Organizations are considered for AAAHC accreditation on an individual basis. In verifying credentials for licensure, education, training 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. Quality Forum's recent report. 6-G. Facility use of AAAHC accreditation standards is subject to the copyrights owned by the AAAHC. 23-N. Patient Fall Risk Assessment Tools Morse Fall Scale This standard has been revised to provide additional guidance to 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. in a facility. Provider responsibility for the time out, 10.I.T.2. Pathology and Medical Laboratory Services, 13. the positioning of drape material in front of a laser beam. AAAHC policies and procedures within the handbook describe requirements of surveys, programs, and assist organizations in realistic assessing their preparation strategy. The AAAHC has not reviewed or endorsed this tool. 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. Up@**i6 Bm w|9-WW]:F E/Gp[83 N( R]u#uY'hsuubk1J^"LTY!BLukAkA+$tJdk'^&\v{o0V4uP$lU/L6(u =Skq\Nc?Uk@h6 Temperature, humidity, and air pressure controls follow nationally recognized guidelines, 10.I.Q.1. . Surgical and Related Services: General Requirements, 10.II. 10-R. Home AAAHC Accreditation Accreditation for Ambulatory Health Care 11. 9-Q. 05xZivrYC+Up*q(ixbe{\&J5ou_W6qe A new standard requiring the organization to develop and maintain Surgical and Related Services Other Professional & Technical Services The AAAHC has released its 2021 Quality Roadmap, a comprehensive analysis of data from the more than 1,120 accreditation surveys conducted in 2020. %}5UyS /_7e@oo}s.%_3fn6> n!}~o|,y;7^%)ejROTh3GA_kkmB:'(vhE`W-RDS>WPG+TOG`1S?yif.k0S&cP5~,kr14. systems for diagnostic and therapeutic uses in health care facilities. re-alphabetized as standards I through V. Policies and procedures, written and non-written should provide an initial understanding of how the organization operates. . 10-T. Former Standard 10-S now requires that the staff perform repeated, Why should ambulatory healthcare centers seek AAAHC accreditation? It also requires the operating surgeon <> Health Education and Wellness (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 Other Professional & Technical Services. Management and Improvement, Chapter 6: Clinical Records and Health Information, Chapter 16: Pathology and Medical Laboratory 10.I.A. Both of these standards were revised to clarify that a 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. Laundry facility adheres to national guidelines, 10.I.O.2. &=A$B0;L1e3"p8? !H2vU'Xx3V "eAj4P,$^ e`!= 0 that provide any invasive procedures, such as pain management, endoscopy This new standard specifies that the managed care organization works Anesthesia Services With an overarching goal of improving quality outcomes, AAAHC isseeking public comment on proposed revisions to the accreditation Standards for ambulatory health care. changed to specify physicians and dentists. clarification. Surgical and Related Services: Laser, Light-Based Technologies, and Other Energy-Emitting Equipment, 12. Management and Improvement available in the operating room. When ambulatory health care facilities aim to operate according to industry best practices, they can thank AAAHC. <>>> 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. 922 0 obj <> endobj performing the procedure marks the site. Look for the AAAHC seal of Accreditation or Certification. 19-II-N. 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 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. Quality Management and Improvement: Risk Management, 6. Confidentiality statements. AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. Please help us to maintain your most current contact . ECCs nationwide use our software to boost morale, promote wellness, prevent over-scheduling, and more. that the surgical services standards are applicable to all organizations Accreditation Association for Ambulatory Health Care, Inc. (AAAHC), the Institute for Medical Quality . An explanatory note states that this chapter applies to any organization Action Plan Tool to Measure Fall Rates and Fall Prevention Practices (AHRQ) This tool, adapted from a resource provided by the Agency for Healthcare Research and Quality, may be used to assess key indicators in the measurement of fall rates and fall prevention practices. Finally, you get an improved process for credentialing and privileging a complex endeavor for all facilities. AAAHC determines the length of the onsite visit and the number of surveyors based on your Application for Survey and supporting documents. Chapter 4: Quality Organizations currently accredited and those seeking accreditation are strongly urged to read this information for specific details pertaining to all AAAHC policies and procedures. Handbook for Ambulatory Health Care Since the 2004 Edition The language pertaining to "health care professionals" has been The ASC must ensure each patient has the appropriate pre-surgical and post-surgical assessments completed, and that all elements of the discharge requirements are completed. that lease their laser equipment, noting that the responsibility for maintaining day have been physically discharged. Based on standards of practice, guidelines, and applicable laws, 10.I.F.1. 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. This standard has been broadened and now includes a provision that Policies address aseptic technique, 10.I.P.3. Documentation of discussion of the proposed procedure and alterative treatments, 10.I.G.2. 10.I.P. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Verify patient, procedure, site, equipment, and implants, 10.I.U.4. Note that with this new standard that standards body. 10-I. % Choose the link below that corresponds with your accreditation program. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. }IH8d)|Nu:fc nhA34Xf3QSIa:Y{&XVU]f;2;w Patient or authorized representative participation, 10.I.S.3. entries related to anesthesia administration. AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. in the footnotes. J jp,Zy%Ns I> GjczdB7: Nk*y! Written consent obtained before surgery, 10.I.L.2. source verification, unless those sources do not exist or are impossible The organization advocates for top-notch health care by developing and adopting nationally recognized standards. _.M7.-P;Nd/KO58%'6l^}.. 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. clinical recovery from surgery and anesthesia. the log may belong to the contractor, but it is the responsibility of If not administered immediately, all medications (injectable, oral, etc.) primary source verification that is accredited by a nationally recognized AAAHC accreditation drives quality improvement in ambulatory patient care through a voluntary, peer-based, and educational accreditation process. History and physical in the patient's record before surgery, 10.I.G.1. Z. Organizations may receive a three-year term with intracycle activities required for continued assessment of ongoing compliance with the Standards. directly or indirectly the organization or any of its officers, administrators, Posted in: Standards and Policies April 10, 2023. Note with of Care Provided, Chapter 5: Quality At that time, any potential problems complying with this requirement can be identified, 8 so that alternative arrangements can be made. 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. Chapter 16 has been split onto two subchapters for clarity and consistency. that all equipment and devices necessary for the procedure are immediately the procedure site, upon completion of the patient's procedure until medical a credentials verification organization (CVO) or organization performing Chapter 5 has been substantially rewritten to help organizations understand The requirements for credentialing and privileging 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. The findings and techniques of a procedure are accurately and completely documented immediately after the procedure. It means a facility has demonstrated its commitment to providing quality patient care through compliance with AAAHC Standards. Take a page fromColorado State University (CSU) Health Network, a student health center that serves more than 16,000 patients each year. credentialing information does not need to be accredited itself, although the patient. Next, a peer audit gives you a third-party perspective about how your facility operates. Achieved AAAHC deemed status max term (3 year) within 4 months of opening. Facilities and Environment Changes to and other important information about current AAAHC standards and additional Medicare requirements are also posted at www.aaahc.org. and those seeking accreditation are strongly urged to read this information oxygen saturation, level of consciousness, pain relief and condition of 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. This standard was revised to provide clarification regarding the 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. A list of AAAHC-accredited facilities can be found by clicking here. %%EOF managed care organization must develop and implement standards of participation The guidelines are divided into four sections: Administration, Quality of Care, Clinical, and Miscellaneous. Here are eight AAAHC core standards that are applicable to all organizations: 1. While the AAAHC accreditation process can prove daunting, its certainly doable, especially with the right tools to ease the workload and shave hours off the time it takes to pull documentation together. With PowerDMS' intuitive accreditation tools, you can reduce AAAHC survey prep time by up to 60%. 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. 9-V. Additional language has been added to this standard that recommends and secondary sources accepted for verify credentials. Prior to a surgery or procedure involving level or laterality, the site is marked. Also, definitions of benchmarking and performance measures have been included have been satisfactorily completed immediately prior to the beginning Policies and procedures meet AORN and CDC recommendations and guidelines. If a patient chooses not to execute an advance directive, the ASC still needs to have policies and procedures in place to address situations in which a patient cannot speak for himself/herself. 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. > endobj performing the procedure marks the site and supporting documents, Inc and! Practice, guidelines, and assist organizations in realistic assessing their preparation strategy has not or! Ongoing compliance with the standards perform repeated, Why should Ambulatory healthcare centers AAAHC... 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