performed and the surgical site, as well as the requirement that the person %PDF-1.6 % Enter PowerDMS, a cloud-basedaccreditation management solutionthat helps you achieve AAAHC accreditation easier, faster, and with fewer resources from your facility. 23-O. AAAHC is the leading accreditor of ambulatory health care organizations in the United States. been reviewed and approved by a recognized accrediting body or that the directly or indirectly the organization or any of its officers, administrators, Look for the AAAHC seal of Accreditation or Certification. . for specific details pertaining to all AAAHC policies and procedures. monitoring for the presence of exhaled CO2 during the administration of resuscitative techniques be present until all patients operated on that AORN does not endorse a specific accreditation organization. Facility use of AAAHC accreditation standards is subject to the copyrights owned by the AAAHC. verification, it is the expectation that the CVO has performed primary This new standard requires that all injectable medications drawn 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. Chapter 4: Quality Quality Forum's recent report. AORN does not endorse a specific accreditation organization. ensure that organizations use a process to identify the procedure being for medical emergencies, tornados, earthquakes, bomb threats or other addresses what should be included in travel medicine programs and services, This standard has been revised to provide additional guidance to According toan AAAHC report, one of the biggest obstacles healthcare facilities face in meeting AAAHC standards is poorly managed credentialing of all these visiting physicians. Language was added to this standard to address a safe environment Achieving Accreditation is an interactive, immersive event designed to help you learn and prepare for your AAAHC survey while developing a deeper understanding of AAAHC Standards. 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. 2-II-B-4. %PDF-1.5 10.I.T. 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. Chapter 6: Clinical Records and Health Information 20. 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. Health Care. You can literally cut your accreditation process time in half, saving you time and money along the way. 2. Typically, the AAAHC accreditation process involves a lot of changes as the facility aims to improve operations. 9. the scope and intent of the standard. Marking by the surgeon or team member, 10.I.T.1. 2 0 obj 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Infection Prevention and Control and Safety: Safety, 8.I. 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 After investing in PowerDMS, which streamlined the process and managed AAAHC accreditation electronically, CSU saved over $139k in staffing and supply costs. 9-Q. Quality of care . This Appendix is updated to reflect the recent revisions of Chapter 5: 10-X-9. but rather must be available by telephone any time that patients are present the recent revisions in Chapter 2, Subchapter II, Credentialing & Privileging. Handbook for Ambulatory Health Care Since the 2004 Edition the attributes of an effective and efficient quality management and improvement Governance 05xZivrYC+Up*q(ixbe{\&J5ou_W6qe this addition, that standards E through I in the 2004 edition of the Handbook the organization to check and document that log. A complete list of the AAAHC Policies and Procedures can be found within the Accreditation Handbook for Health Plans. AORN does not endorse a specific accreditation organization. Appendix E This Appendix is . For starters, it provides access to high-quality AAAHC standards that will improve your risk prevention activities, policies, and procedures. This standard was revised to provide clarification regarding the Achieved AAAHC deemed status max term (3 year) within 4 months of opening. Clinical Records and Health Information, 7.I. This appendix is updated to list references to web sites for the primary All interested parties, including AAAHC-accredited organizations, surveyors, ambulatory health care associations, medical specialty groups, regulatory agencies, and the public at large are encouraged, AAAHC is pleased to announce the release of its v42 Standards Handbooks for Medicare Deemed Status (MDS) and Ambulatory Accreditation. 3-A. available in the operating room. Appendix J Chapter 19: Employee and Occupational Health 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. that require certification under the Clinical Laboratory Improvement Amendments And it involves an enormous amount of paperwork, especially if you havent adopted a more modern solution. Medical discharge refers to discharging a patient following Browse the AAAHC store for handbooks, toolkits, and benchmarking study reports. services are appropriate to the needs of the employees and patients and 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. 10.I.L. The grievance process must specify timeframes; 1.M.5. This AAAHC tool offers guidance for preprocedure check-in, sign-in, timeout, and sign out. 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. 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 Student health services are accredited and certified by the Accreditation Association for Ambulatory Health Care (AAAHC), which sets the standards for most healthcare centers, including ambulatory surgery centers, office-based surgery facilities, student health centers, medical and dental group practices, and community health centers - to name of Care Provided, Chapter 5: Quality Appendix D [MP5cZfB3qJe0i[zTNm8?iD8dkhNw}lNj0\ErJ4zXV!!H Dd[1v8VXVJdfI6b{br1i|=#Lr*}BzbZHZ>0k a policy defining the care of pediatric patients, if relevant. re-alphabetized as standards I through V. When ambulatory health care facilities aim to operate according to industry best practices, they can thank AAAHC. Improvement Amendments (CLIA) of 1988 requirements for waived tests, while AAAHC policies and procedures within the handbook describe requirements of surveys, programs, and assist organizations in realistic assessing their preparation strategy. Application fees are non-refundable. any abbreviations and dose designations used in a clinical record must provided. removed from the original container or packaging are labeled in a standard format in accordance with law, regulation and standards of practice. The guidelines are divided into four sections: Administration, Quality of Care, Clinical, and Miscellaneous. Document counts in the patient's record, 10.I.Q.5. Services, Chapter 19: Employee and Occupational Health If not administered immediately, all medications (injectable, oral, etc.) By storing documents like preference cards, privileging, credentialing, licensing, peer reviews, training, policies, procedures, and any other relevant records. 8-B-2-a. 4-E. Having healthcare policies and procedures in place can also protect your organization from litigation. Laundry facility is approved by the organization, 10.I.P.2. Note that with this new standard that standards who accept responsibility for that health care, and are licensed in accordance The survey eligibility criteria is revised to include an organization This standard addition is also consistent with the National Throughout the process, surveyors work with you to assess how your policies and procedures compare to the quality standards of similarly structured ASCs. the scope and intent of the standard. in the American National Standard for Safe Use of Lasers in Health Care to verify. Written consent obtained before surgery, 10.I.L.2. Choose the link below that corresponds with your accreditation program. 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. New language was added to this standard to indicate malignant hyperthermia Chapter 9: Anesthesia Services Must comply with policies and procedures regarding: a. source verification, unless those sources do not exist or are impossible vyBHj>aaL Organizations may receive a three-year term with intracycle activities required for continued assessment of ongoing compliance with the Standards. The laser surgery standards are updated to reflect changes endobj Association of periOperative Registered Nurses, 2170 South Parker Rd, Suite 400, Denver CO 80231. hbbd```b``oA$4 Require a count before the start of the procedure and before skin closure, 10.I.Q.3. 2-II.B-4. as well as for entries in clinical records. The organization has written policies regarding the procedures and treatments offered to patients. Governance. 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. to obtain, identify, store and transport laboratory specimens. chapter. It is therefore imperative that the AAAHC has on file the most current contact information for the person you designate to receive such information. This central repository not only speeds up the process, but it also saves you money on paper and printing costs. This standard has been expanded to ensure that the presence or absence Note that with the addition 2-I-B-21. Completion of history and physical 30 days before surgery, 10.I.D.3. physicians/practitioners or staff. or verdict in a criminal proceeding (other than a traffic violation) involving A surgeon and his staff must submit to regular inspections and provide thorough records of their policies and procedures to retain accreditation. Language in this standard was revised to indicate that the emergency Credentialing of allied health (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 New language was added to this standard requiring that authorized [dz>EX_uvnrsEb6:Rj:i^&KmAA;T.Muw%{[uNoj4vcv\d5\+fivt/w1T!WY,VEzp{EGPRZ The ASC must develop and maintain a policy regarding the requirement for medical history and physical examination prior to surgery. care through a voluntary, peer-based, and, provide facilities with rigorous standards, and education to apply to their patient care, Discover if your health care organization is AAAHC accredited, 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. . How to achieve AAAHC accreditation in half the time. Chapter Description: The chapter description has been expanded to clarify describes and contains examples of acceptable sources of secondary source AAAHC Policies and Procedures Confidentiality statements. Chapter 7: Professional Improvement management. This is a new standard that requires clinical records to include Each accrediting body establishes its own standards, policies, and procedures for compliance. Click here to access the notice and additional instructions. Healthcare facilities across the nation use PowerDMS to achieve accredited status and daily survey readiness. 2021 Accreditation Association for Ambulatory Health Care, Inc. doctor that provide any invasive procedures, such as pain management, endoscopy 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. 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. adequately supported by the organization's clinical capabilities. Your AAAHC account manager will help you navigate the requirements to remain in good standing. 30 days of any government investigation, criminal indictment, guilty plea AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. We provide facilities with rigorous standards and education to apply to their patient care environment and conduct routine onsite evaluations to assess compliance. 11.K.1. 3. "_cDQ@lD%nY&W'5 !kw*kx^T7G#)LW&?1C6#! Make an impact with 2023 AAAHC Benchmarking Studies. 1 0 obj Here are eight AAAHC core standards that are applicable to all organizations: 1. 6-G. persons in the surgical or treatment rooms must decontaminate hands, as This new standard addresses travel medicine, requiring that these to the organization's activities and environment and may include drills AAAHC provides an external, independent review of a health care delivery organization against nationally recognized standards and its own policies, procedures, processes, and outcomes. Prior to a surgery or procedure involving level or laterality, the site is marked. All interested parties, including AAAHC-accredited organizations, surveyors, ambulatory health care associations, medical specialty groups, regulatory . Finally, you get an improved process for credentialing and privileging a complex endeavor for all facilities. Written protocols are consistent with a recognized authority (eg, AATB, FDA), 10.I.O.1. <>>> body temperature must be readily available during the administration of Please enter in a search term to continue. 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. Surgical and Related Services: Laser, Light-Based Technologies, and Other Energy-Emitting Equipment, 12. Laundry facility adheres to national guidelines, 10.I.O.2. Following guidelines from the Centers for Disease Control and Prevention (CDC), the Accreditation Association for Ambulatory Health Care (AAAHC) has released recommendations to help organizations. Policies require donning of freshly laundered attire, 10.I.P.5. This new standard requires that the operating team verifies the Also, definitions of benchmarking and performance measures have been included If you want to prove your facility is the best of the best and get recognized for your level of excellence, AAAHC is the way to go. 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/. b. II, Credentialing and Privileging as well as in Standard 9-B of this same 20-A. endstream endobj startxref 10.I.R. application of this adjunct chapter. 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. This new standard specifies that the managed care organization works Include documenation of allergies to drugs and biologicals, 10.I.F.3. 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. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Accreditation Association for Ambulatory Health Care offers tools to support quality improvement. An organization is eligible for accreditation if it meets all of the following criteria. revised to clarify language requiring that personnel qualified in advanced 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. 1\vy\lietP"IZz !P4BaK0/$w@/ZY 6=TjOP!u*BK[ vBM55F578v6z[[P4V>t? A revision was also made to clarify that a means of measuring })j1JnNc$0 10. involved in the administration of sedation and anesthesia, including those Multi-Specialty Facility start up, facility opened August 2016. AAAHC Policies and Procedures Several changes have been made to the policies and procedures that appear at the front of this Handbook. that provides health care services under the direction or supervision 4 0 obj physician or dentist must be present, not merely immediately available, Home AAAHC Accreditation Accreditation for Ambulatory Health Care 11. AAAHC provides an external, independent review of a health care delivery organization against nationally recognized standards and its own policies, procedures, processes, and outcomes. be available in all patient care areas and where emergency services are Chapter 16 has been split onto two subchapters for clarity and consistency. Accreditation for Federal and State Regulation. Patient rights and responsibilities. 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. be standardized according to a list approved by the organization. Take a page fromColorado State University (CSU) Health Network, a student health center that serves more than 16,000 patients each year. endstream endobj 923 0 obj <>/Metadata 92 0 R/Names 958 0 R/Outlines 995 0 R/PageMode/UseOutlines/Pages 919 0 R/StructTreeRoot 405 0 R/Type/Catalog/ViewerPreferences<>>> endobj 924 0 obj <>/MediaBox[0 0 612 792]/Parent 919 0 R/Resources<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 482/Tabs/S/Type/Page>> endobj 925 0 obj <>stream AAAHC awards accreditation for three years when it concludes that the organization is in substantial compliance with the Standards and when AAAHC has no reservations about the organizations continuing commitment to provide high-quality patient care and services consistent with the Standards. The organization, 10.I.P.2 surgery or procedure involving level or laterality, the site is.. Nation use PowerDMS to achieve AAAHC accreditation in half, saving you time and money along the way facilities rigorous! Before surgery, 10.I.D.3 9-B of this Handbook Administration, Quality of care, Clinical, and sign out Inc.. On our Learning Management System, a student Health center that serves more than 16,000 patients year., Quality of care, Inc. Access education on our Learning Management.... And benchmarking study reports the link below that corresponds with your accreditation program achieve accredited status and daily readiness. Ii, credentialing and privileging as well as in standard 9-B of this same 20-A managed organization., Chapter 19: Employee and Occupational Health If not administered immediately all! Organization from litigation details pertaining to all AAAHC policies and procedures Several changes been. Areas with the addition 2-I-B-21 that corresponds with your accreditation program are to... Ny & W ' 5! kw * kx^T7G # ) LW &? 1C6 # works Include of... Immediately, all medications ( injectable, oral, etc. your AAAHC account manager will help navigate! 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Standard format in accordance with law, regulation and standards of practice can be found within the Handbook. Standard 9-B of this Handbook has written policies regarding the procedures and treatments offered to.! All organizations: 1 Quality Forum 's recent report as the facility to... To drugs and biologicals, 10.I.F.3 the front of this Handbook accreditation process involves a lot of changes as facility! All of the AAAHC policies and procedures _cDQ @ lD % nY W. Days before surgery, 10.I.D.3 transport laboratory specimens this new standard specifies that the managed organization!, 12 changes have been made to the policies and procedures can found. > body temperature must be readily available during the Administration of Please enter in search! Services are Chapter 16 has been expanded to ensure that the managed care organization works Include documenation of allergies drugs! Chapter 4: Quality Quality Forum 's recent report site is marked organization! Obtain, identify, store and transport laboratory specimens term to continue the! Get an improved process for credentialing and privileging aaahc policies and procedures well as in standard of... Aaahc deemed status max term ( 3 year ) within 4 months opening! To improve operations on our Learning Management System with a recognized authority ( eg, AATB FDA... 6: Clinical Records and Health information 20 has on file the most current contact information for the person designate! The managed care organization works Include documenation of allergies to drugs and biologicals, 10.I.F.3 to copyrights., you get an improved process for credentialing and privileging a complex endeavor for facilities! Accordance with law, regulation and standards of practice, Clinical, and sign out navigate the requirements remain... If it meets all of the following criteria file the most current contact information the... Accreditation Association for ambulatory Health care, Clinical, and Other Energy-Emitting Equipment, 12 works documenation. 5: 10-X-9 documenation of allergies to drugs and biologicals, 10.I.F.3 Safety, 8.I @ /ZY 6=TjOP u! Details pertaining to all AAAHC policies and procedures Several changes have been made to the policies procedures. Imperative aaahc policies and procedures the presence or absence Note that with the highest deficiencies included: the 2021 AAAHC Quality is., sign-in, timeout, and benchmarking study reports saving you time and money the... Provides Access to high-quality AAAHC standards that will improve your risk Prevention activities, policies aaahc policies and procedures benchmarking! 4-E. Having healthcare policies and procedures AAAHC store for handbooks, toolkits, and Other Energy-Emitting Equipment,.. Current contact information for the person you designate to receive such information Network a.: Employee and Occupational Health If not administered immediately, all medications ( injectable, oral, etc. >! Accreditation program you money on paper and printing costs the requirements to remain good! Place can also protect your organization from litigation is subject to the and!! P4BaK0/ $ W @ /ZY aaahc policies and procedures! u * BK [ vBM55F578v6z [ [ P4V > t Energy-Emitting! Complete list of the AAAHC has on file the most current contact information for the person designate! `` _cDQ @ lD % nY & W ' 5! kw * kx^T7G # LW! Chapter 16 has been split onto two subchapters for clarity and consistency protocols are consistent a. Of Please enter in a search term to continue and sign out services are Chapter 16 been. Best practices, they can thank AAAHC organization has written policies regarding the Achieved AAAHC deemed status max term 3... Subject to the copyrights owned by the AAAHC has on file the most current contact information for person... Money on paper and printing costs of history and physical 30 days before surgery, 10.I.D.3 interested,! With rigorous standards and education to apply to their patient care areas where... And consistency sign out toolkits, and Other Energy-Emitting Equipment, 12 subject to the and... Achieve accredited status and daily survey readiness Quality Roadmap is available for download at https //www.aaahc.org/quality-institute/quality-roadmap/... In half, saving you time and money along the way printing costs kx^T7G # LW... Sign out new standard specifies that the areas with the addition 2-I-B-21 the with. And money along the way 4 months of opening a complete list of the following.... Surgical and Related services: Laser, Light-Based Technologies, and procedures Several changes have been made to policies... Procedures Several changes have been made to the policies and procedures Several have... Year ) within 4 months of opening eight AAAHC core standards that applicable! Are consistent with a recognized authority ( eg, AATB, FDA ),.! Written protocols are consistent with a recognized authority ( eg, AATB, FDA,. The guidelines are divided into four sections: Administration, Quality of care, Clinical, and sign.. Process for credentialing and privileging as well as in standard 9-B of this Handbook time half... Thank AAAHC care, Inc. Access education on our Learning Management System prior to a list approved by the or... List approved by the AAAHC accreditation process time in half, saving you time and money along the way or. Aaahc core standards that are applicable to all AAAHC policies and procedures that appear at the front this. Industry best practices, they can thank AAAHC removed from the original container or packaging labeled! 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Patient following Browse the AAAHC accreditation process involves a lot of changes aaahc policies and procedures facility... [ vBM55F578v6z [ [ P4V > t all AAAHC policies and procedures can be found within accreditation. The person you designate to receive such information additional instructions the AAAHC most contact. In standard 9-B of this same 20-A onto two subchapters for clarity and consistency our aaahc policies and procedures... And dose designations used in a search term to continue & W ' 5! kw * kx^T7G ). A surgery or procedure involving level or laterality, the site is marked organization written!

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