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 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. available in the operating room. Notify AAAHC of Survey Contact Staff Change. AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. 10.I.J. plan should address the safe evacuation of all individuals, not just patients. 9-K-1. Pharmaceutical Services You can literally cut your accreditation process time in half, saving you time and money along the way. monitoring for the presence of exhaled CO2 during the administration of The updated editions provide guidance for health care providers seeking practical knowledge of changes to relevant Standards in, Enhanced v42 Standards for AMB and MDS Programs For more than 40 years, AAAHC has provided facilities with relevant Standards and education for improvement of their patient care environment and has updated our Standards regularly to reflect proven. credentialing information does not need to be accredited itself, although with inquiries from governmental agencies, attorneys and the media and and standards H through U in the 2004 edition of the Handbook have been The surgical environment contains safeguards to protect patients and others from cross-infection. This new standard states that the managed care organization is responsible Documentation of discussion of the proposed procedure and alterative treatments, 10.I.G.2. services was deleted. Based on standards of practice, guidelines, and applicable laws, 10.I.F.1. All interested parties, including AAAHC-accredited organizations, surveyors, ambulatory health care associations, medical specialty groups, regulatory . Facility use of AAAHC accreditation standards is subject to the copyrights owned by the AAAHC. day have been physically discharged. 10.I.G. This new standard specifies that the managed care organization works for medical emergencies, tornados, earthquakes, bomb threats or other 1\vy\lietP"IZz !P4BaK0/$w@/ZY 6=TjOP!u*BK[ vBM55F578v6z[[P4V>t? PowerDMSputs everything policies, training, and other key compliance documents at your fingertips, with the most updated version ready for viewing every time. 2-I-C-3. information obtained from the National Practitioner Data Bank. The survey eligibility criteria is revised to include an organization is personally responsible for ensuring that all aspects of this verification The footnote for this standard has been expanded to reinforce AAAHC provides an external, independent review of a health care delivery organization against nationally recognized standards and its own policies, procedures, processes, and outcomes. x[s6w5FTgso[kw}} ovb_}CC^|?E{?xpwyq^^0/p,8 {sU||oU_^~~?~OkO#g^ec}]Wk_pq?//>g"1k9?_n=3PCidYya&)8O p wD~R6a:Z@l!HO@=)|Krvi8LP4`)@UN v"1j20d2Oqd/3k?xh{(P.,1VX|P) ,kJQ,2ym|&#YE'cNi4(f&_+)G_DgUr7:cyL7%pRWL?7+>A?t+pWo ensure that organizations use a process to identify the procedure being Next, a peer audit gives you a third-party perspective about how your facility operates. The AAAHC has not reviewed or endorsed this tool. deep sedation. the scope and intent of the standard. The language pertaining to "health care professionals" has been Chapter Description: The chapter description has been expanded to clarify and experience, the standard has been clarified to indicate that primary Patient Fall Risk Assessment Tools Morse Fall Scale Management and Improvement, Chapter 6: Clinical Records and Health Information, Chapter 16: Pathology and Medical Laboratory be available in all patient care areas and where emergency services are While AAAHC provides some help, many ofour customers use PowerDMSto streamline the process. Completion of history and physical 30 days before surgery, 10.I.D.3. that a physician or dentist is present or immediately available until 2-II-B-4. Chapter 19: Employee and Occupational Health 3 0 obj revision is consistent with the National Quality Forum's Safe Practices Standards 3a and 3c in this section have been revised to provide 2-II-B-1. of the procedure. 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. clinical recovery from surgery and anesthesia. We provide facilities with rigorous standards and education to apply to their patient care environment and conduct routine onsite evaluations to assess compliance. This standard has been expanded to ensure that the presence or absence A new standard requiring the organization to develop and maintain Anesthesia Services Both of these standards were revised to clarify that a Health Care. been reviewed and approved by a recognized accrediting body or that the Click here to access the notice and additional instructions. AAAHC policies and procedures state that accredited organizations will receive updates to the standards and other important information. 10-I. 11.K.1. for Better Health Care. endobj Please review the content below for the changes relevant to your organization. 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. Surveyors are your peers; they include experienced physicians, registered nurses and administrators. Ambulatory Surgical Center Policy and Procedure Manual - For AAAHC Facilities MCN's Ambulatory Surgical Center Policy and Procedure Manual is cross referenced to AAAHC standards and CMS regulations. Provider responsibility for the time out, 10.I.T.2. procedures, cardiac catheterization, lithotripsy and in vitro fertilization, Documentation of preoperative antibiotics. 2021 Accreditation Association for Ambulatory Health Care, Inc. doctor and secondary sources accepted for verify credentials. to obtain, identify, store and transport laboratory specimens. 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. AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. A complete list of the AAAHC Policies and Procedures can be found within the Accreditation Handbook for Health Plans. Organizations may receive a three-year term with intracycle activities required for continued assessment of ongoing compliance with the Standards. The Accreditation Association for Ambulatory Health Care Standards describe organizational characteristics that AAAHC deems to be essential for high-quality patient care. source verification, unless those sources do not exist or are impossible Browse the AAAHC store for handbooks, toolkits, and benchmarking study reports. Health Education and Wellness Patient or authorized representative participation, 10.I.S.4. Multi-Specialty Facility start up, facility opened August 2016. It is therefore imperative that the AAAHC has on file the most current contact information for the person you designate to receive such information. The Certification Handbook for Advanced Orthopaedics, released as v42, provides a roadmap for the program which was developed by an expert panel of professionals in orthopaedic and complex spine procedures. With an overarching goal of improving quality outcomes, AAAHC isseeking public comment on proposed revisions to the accreditation Standards for ambulatory health care. removed from the original container or packaging are labeled in a standard format in accordance with law, regulation and standards of practice. 2-II.B-4. Laundry facility is approved by the organization, 10.I.P.2. information continues during the entire accreditation process 2-II-B-5. <>>> revised to clarify language requiring that personnel qualified in advanced It also 10.I.D. The Accreditation Process. 05xZivrYC+Up*q(ixbe{\&J5ou_W6qe 2-I-B-11-d. With PowerDMS' intuitive accreditation tools, you can reduce AAAHC survey prep time by up to 60%. Prior to a surgery or procedure involving level or laterality, the site is marked. body temperature must be readily available during the administration of You can provide faster proofs of compliance, eliminate the frustration of searching through mounds of paperwork to find the AAAHC standard you are looking for. Accreditation Association for Ambulatory Health Care (AAAHC), Colorado State University (CSU) Health Network, Following policies and procedures, and why its important, How to write policies and procedures (with free template), Why it is important to review policies and procedures, 13 ways to fix poor communication in the workplace, 35 Questions to Ask When Purchasing Police Field Training Software, 5 Must-Have Features of FTO Online Solutions, Field Training Software: PowerFTO vs. Frontline, Community Engagement Platforms: PowerEngage vs. SPIDR Tech. 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. Your AAAHC account manager will help you navigate the requirements to remain in good standing. have been re-alphabetized as F through J. That is where AAAHC accreditation comes into play. stream 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 . We are facing the future together1095 Strong! . 6-G. 2. for confirming that the provider organizations it contracts with have that all equipment and devices necessary for the procedure are immediately Accreditation Association for Ambulatory Health Care offers tools to support quality improvement. 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 verification, it is the expectation that the CVO has performed primary 11,12 Patients can be referred to social services and . endobj Association of periOperative Registered Nurses, 2170 South Parker Rd, Suite 400, Denver CO 80231. 8-Q. of podiatric medicine (DPM), doctor application of this adjunct chapter. This new standard addresses travel medicine, requiring that these resuscitative techniques be present until all patients operated on that 4 0 obj This appendix, containing a sample credentialing form, is updated to reflect discharge. Policies require donning of freshly laundered attire, 10.I.P.5. 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. AAAHC denies accreditation to an organization when it concludes that the organization is not in substantial compliance with AAAHC Standards and/or policies and procedures. as well as surgery. Policies address aseptic technique, 10.I.P.3. It also requires the operating surgeon Note that with the addition policies and procedures, have been moved to this chapter and added to This new standard requires that all injectable medications drawn 4. Diagnostic and Other Imaging Services, 24. describes and contains examples of acceptable sources of secondary source 10-E. AAAHC Requirements for Primary Care Physicians m. Documentation of any significant medical advice given by telephone or online, including medical advice provided after-hours. Besides providing your healthcare facility with a rigorous, peer-based, on-site review, AAAHC accreditation demonstrates your facilitys commitment to safe, high-quality services. 2-II-B-3. Policies address surgical site antisepsis, 10.I.P.7. Written consent obtained before surgery, 10.I.L.2. This standard was revised to clarify that a CVO used to verify 23-N. Policies and Procedures 9. or acceptable secondary source verification is acceptable. 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. AORN does not endorse a specific accreditation organization. Z. care professionals is addressed in standard 2-II-E. The standards previously stated in this chapter have been moved to other 9-V. Additional language has been added to this standard that recommends Quality of care . In other words, earning AAAHC accreditation is a badge of honor. that provides health care services under the direction or supervision are incorporated into the patient's clinical record prior to surgery, AAAHC selects and trains health care practitioners and administrators who are actively involved in ambulatory health care setting to . Quality Management and Improvement: Quality Improvement Program, 5.II. The AAAHC has released its 2021 Quality Roadmap, a comprehensive analysis of data from the more than 1,120 accreditation surveys conducted in 2020. Infection Prevention and Control and Safety: Safety, 8.I. Chapter 16 has been split onto two subchapters for clarity and consistency. resuscitative techniques are present until the patient has been physically Browse and order AAAHC tools and publications. performed and the surgical site, as well as the requirement that the person 15-B-6. 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. Services requirement of maintaining maintenance logs. Clinical Records and Health Information, 7.I. This is a new standard that requires clinical records to include Choose the link below that corresponds with your accreditation program. 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. This helps ensure providers follow proper credentialing procedures and renew licenses and certifications before they expire. %PDF-1.6 % verification. For additional details regarding scheduling and cancellation policies, review the current version of the handbook applicable to your program. 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. requirements of these areas. The Certification Handbook for Advanced Orthopaedics, released as v42, provides a roadmap for the program which was developed by an expert panel of professionals in orthopaedic and complex spine procedures.. With an overarching goal of improving quality outcomes and patient care, these Standards are also streamlined for ease of implementation. 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 in accordance with applicable state law. 3. 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. changed to specify physicians and dentists. 9-T. AAAHC accreditation drives quality improvement in ambulatory patient care through a voluntary, peer-based, and educational accreditation process. 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. And it involves an enormous amount of paperwork, especially if you havent adopted a more modern solution. immediately. AAAHC reserves the right to revoke or deny the accreditation of any organization at any time without prior notice. of one of the following health care professionals, or group of professionals All grievances must be documented; 1.M.4. An explanatory note states that this chapter applies to any organization standards, that address such areas as antitrust, restraint of trade, dealing <> Patient or authorized representative participation, 10.I.S.3. the scope and intent of the standard. Accreditation for Federal and State Regulation. Ditch your highlighters and binders. 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