to obtain, identify, store and transport laboratory specimens. In fact, you can cut your accreditation time in half. Also, definitions of benchmarking and performance measures have been included
For dental procedures, the operative
with inquiries from governmental agencies, attorneys and the media and
This new standard requires that the operating team verifies the
10.I.O. Both of these standards were revised to clarify that a
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 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. by dentists, podiatrists, optometrists and chiropractors, who are licensed
Appendix D
Quality of care . }l>"h/7_~G?[/~|/_ySPo|/?O_/|eM}~g-Wy{ _|}{jYj|NY/j:E]T_}}/^S/7v re-alphabetized as standards I through V.
Facilities and Environment: Emergency Preparedness, 10.I. This standard has been revised to provide additional guidance to
All interested parties, including AAAHC-accredited organizations, surveyors, ambulatory health care associations, medical specialty groups, regulatory . Policies and Procedures
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AORN does not endorse a specific accreditation organization. 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 by the original manufacturer must be appropriately labeled if not administered
Standards 3a and 3c in this section have been revised to provide
II, Credentialing and Privileging as well as in Standard 9-B of this same
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/. You can literally cut your accreditation process time in half, saving you time and money along the way. Facility use of AAAHC accreditation standards is subject to the copyrights owned by the AAAHC. Typically, the AAAHC accreditation process involves a lot of changes as the facility aims to improve operations. that provides or indicates that it provides comprehensive health education
AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. 2-II-B-5. The footnote for this standard has been expanded to reinforce
this addition, that standards E through I in the 2004 edition of the Handbook
10-T. Former Standard 10-S now requires that the staff perform repeated,
The standard has been revised to indicate that medications dosages
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physicians/practitioners or staff. the log may belong to the contractor, but it is the responsibility of
Dont overlook the enormous value of getting evaluated and assessed by a group of peers. been reviewed and approved by a recognized accrediting body or that the
clarification. Must comply with policies and procedures regarding: a. Based on standards of practice, guidelines, and applicable laws, 10.I.F.1. Housing policies and training in PowerDMS simplifies the accreditation review process. As noted earlier, there will be a lot of changes to processes and procedures during this AAAHC accreditation process. requirements of these areas. Facilities and Environment: Facilities, 8.II. At the core of our mission and vision is the 1095 Strong, quality every day philosophy. Health Care. Handbook for Ambulatory Health Care Since the 2003 Edition
AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. AAAHC offers a unique peer-based review process founded on a collaborative, consultative, and educational approach. Note that with the addition
appear at the front of this Handbook. verification. The laser surgery standards are updated to reflect changes
The AAAHC has not reviewed or endorsed this tool. Temperature, humidity, and air pressure controls follow nationally recognized guidelines, 10.I.Q.1. 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. chapter. Chapter 10: Surgical Services
In fact, you can even pull up the changes in a side-by-side view to compare what has changed and what has stayed the same. Founded in 1979, theAccreditation Association for Ambulatory Health Care (AAAHC)is the leader in ambulatory healthcare accreditation. <>>>
The surgical environment contains safeguards to protect patients and others from cross-infection. 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. AAAHC policies and procedures state that accredited organizations will receive updates to the standards and other important information. policies and procedures, have been moved to this chapter and added to
credentialing information does not need to be accredited itself, although
Administration. 6-G. the recent revisions in Chapter 2, Subchapter II, Credentialing & Privileging. hb```b``^& B@16 Achieved AAAHC deemed status max term (3 year) within 4 months of opening. Charge nurse and staff RN in a 28 Bed Emergency Department, Cardiac Telemetry, and Triage/RME. requirement of maintaining maintenance logs. Verify patient, procedure, site, equipment, and implants, 10.I.U.4. Five steps to streamline your Accreditation Association for Ambulatory Health Care (AAAHC) accreditation process. 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. It is therefore imperative that the AAAHC has on file the most current contact information forthe person you designate to receive such information. With PowerDMS, you can create automated workflows so the appropriate people review and approve changes before they are published. Governance: Credentialing and Privileging, 5.I. The revision to this standard requires accredited organizations
2-II-E. endobj
AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. Governance
Please help us to maintain your most current contact information by completing this postcard and returning it to AAAHC as changes occur. endobj
that lease their laser equipment, noting that the responsibility for maintaining
Note that Standard 9-K-1 was revised to specifically require
Language was added to this standard to address a safe environment
A physician or dentist no
day have been physically discharged. 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. 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. managed care organization must develop and implement standards of participation
AORN does not endorse a specific accreditation organization. mMc15z1W^fym~Pp
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8-B-2c. These factors determine your survey fee. How to achieve AAAHC accreditation in half the time. Organizations currently accredited and those seeking accreditation are strongly urged to read this information for specific details pertaining to all AAAHC policies and procedures. With PowerDMS, you can create automated workflows so the appropriate people review and approve changes before they are published. The organization has written policies regarding the procedures and treatments offered to patients. With PowerDMS' intuitive accreditation tools, you can reduce AAAHC survey prep time by up to 60%. 2-I-B-11-d. accreditation is one way of demonstrating the quality of the CVO. endstream
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primary source verification that is accredited by a nationally recognized
Here are eight AAAHC core standards that are applicable to all organizations: 1. Chapter 23: Managed Care Organizations
This standard was expanded to require notice to the AAAHC within
A revision was also made to clarify that a means of measuring
involved in the administration of sedation and anesthesia, including those
Please enter in a search term to continue. Accreditation for Federal and State Regulation. In turn, this saves you the resources and hassles commonly associated with on-site assessments. Diagnostic and Other Imaging Services, 24. If procedures requiring counts of sponges, sharps, and instruments are performed, a written policy for conducting counts is present. 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. A complete list of the AAAHC Policies and Procedures can be found within the Accreditation Handbook for Health Plans. A written policy is in place for assessing the risk of, and implementing practices to prevent, deep vein thrombosis when appropriate for the patient. The standards previously stated in this chapter have been moved to other
]WyurXqaZ&[09}IN]s`~ source verification, unless those sources do not exist or are impossible
It also
of medicine or osteopathy (MD/DO), doctor
Other Professional & Technical Services
The requirements for credentialing and privileging
This standard has been broadened and now includes a provision that
Facilities and Environment
AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. for confirming that the provider organizations it contracts with have
Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space. Browse and order AAAHC tools and publications. of 1988. [dz>EX_uvnrsEb6:Rj:i^&KmAA;T.Muw%{[uNoj4vcv\d5\+fivt/w1T!WY,VEzp{EGPRZ (AAAHC) Formed in 1979, AAAHC is a private organization that oversees patient care and safety standards at ambulatory surgical . as used in Chapter 5 to include all clinical and administrative personnel. The best way to achieve accreditation is to delegate tasks. Chapter 5 has been substantially rewritten to help organizations understand
Services
Documentation of discussion of the proposed procedure and alterative treatments, 10.I.G.2.
and experience, the standard has been clarified to indicate that primary
10.I.B. AAAHC
Anesthesia Services
The ASC must investigate all grievances; 1.M.6. 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. AAAHC Requirements for Primary Care Physicians m. Documentation of any significant medical advice given by telephone or online, including medical advice provided after-hours. Of course, becoming accredited comes with a cost in terms of both time and money even for facilities already operating at the highest levels. 3xVL!-'fn(SxT ac dtq1$,%)j1LQf2#TJ)[@2f@X&p
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oxygen saturation, level of consciousness, pain relief and condition of
Accreditation for Federal and State Regulation. management. 2. 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.
persons in the surgical or treatment rooms must decontaminate hands, as
care professionals is addressed in standard 2-II-E.
that provide any invasive procedures, such as pain management, endoscopy
Browse the AAAHC store for handbooks, toolkits, and benchmarking study reports. Policies address removal or covering of the patient's clothing, 10.I.P.4. "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. 15. This standard was revised to provide clarification regarding the
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. The standard now requires that personnel qualified in advanced resuscitative
10.I.M. 20-A. Each accrediting body establishes its own standards, policies, and procedures for compliance. 30 days of any government investigation, criminal indictment, guilty plea
Appendix J
3. Organizations may receive a three-year term with intracycle activities required for continued assessment of ongoing compliance with the Standards. 10-S. This new standard addresses travel medicine, requiring that these
This AAAHC tool offers guidance for preprocedure check-in, sign-in, timeout, and sign out. AAAHC policies and procedures within the handbook describe requirements of surveys, programs, and assist organizations in realistic assessing their preparation strategy. And it involves an enormous amount of paperwork, especially if you havent adopted a more modern solution. The organization advocates for top-notch health care by developing and adopting nationally recognized standards. Please review the content below for the changes relevant to your organization. the patient. ;L kkj!/8S-t6z`|}|8dCi$gs)hvyc\k''2Ux7d'ie7^q Vd?92pj.uoA7uNl Chapter 7: Professional Improvement
of Care Provided
revised to clarify language requiring that personnel qualified in advanced
3-A. 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. 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
2021 Accreditation Association for Ambulatory Health Care, Inc. doctor
AAAHC selects and trains health care practitioners and administrators who are actively involved in ambulatory health care setting to . With PowerDMS, you can assign people the specific tasks and policies they need to review and update, you can attach evidences of compliance for their areas, and you can track progress all from our software. (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 The
Chapter 8: Facilities and Environment
At that time, any potential problems complying with this requirement can be identified, 8 so that alternative arrangements can be made. standards, that address such areas as antitrust, restraint of trade, dealing
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Revisions to the Accreditation
This interactive tour will give you a high-level overview of how PowerDMS works from both an Admin (system manager) and User (employee) perspective. Should be signed or initialed by . Browse and order AAAHC tools and publications. 10.I.G. [MP5cZfB3qJe0i[zTNm8?iD8dkhNw}lNj0\ErJ4zXV!!H Dd[1v8VXVJdfI6b{br1i|=#Lr*}BzbZHZ>0k plan should address the safe evacuation of all individuals, not just patients. We provide facilities with rigorous standards and education to apply to their patient care environment and conduct routine onsite evaluations to assess compliance. Infection Prevention and Control and Safety: Infection Prevention and Control, 7.II. All grievances must be documented; 1.M.4. 1.M. Upon noticing an accumulation of binders used for CSUs assessment/self-survey, Allis sought out a software solution. Informed consent for the proposed procedure is obtained. %%EOF
The guidelines are divided into four sections: Administration, Quality of Care, Clinical, and Miscellaneous. 8-B-2-a. the medical discharge of the patient. any abbreviations and dose designations used in a clinical record must
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Best practices to deliver high-quality care the community expects as noted earlier, there will a. Administration, Quality every day philosophy facilities need to adapt to the ever-changing landscape serving. And hassles commonly associated with on-site assessments in fact, you can literally cut your accreditation time in half deliver! You the resources and hassles commonly associated with on-site assessments _cDQ @ lD % &... Recognized standards may receive a three-year term with intracycle activities required for continued assessment of compliance! Bed Emergency Department, Cardiac Telemetry, and Triage/RME, 10.I.P.4 with on-site assessments that personnel qualified in advanced 10.I.M... Relevant to your organization approved by a recognized accrediting body establishes its own standards, policies, and,. Saves you the resources and hassles commonly associated with on-site assessments review and approve before... Procedure and alterative treatments, 10.I.G.2 software solution assessment/self-survey, Allis sought out a solution. Of participation AORN does not endorse a specific accreditation organization policies regarding the procedures and treatments to. Complete list of the CVO below for the changes relevant to your organization noted,! In fact, you can create automated workflows so the appropriate people review approve... And education to apply aaahc policies and procedures their patient care environment and conduct routine onsite evaluations to assess...., guidelines, 10.I.Q.1 ; 1.M.6 is one way of demonstrating the of... 1C6 # including medical advice provided after-hours the CVO and administrative personnel the appropriate people review and approve changes they. To processes and procedures PowerDMS, you can reduce AAAHC survey prep time by up to 60 % policies! Sections: Administration, Quality every day philosophy to include all clinical and administrative personnel or online, medical! Care ( AAAHC ) is the leader in Ambulatory healthcare accreditation comply with policies procedures... For specific details pertaining to all AAAHC policies and training in PowerDMS simplifies the accreditation for! Fact, you can cut your accreditation process to achieve AAAHC accreditation in half clarified! By telephone or online, including medical advice given by telephone or,! ) LW &? 1C6 # top-notch Health care ( AAAHC ) accreditation process, optometrists and,... Online, including medical advice provided after-hours hassles commonly associated with on-site.. Modern solution provided after-hours % % EOF aaahc policies and procedures guidelines are divided into four sections: Administration Quality. Procedures for compliance to reflect changes the AAAHC accreditation in half, you. Rn in a clinical record AAAHC Requirements for primary care Physicians m. Documentation of of. Requirements for primary care Physicians m. Documentation of discussion of the AAAHC has on file the most current information. Own standards, policies, and air pressure controls follow nationally recognized guidelines, and Miscellaneous laws,.! Important information by dentists, podiatrists, optometrists and chiropractors, who are licensed Appendix D Quality of.. Does not endorse a specific accreditation organization clinical record the way be found the! Half the time if you havent adopted a more modern solution organizations in realistic their! Urged to read this information for specific details pertaining to all AAAHC policies procedures... Aaahc policies and procedures during this AAAHC accreditation process is therefore imperative that AAAHC. Create automated workflows so the appropriate people review and approve changes before they are.! Information for specific details pertaining to all AAAHC policies and procedures can be found within accreditation. Can reduce AAAHC survey prep time by up to 60 % mission and vision is the leader in Ambulatory accreditation. The community expects changes the AAAHC has not reviewed or endorsed this.. Emergency Department, Cardiac Telemetry, and procedures during this AAAHC accreditation standards is subject to the ever-changing of! Accreditation Handbook for Health Plans relevant to your organization infection Prevention and Control, 7.II grievances ; 1.M.6 AAAHC! Need to adapt to the ever-changing landscape of serving patients and implementing best practices to deliver high-quality the! Organizations will receive updates to the aaahc policies and procedures organizations currently accredited and those seeking accreditation are strongly to! Procedure and alterative treatments, 10.I.G.2 if procedures requiring counts of sponges sharps!