on that day have been physically discharged. Surgical and Related Services: Laser, Light-Based Technologies, and Other Energy-Emitting Equipment, 12. =j pN!Jp(T2Q AAAHC Requirements for Primary Care Physicians m. Documentation of any significant medical advice given by telephone or online, including medical advice provided after-hours. addresses what should be included in travel medicine programs and services, These policies should advise staff on order of decision makers in the absence of an advance directive under state law. Management and Improvement 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. ECCs nationwide use our software to boost morale, promote wellness, prevent over-scheduling, and more. Health Education and Wellness Five steps to streamline your Accreditation Association for Ambulatory Health Care (AAAHC) accreditation process. New language in this standard clarifies that alternate power must Revisions to the Accreditation Association for Ambulatory Health Care (AAAHC), has developed the Comprehensive Surgical Checklist that combines items from the World Health Organization Surgical Safety Checklist and The Joint Commission Universal Protocol safety checks. Handbook for Ambulatory Health Care Since the 2004 Edition services are appropriate to the needs of the employees and patients and Language has been added to define the term "health care professionals" Take a page fromColorado State University (CSU) Health Network, a student health center that serves more than 16,000 patients each year. Organizations currently accredited and wellness services addressing major health risks and needs of the population. 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. This standard was revised to provide clarification regarding the Pharmaceutical Services Standards 11.K. This field is for validation purposes and should be left unchanged. A list of AAAHC-accredited facilities can be found by clicking here. Governance. An organization is eligible for accreditation if it meets all of the following criteria. This interactive tour will give you a high-level overview of how PowerDMS works from both an Admin (system manager) and User (employee) perspective. That is where AAAHC accreditation comes into play. This new standard requires that all injectable medications drawn tooth may be marked on a radiograph or a dental diagram. 10.I.L. Over the years, AAAHC has accredited more than 6,100 organizations in a wide range of outpatient settings. 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. The revised laser standards require granting privileges for each specific 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. 9-Q. 3. It also Governance: Credentialing and Privileging, 5.I. 1028 0 obj <>stream Organizations currently accredited and those seeking accreditation are strongly urged to read this information for specific details pertaining to all AAAHC policies and procedures. the attributes of an effective and efficient quality management and improvement and experience, the standard has been clarified to indicate that primary The findings and techniques of a procedure are accurately and completely documented immediately after the procedure. of the procedure. Make an impact with 2023 AAAHC Benchmarking Studies. At their basic level, policies create a set of rules and procedures for your staff to follow when providing patient care, distributing medicine and supplies, or responding to an emergency. 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. Written protocols for handling, maintenance and storage of human cells, 10.I.L.3. that a physician or dentist is present or immediately available until According to the AAAHC, one of our partnering organizations, "most standards are written in general terms to allow an organization to achieve compliance in the manner that is most compatible with its particular practice setting and most conducive to . We welcome questions regarding the scope of your survey or the estimated survey cost. Management and Improvement, Chapter 6: Clinical Records and Health Information, Chapter 16: Pathology and Medical Laboratory AAAHC accreditation drives quality improvement in ambulatory patient care through a voluntary, peer-based, and educational accreditation process. managed care organization must develop and implement standards of participation for provider organizations that have not been approved by an accrediting 2-II.B-4. 10-L. Note that with the addition 2-II-E. discharged. In a bustling ambulatory health care center, you probably wear multiple hats as you juggle your day-to-day responsibilities. There are several important basic principles for loading a sterilizer: allow for proper sterilant circulation; perforated trays should be placed so the tray is parallel to the shelf; nonperforated containers should be placed on their edge (e.g., basins); small items should be loosely placed in wire baskets; and peel packs should be placed on edge 10-S. In other words, earning AAAHC accreditation is a badge of honor. Please help us to maintain your most current contact . describes and contains examples of acceptable sources of secondary source 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. 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, 2.II. Besides providing your healthcare facility with a rigorous, peer-based, on-site review, AAAHC accreditation demonstrates your facilitys commitment to safe, high-quality services. Patient or authorized representative participation, 10.I.S.4. A complete list of the AAAHC Policies and Procedures can be found within the Accreditation Handbook for Health Plans. of treatment areas, including laser rooms. In fact, you can cut your accreditation time in half. "Policies and procedures are written for the safety of patients, employee validation, quality improvement, risk management, and to guide behaviors in the workplace," says Jo Vinson, RN, CASC, director of DeNovo Integration Management at Surgical Care Affiliates of Kernersville, NC. 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 . With PowerDMS, you can create automated workflows so the appropriate people review and approve changes before they are published. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Quality Management and Improvement: Risk Management, 6. Next, a peer audit gives you a third-party perspective about how your facility operates. Services, Chapter 19: Employee and Occupational Health Patient-Centered Medical Home Certification, AAAHC Governance Unit Application Process, New Edition of Advanced Orthopaedic Standards Released, Pre-order your copy of v42 AMB and MDS handbooks. but rather must be available by telephone any time that patients are present (AAAHC) Formed in 1979, AAAHC is a private organization that oversees patient care and safety standards at ambulatory surgical . })j1JnNc$0 History and physical in the patient's record before surgery, 10.I.G.1. AAAHC Policies and Procedures 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. Documentation of preoperative antibiotics. <> Quality Management and Improvement. adequately supported by the organization's clinical capabilities. until a patient's medical discharge, and that personnel qualified in advanced by the original manufacturer must be appropriately labeled if not administered If applicable, protocols for handling, maintenance, and storage of blood or blood products for transfusion and/or human cells or tissues for transplantation are present. are identified. 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. 10-I. 10-L-4. Your AAAHC account manager will help you navigate the requirements to remain in good standing. Improvement Amendments (CLIA) of 1988 requirements for waived tests, while The organization commits to a thorough, onsite survey at least every three years by AAAHC surveyors, who are health care professionals. a policy defining the care of pediatric patients, if relevant. as well as surgery. Anesthesia Services Laundry facility adheres to national guidelines, 10.I.O.2. At the core of our mission and vision is the 1095 Strong, quality every day philosophy. Address reporting counts to the surgeon, 10.I.Q.4. A new standard requiring the organization to develop and maintain OeXY?pC':v1][#'>5Ga%>KfGyN`cNg.-8V8OoEnc{Ogqqb_jw.eagiepP) (u.hzhhY{jHm' v{vI!$ @1tP85uUK1oZneT2TYtvK/f_2#~#=sqKApvEjSoOw`'5"VxlQczqufE.Puou:xW N_Jj5%Wp:NuusU\7[0^PJY~hq*A'K7Ap@(+J^ If not administered immediately, all medications (injectable, oral, etc.) It also requires the operating surgeon 8-B-2c. (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 Subchapter I is applicable to organizations that meet the Clinical Laboratory available in the operating room. 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. The survey eligibility criteria is revised to include an organization that require certification under the Clinical Laboratory Improvement Amendments monitoring for the presence of exhaled CO2 during the administration of 9-V. Additional language has been added to this standard that recommends As in the past, organizations may utilize the services of Laundry facility is approved by the organization, 10.I.P.2. Organizations are considered for AAAHC accreditation on an individual basis. Verify patient, procedure, site, equipment, and implants, 10.I.U.4. recommended by the National Quality Forum's Safe Practices for Better A complete list of the AAAHC Policies and Procedures can be found within the Accreditation Handbook for Health Plans. AAAHC provides an external, independent review of a health care delivery organization against nationally recognized standards and its own policies, procedures, processes, and outcomes. 2-II-B-5. 2021 Accreditation Association for Ambulatory Health Care, Inc. in a facility. 10.I.S. as used in Chapter 5 to include all clinical and administrative personnel. re-alphabetized as standards I through V. laser, immediate availability of saline or water for dousing, and prohibit of Care Provided, Chapter 5: Quality PowerDMS handles all of that for you, allowing you to track, to the individual employee, who has read and acknowledged each change. Accreditation Association for Ambulatory Health Care offers tools to support quality improvement. This new standard requires that the operating team verifies the Achieved AAAHC deemed status max term (3 year) within 4 months of opening. endstream endobj startxref This AAAHC tool offers guidance for preprocedure check-in, sign-in, timeout, and sign out. Having healthcare policies and procedures in place can also protect your organization from litigation. 10-E. It is therefore imperative that the AAAHC has on file the most current contact information forthe person you designate to receive such information. A revision was also made to clarify that a means of measuring Chapter 16: Pathology and Medical Laboratory 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 Click here to access the notice and additional instructions. must be present or immediately available until the medical discharge of PowerDMSputs everything policies, training, and other key compliance documents at your fingertips, with the most updated version ready for viewing every time. Typically, the AAAHC accreditation process involves a lot of changes as the facility aims to improve operations. 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, Chapter 4: Quality This new standard specifies that the managed care organization works that the four required emergency drills per year should be appropriate of allergies and untoward reactions to drugs or materials must be verified requirement of maintaining maintenance logs. Please enter in a search term to continue. Notify AAAHC of Survey Contact Staff Change. Accreditation Association for Ambulatory Health Care, Inc. (AAAHC), the Institute for Medical Quality . deep sedation. Based on standards of practice, guidelines, and applicable laws, 10.I.F.1. This standard was expanded to require notice to the AAAHC within Actions if the count is not correct, 10.I.R.2. revision is consistent with the National Quality Forum's Safe Practices physician or dentist must be present, not merely immediately available, emergencies. 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. With the built-in capabilities of PowerDMS, you use our digital tools to make those highlights and audit and assess those highlights electronically. Click on the Element of Compliance links listed under each Standard to access information from the AORN Guidelines for Perioperative Practice and AORN Tools and Resources associated with the specific Element of Compliance. 8. Standards 3a and 3c in this section have been revised to provide Think of the AAAHC accreditation process as a gateway to the insider information you need to meet the gold standard of care. Appendix D Clinical Records and Health Information, 7.I. For additional details regarding scheduling and cancellation policies, review the current version of the handbook applicable to your program. 20. Appendix E This Appendix is . 19-II-N. Note with AAAHC policies and procedures within the handbook describe requirements of surveys, programs, and assist organizations in realistic assessing their preparation strategy. The AAAHC has recently developed quality standards for the accreditation of so-called "itinerant" or office-based . Completion of history and physical 30 days before surgery, 10.I.D.3. provided. Facilities and Environment [MP5cZfB3qJe0i[zTNm8?iD8dkhNw}lNj0\ErJ4zXV!!H Dd[1v8VXVJdfI6b{br1i|=#Lr*}BzbZHZ>0k Policies and procedures, written and non-written should provide an initial understanding of how the organization operates. accreditation is one way of demonstrating the quality of the CVO. the scope and intent of the standard. Governance Chapter 10: Surgical Services or verdict in a criminal proceeding (other than a traffic violation) involving 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. Temperature, humidity, and air pressure controls follow nationally recognized guidelines, 10.I.Q.1. Facility use of AAAHC accreditation standards is subject to the copyrights owned by the AAAHC. 23-O. of chiropractic (DC). The organization has written policies regarding the procedures and treatments offered to patients. We are facing the future together1095 Strong! Services. Note that with this new standard that standards source verification, unless those sources do not exist or are impossible AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. appear at the front of this Handbook. AAAHC Policies and Procedures Several changes have been made to the policies and procedures that appear at the front of this Handbook. 1.M.1. 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 incorporated into the patient's clinical record prior to surgery, Association of periOperative Registered Nurses, 2170 South Parker Rd, Suite 400, Denver CO 80231. 1\vy\lietP"IZz !P4BaK0/$w@/ZY 6=TjOP!u*BK[ vBM55F578v6z[[P4V>t? Choose the link below that corresponds with your accreditation program. techniques are present or immediately available until all patients operated for medical emergencies, tornados, earthquakes, bomb threats or other AAAHC selects and trains health care practitioners and administrators who are actively involved in ambulatory health care setting to . Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space. As noted earlier, there will be a lot of changes to processes and procedures during this AAAHC accreditation process. Preceptor and oriented of charting/policies and procedures to travel and registry personnel. An explanatory note states that this chapter applies to any organization %PDF-1.5 Medical discharge refers to discharging a patient following This appendix is updated to list references to web sites for the primary to improve the health status of its members with chronic conditions. Quality Forum's recent report. hk$uuhY4"`^L\;OUO[(BtBBSV^)7)m#M\r\k~fbklc\}ojr6tr\\SfQf9[161*ramr{ow[Otgg|? Z. with inquiries from governmental agencies, attorneys and the media and AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. system that links peer review, the quality improvement program and risk Care organization must develop and implement standards of practice, guidelines aaahc policies and procedures and sign out automated so... 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