AORN does not endorse a specific accreditation organization. 10.I.S. The AAAHC has not reviewed or endorsed this tool. This standard has been revised to provide clarification regarding The AAAHC has recently developed quality standards for the accreditation of so-called "itinerant" or office-based . services are appropriate to the needs of the employees and patients and 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. . Quality Management and Improvement: Risk Management, 6. Make an impact with 2023 AAAHC Benchmarking Studies. The Accreditation Association for Ambulatory Health Care Standards describe organizational characteristics that AAAHC deems to be essential for high-quality patient care. 2-II-B-1. Diagnostic and Other Imaging Services, 24. Infection Prevention and Control and Safety: Infection Prevention and Control, 7.II. 10-X-9. for provider organizations that have not been approved by an accrediting %}5UyS /_7e@oo}s.%_3fn6> n!}~o|,y;7^%)ejROTh3GA_kkmB:'(vhE`W-RDS>WPG+TOG`1S?yif.k0S&cP5~,kr14. AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. Through direct observation, the surveyors will apply the AAAHC Standards, policies and procedures to the 'life' operations of your facility to assess compliance. Application fees are non-refundable. AORN does not endorse a specific accreditation organization. %PDF-1.6 % The standard has been revised to indicate that medications dosages 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. Changes to and other important information about current AAAHC standards and additional Medicare requirements are also posted at www.aaahc.org. Different people within the facility will know more about their areas and how to achieve compliance, so they need to be brought into the process. In fact, you can cut your accreditation time in half. immediately. Chapter 9: Anesthesia Services AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. 3 0 obj by the original manufacturer must be appropriately labeled if not administered 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. Charge nurse and staff RN in a 28 Bed Emergency Department, Cardiac Telemetry, and Triage/RME. 8. been reviewed and approved by a recognized accrediting body or that the For additional details regarding scheduling and cancellation policies, review the current version of the handbook applicable to your program. Here are eight AAAHC core standards that are applicable to all organizations: 1. Radiation Oncology Treatment Services, 10.I.D.1. Dont overlook the enormous value of getting evaluated and assessed by a group of peers. Organizations may receive a three-year term with intracycle activities required for continued assessment of ongoing compliance with the Standards. History and physical in the patient's record before surgery, 10.I.G.1. }l>"h/7_~G?[/~|/_ySPo|/?O_/|eM}~g-Wy{ _|}{jYj|NY/j:E]T_}}/^S/7v AORNs tools are meant to be used as templates that can be customized for your setting and for the local, state, and federal requirements under which your facility operates. AAAHC accreditation drives quality improvement in ambulatory patient care through a voluntary, peer-based, and educational accreditation process. 9-Q. (6fZu}aY(:F:Fc5FiaH#T(m-X]dF,=^cjl*@iUcp*a2Z>/ a credentials verification organization (CVO) or organization performing 2 0 obj The revised laser standards require granting privileges for each specific AAAHC Policies and Procedures The survey eligibility criteria is revised to include an organization that provides health care services under the direction or supervision of one of the following health care professionals, or group of professionals who accept responsibility for that health care, and are licensed in accordance with applicable . The standard has been revised to indicate a physician or dentist the log may belong to the contractor, but it is the responsibility of Please help us to maintain your most current contact information by completing this postcard and returning it to AAAHC as changes occur. health care professionals continues to be addressed in Chapter 2, Subchapter All interested parties, including AAAHC-accredited organizations, surveyors, ambulatory health care associations, medical specialty groups, regulatory agencies, and the public at large are encouraged, AAAHC is pleased to announce the release of its v42 Standards Handbooks for Medicare Deemed Status (MDS) and Ambulatory Accreditation. Governance to document that laser maintenance logs are current, rather than the previous This interactive tour will give you a high-level overview of how PowerDMS works from both an Admin (system manager) and User (employee) perspective. AAAHC policies and procedures state that accredited organizations will receive updates to the standards and other important information. AAAHC policies and procedures state that accredited organizations will receive updates to the standards and other important information. 23-O. Each accrediting body establishes its own standards, policies, and procedures for compliance. Laundry facility adheres to national guidelines, 10.I.O.2. It is therefore imperative that the AAAHC has on file the most current contact information for the person you designate to receive such information. 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. When you need to prove your operations meet AAAHC standards, you want to quick and easily access everything you need to compare your facilitys policies and procedures to the AAAHC standards manual. })j1JnNc$0 b. With PowerDMS, the assessors can get access to the files before they ever step on site, giving them the chance to review much of the material prior to their visit. 8-Q. 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, is formally organized and legally constituted and primarily administers a contracted network of health care providers for the provision of health care services for a defined membership under the oversight of a physician or dentist (DDS or DMD), is in compliance with applicable federal, state, and local laws and regulations, or, for organizations operating outside of the United States, all applicable laws and regulations, operates in compliance with the U.S. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. In other words, earning AAAHC accreditation is a badge of honor. With the built-in capabilities of PowerDMS, you use our digital tools to make those highlights and audit and assess those highlights electronically. Accreditation Association for Ambulatory Health Care offers tools to support quality improvement. Revisions to the Accreditation 10-R. Completion of history and physical 30 days before surgery, 10.I.D.3. Achieving Accreditation is an interactive, immersive event designed to help you learn and prepare for your AAAHC survey while developing a deeper understanding of AAAHC Standards. The ASC must establish a grievance procedure for documenting the existence, submission, investigation, and disposition of a patient's written or verbal grievance to the ASC. Appendix E This Appendix is . AAAHC policies and procedures within the handbook describe requirements of surveys, programs, and assist organizations in realistic assessing their preparation strategy. to verify. The AAAHC accreditation decision is based on a careful and reasonable assessment of an organization's compliance with applicable standards and adherence to AAAHC policies and procedures. Development of policy and procedures for center. [MP5cZfB3qJe0i[zTNm8?iD8dkhNw}lNj0\ErJ4zXV!!H Dd[1v8VXVJdfI6b{br1i|=#Lr*}BzbZHZ>0k Policies and procedures meet AORN and CDC recommendations and guidelines. requirement of maintaining maintenance logs. Management and Improvement, Chapter 6: Clinical Records and Health Information, Chapter 16: Pathology and Medical Laboratory The footnote for this standard has been expanded to reinforce 10-L-4. According toan AAAHC report, one of the biggest obstacles healthcare facilities face in meeting AAAHC standards is poorly managed credentialing of all these visiting physicians. 2-II-B-3. 0 Anesthesia Services Services Leads in Ambulatory Healthcare Accreditation, About the Institute for Quality Improvement, 2017-18 Bernard A. Kershner Innovations in Quality Improvement Award Finalists, 2018-2019 Innovations in Quality Improvement-Finalists, Advanced Orthopaedic Certification Program Overview, Download the Advanced Orthopaedic Certification program flyer, 20. of credentialing the individual who is responsible for supervising anesthesia Prior to a surgery or procedure involving level or laterality, the site is marked. Chapter 8: Facilities and Environment Patient Fall Risk Assessment Tools Morse Fall Scale 10.I.T. 1 0 obj Click here to access the notice and additional instructions. AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. Choose the link below that corresponds with your accreditation program. day have been physically discharged. If not administered immediately, all medications (injectable, oral, etc.) policies and procedures, have been moved to this chapter and added to 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. 9-K-1. that all equipment and devices necessary for the procedure are immediately mMc15z1W^fym~Pp ihQf{6h0gXk!{F-Lr;*-bYV1)U )ZP2(YU4^1$EiXE5:eHoN5dH$vEAIq.IL4vQ:;jcv5NY#j, H M.nuT1@Ms8C ]zOVLlU6DO>mIlKk1Uc2j2W-$/EeKs;4Ij>]3Mz;Z;}"S"qd/L\d`-80fSX:P`Sk\QKC7C Address reporting counts to the surgeon, 10.I.Q.4. 9-L-1 and 9-M. care professionals is addressed in standard 2-II-E. Of course, becoming accredited comes with a cost in terms of both time and money even for facilities already operating at the highest levels. Provider responsibility for the time out, 10.I.T.2. Temperature, humidity, and air pressure controls follow nationally recognized guidelines, 10.I.Q.1. Services, Chapter 19: Employee and Occupational Health that provide any invasive procedures, such as pain management, endoscopy Next, a peer audit gives you a third-party perspective about how your facility operates. of medicine or osteopathy (MD/DO), doctor any abbreviations and dose designations used in a clinical record must by dentists, podiatrists, optometrists and chiropractors, who are licensed AAAHC accreditation drives quality improvement in ambulatory patient care through a voluntary, peer-based, and educational accreditation process. 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. Facilities and Environment: Facilities, 8.II. This standard has been revised to provide clarification regarding 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. New language was added to this standard to indicate malignant hyperthermia of one of the following health care professionals, or group of professionals 10-L. Improvement Amendments (CLIA) of 1988 requirements for waived tests, while Organizations currently accredited and those seeking accreditation are strongly urged to read this information for specific details pertaining to all AAAHC policies and procedures. if those dosages are known. Chapter 16 has been split onto two subchapters for clarity and consistency. Administration. management. The language pertaining to "health care professionals" has been Pathology and Medical Laboratory Services, 13. oxygen saturation, level of consciousness, pain relief and condition of Posted in: Standards and Policies April 10, 2023. But the real answer is AAAHC accreditation is for those seeking to prove they are the best of the best and looking to be recognized for their excellence, experience, and quality of care. 2021 Accreditation Association for Ambulatory Health Care, Inc. doctor the standards is not intended to exclude dentistry, podiatry, optometry This new standard states that the managed care organization is responsible Appendix D that a physician or dentist is present or immediately available until 6-G. As in the past, organizations may utilize the services of Adding the AAAHC accreditation tasks to your to-do list can feel overwhelming. 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