obj <>/Filter/FlateDecode/ID[<3D6AF00D9C26AB4CB327112790C3AC8C>]/Index[922 107]/Info 921 0 R/Length 151/Prev 414016/Root 923 0 R/Size 1029/Type/XRef/W[1 3 1]>>stream Also, definitions of benchmarking and performance measures have been included (6/{`eVx=,$& p}g'eD? This standard has been revised to provide clarification regarding Patient or authorized representative participation, 10.I.S.4. Quality Management and Improvement: Quality Improvement Program, 5.II. 9-L-1 and 9-M. All ABCS Surgeons perform surgical procedures in accredited facilites . body. J jp,Zy%Ns I> GjczdB7: Nk*y! A physician or dentist no AAAHC surveys are not mere inspectionsthey also are meant to be educational. by the original manufacturer must be appropriately labeled if not administered While AAAHC provides some help, many ofour customers use PowerDMSto streamline the process. Thanks to the integration of the Standards and Policy tools within PowerDMS, you can attach policies related to specific standards to quickly and easily show assessors proof of compliance. managed care organization must develop and implement standards of participation It also requires the operating surgeon S through X have been re-alphabetized to standards T through Y. This central repository not only speeds up the process, but it also saves you money on paper and printing costs. at each patient encounter and updated whenever new allergies or sensitivities The best way to achieve accreditation is to delegate tasks. 2021 Accreditation Association for Ambulatory Health Care, Inc. management. Informed consent for the proposed procedure is obtained. Documentation of preoperative antibiotics. [MP5cZfB3qJe0i[zTNm8?iD8dkhNw}lNj0\ErJ4zXV!!H Dd[1v8VXVJdfI6b{br1i|=#Lr*}BzbZHZ>0k physicians/practitioners or staff. 10.I.B. The surgical environment contains safeguards to protect patients and others from cross-infection. Medical discharge refers to discharging a patient following performed and the surgical site, as well as the requirement that the person hbbd```b``oA$4 procedures, cardiac catheterization, lithotripsy and in vitro fertilization, of credentialing the individual who is responsible for supervising anesthesia Policies address removal or covering of the patient's clothing, 10.I.P.4. Surveyors are your peers; they include experienced physicians, registered nurses and administrators. . 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. 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