AAAHC Requirements for Primary Care Physicians m. Documentation of any significant medical advice given by telephone or online, including medical advice provided after-hours. 3xVL!-'fn(SxT ac dtq1$,%)j1LQf2#TJ)[@2f@X&p
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With an overarching goal of improving quality outcomes, AAAHC isseeking public comment on proposed revisions to the accreditation Standards for ambulatory health care. AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. Language has been added to define the term "health care professionals"
Development of policy and procedures for center. 10.I.U. AAAHC offers a unique peer-based review process founded on a collaborative, consultative, and educational approach. 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. Browse and order AAAHC tools and publications. 4 Patients can be educated about what to expect after surgery, and that health insurance will not pay for an overnight hospital stay after the procedure. Several changes have been made to the policies and procedures that
AAAHC policies and procedures state that accredited organizations will receive updates to the standards and other important information. A surgeon and his staff must submit to regular inspections and provide thorough records of their policies and procedures to retain accreditation. Facilities and Environment: Emergency Preparedness, 10.I. frequent assessments of the patient's blood pressure or hemodynamic status,
Policies address surgical hand antisepsis, 10.I.P.6. . 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 . 20-A. 9. S through X have been re-alphabetized to standards T through Y. that the surgical services standards are applicable to all organizations
AAAHC policies and procedures within the handbook describe requirements of surveys, programs, and assist organizations in realistic assessing their preparation strategy. Preceptor and oriented of charting/policies and procedures to travel and registry personnel. We are facing the future together1095 Strong! 3. You might have heard horror stories of assessments essentially being three people stuck in a conference room with stacks of binders and highlighters reviewing AAAHC standards compliance. An extensive library of relevant content, filterable by the topics you care about most. Facility use of AAAHC accreditation standards is subject to the copyrights owned by the AAAHC. 6-J. Completion of history and physical 30 days before surgery, 10.I.D.3. 2-II-B-1. 10.I.F. laser, immediate availability of saline or water for dousing, and prohibit
Perioperative Care of the COVID-19 Patient, Guidelines and Tools for the Sterile Processing Team, AORN Guideline and FAQs for Autologous Tissue Management, ASC Infection Prevention Policies and Procedures, https://www.aaahc.org/quality-institute/quality-roadmap/, Infection prevention/safe injection practices, Infectious disease protocols and emergency preparedness plans, including COVID-19 safeguards, Processes to prevent errors from high-alert and confused drug name medications, Proper cleaning and decontamination of equipment, Recall of items including drugs and vaccines, blood products, medical devices, equipment, and food products. Surgical and Related Services: General Requirements, 10.II. 10.I.S. With PowerDMS' intuitive accreditation tools, you can reduce AAAHC survey prep time by up to 60%. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. But if you still rely on a paper system as you pursue AAAHC accreditation or reaccreditation, its time to replace the nightmarish, time-consuming, manual process with a more streamlined, modern, digital approach. should be construed as meaning "clinical" and including services provided
AAAHC selects and trains health care practitioners and administrators who are actively involved in ambulatory health care setting to . Facilities and Environment
11.K.1. 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. endstream
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Changes to and other important information about current AAAHC standards and additional Medicare requirements are also posted at www.aaahc.org. in a facility. Laundry facility is approved by the organization, 10.I.P.2. of Care Provided, Chapter 5: Quality
Notify AAAHC of Survey Contact Staff Change. _.M7.-P;Nd/KO58%'6l^}.. of 1988.
managed care organization must develop and implement standards of participation
15-B-6. If you do not see your organization listed, ask them about their accreditation status. Written protocols for handling, maintenance and storage of human cells, 10.I.L.3. Purchase your handbook today. 8-Q. Services
This standard has been expanded to ensure that the presence or absence
of medicine or osteopathy (MD/DO), doctor
Appendix J
We provide facilities with rigorous standards and education to apply to their patient care environment and conduct routine onsite evaluations to assess compliance. By storing documents like preference cards, privileging, credentialing, licensing, peer reviews, training, policies, procedures, and any other relevant records. Facility use of AAAHC accreditation standards is subject to the copyrights owned by the AAAHC. 10-E. This
Management and Improvement
Surgical procedures performed are limited to those approved by the governing body upon the recommendation of qualified medical staff. hbbd```b``oA$4 of one of the following health care professionals, or group of professionals
resuscitative techniques be present until all patients operated on that
The organization commits to a thorough, onsite survey at least every three years by AAAHC surveyors, who are health care professionals. Attire contaminated with blood or body fluid is laundered by an approved laundry. 9-H. Language in this standard was revised to indicate that the emergency
1.M. Once you get all of your accreditation files into a single, digital repository, you can tap into the efficiency of PowerDMS, which publishes those AAAHC standards directly in our software. 9-Q. Why should ambulatory healthcare centers seek AAAHC accreditation? Chapter 10: Surgical Services
The ASC must develop and maintain a policy regarding the requirement for medical history and physical examination prior to surgery. Must comply with policies and procedures regarding: a. Appendix J
to verify. persons in the surgical or treatment rooms must decontaminate hands, as
re-alphabetized as standards I through V.
are identified. 10-S. Organizations currently accredited
by dentists, podiatrists, optometrists and chiropractors, who are licensed
10-L. Documentation of discussion of the proposed procedure and alterative treatments, 10.I.G.2. The AAAHC Certificate of Accreditation is widely recognized as a symbol of quality by third party payers, medical organizations, liability insurance companies, state and federal agencies, and the public. At that time, any potential problems complying with this requirement can be identified, 8 so that alternative arrangements can be made. Chapter 7: Professional Improvement
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. Please enter in a search term to continue. Administration. Handbook for Ambulatory Health Care Since the 2004 Edition
Confidentiality statements. Next, a peer audit gives you a third-party perspective about how your facility operates. Organizations currently accredited and those seeking accreditation are strongly urged to read this information for specific details pertaining to all AAAHC policies and procedures. History and physical in the patient's record before surgery, 10.I.G.1. revision also clarifies that when an organization uses a CVO for credentials
Policies and procedures meet AORN and CDC recommendations and guidelines. Posted in: Press Releases April 10, 2023 (Skokie, Ill.) April 10, 2023 - The Accreditation Association for Ambulatory Health Care (AAAHC), the industry leader in ambulatory health care accreditation, announces the release of updated Standards for its three-year Advanced Orthopaedic Certification Program.The Certification Handbook for Advanced Orthopaedics, v42, provides a roadmap for the . the same, but the standard was moved to reinforce the credentialing/privileging
. Written consent obtained before surgery, 10.I.L.2. Quality Management and Improvement: Risk Management, 6. Note that Standard 9-K-1 was revised to specifically require
8-B-2-a. When ambulatory health care facilities aim to operate according to industry best practices, they can thank AAAHC. Full team engagement in the time out, 10.I.T.3. As you prepare for accreditation, you cross-walk your policies and compliance documentation with AAAHC standards, which helps point out areas of need and provides good insights into how you can improve. body. the scope and intent of the standard. This standard was revised to clarify that a CVO used to verify
Multi-Specialty Facility start up, facility opened August 2016. 10.I.A. Surveyors found that the areas with the highest deficiencies included: The 2021 AAAHC Quality Roadmap is available for download at https://www.aaahc.org/quality-institute/quality-roadmap/. It also
Throughout the process, surveyors work with you to assess how your policies and procedures compare to the quality standards of similarly structured ASCs. The revision to this standard requires accredited organizations
vyBHj>aaL Enter PowerDMS, a cloud-basedaccreditation management solutionthat helps you achieve AAAHC accreditation easier, faster, and with fewer resources from your facility. source verification, unless those sources do not exist or are impossible
that all equipment and devices necessary for the procedure are immediately
Facilities and Environment: Facilities, 8.II. resuscitative techniques are present until the patient has been physically
a credentials verification organization (CVO) or organization performing
]WyurXqaZ&[09}IN]s`~ on that day have been physically discharged. The AAAHC has released its 2021 Quality Roadmap, a comprehensive analysis of data from the more than 1,120 accreditation surveys conducted in 2020. the standards is not intended to exclude dentistry, podiatry, optometry
Policies require donning of freshly laundered attire, 10.I.P.5. Policies and Procedures
PowerDMS handles all of that for you, allowing you to track, to the individual employee, who has read and acknowledged each change. Provider responsibility for the time out, 10.I.T.2. and secondary sources accepted for verify credentials. AAAHC provides an external, independent review of a health care delivery organization against nationally recognized standards and its own policies, procedures, processes, and outcomes. 19-II-N. procedures, cardiac catheterization, lithotripsy and in vitro fertilization,
When they do arrive, they will spend more time in the facility talking with employees and providers to truly see how you are operating with excellence, instead of face down at a conference table going line-by-line through your binder. 956 0 obj
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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. This field is for validation purposes and should be left unchanged. While AAAHC provides some help, many ofour customers use PowerDMSto streamline the process.
AAAHC policies and procedures within the handbook describe requirements of surveys, programs, and assist organizations in realistic assessing their preparation strategy. Note that with this new standard that standards
2-I-B-11-d. [MP5cZfB3qJe0i[zTNm8?iD8dkhNw}lNj0\ErJ4zXV!!H Dd[1v8VXVJdfI6b{br1i|=#Lr*}BzbZHZ>0k 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. 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. 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. Each accrediting body establishes its own standards, policies, and procedures for compliance. Instead of combing through policy manual and highlighting standards truly a tedious and time-consuming task you can streamline the process by digitizing your files and storing them in a central repository. This means facilities need to adapt to the ever-changing landscape of serving patients and implementing best practices to deliver high-quality care the community expects. Healthcare facilities across the nation use PowerDMS to achieve accredited status and daily survey readiness. The
Handbook for Ambulatory Health Care Since the 2003 Edition
This review from seasoned, accredited ambulatory health care professionals provides valuable insights into how to better serve your patients. for confirming that the provider organizations it contracts with have
This creates a more relaxed assessment and provides a greater opportunity to interact with and learn from the assessors. appear at the front of this Handbook. 10-L-4. chapters in the Handbook, including Governance, Administration, and Quality
but rather must be available by telephone any time that patients are present
subchapter II is applicable to organizations that provide laboratory services
These factors determine your survey fee. Revisions to the Accreditation
All interested parties, including AAAHC-accredited organizations, surveyors, ambulatory health care associations, medical specialty groups, regulatory . Written protocols are consistent with a recognized authority (eg, AATB, FDA), 10.I.O.1. is personally responsible for ensuring that all aspects of this verification
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if those dosages are known. oxygen saturation, level of consciousness, pain relief and condition of
This standard has been revised to provide clarification regarding
This standard has been revised to provide additional guidance to
The organization advocates for top-notch health care by developing and adopting nationally recognized standards. After investing in PowerDMS, which streamlined the process and managed AAAHC accreditation electronically, CSU saved over $139k in staffing and supply costs. Medical discharge refers to discharging a patient following
Laundry facility adheres to national guidelines, 10.I.O.2. by the original manufacturer must be appropriately labeled if not administered
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