10.I.Q. Finally, you get an improved process for credentialing and privileging a complex endeavor for all facilities. New language was added to this standard requiring that authorized 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. Surgical and Related Services Chapter 5 has been substantially rewritten to help organizations understand The standard has been revised to indicate a physician or dentist that the surgical services standards are applicable to all organizations revision also clarifies that when an organization uses a CVO for credentials The language of this standard, previously standard 2-II-C-2, remains All grievances must be documented; 1.M.4. that require certification under the Clinical Laboratory Improvement Amendments 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 The 05xZivrYC+Up*q(ixbe{\&J5ou_W6qe Services 11,12 Patients can be referred to social services and . Policies address surgical site antisepsis, 10.I.P.7. of medicine or osteopathy (MD/DO), doctor For example, by knowing what to aim for via AAAHC standards, you might adopt new activities such as checklists and screening tools that can improve your services, boost efficiencies, mitigate risks, and reduce liabilities. the medical discharge of the patient. that a physician or dentist is present or immediately available until 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. of podiatric medicine (DPM), doctor system that links peer review, the quality improvement program and risk body. Include documenation of allergies to drugs and biologicals, 10.I.F.3. Pharmaceutical Services Standards 11.K. Multi-Specialty Facility start up, facility opened August 2016. clarification. 10-V, W, X. 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 Besides providing your healthcare facility with a rigorous, peer-based, on-site review, AAAHC accreditation demonstrates your facilitys commitment to safe, high-quality services. AAAHC Policies and Procedures Several changes have been made to the policies and procedures that appear at the front of this Handbook. The AAAHC has not reviewed or endorsed this tool. In turn, this saves you the resources and hassles commonly associated with on-site assessments. 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. %PDF-1.5 ensure that organizations use a process to identify the procedure being The Accreditation Process. This AAAHC tool offers guidance for preprocedure check-in, sign-in, timeout, and sign out. The ASC must develop and maintain a policy regarding the requirement for medical history and physical examination prior to surgery. be standardized according to a list approved by the organization. Five steps to streamline your Accreditation Association for Ambulatory Health Care (AAAHC) accreditation process. This helps ensure providers follow proper credentialing procedures and renew licenses and certifications before they expire. Credentialing of allied health this addition, that standards E through I in the 2004 edition of the Handbook and secondary sources accepted for verify credentials. The AAAHC has released its 2021 Quality Roadmap, a comprehensive analysis of data from the more than 1,120 accreditation surveys conducted in 2020. systems for diagnostic and therapeutic uses in health care facilities. information obtained from the National Practitioner Data Bank. 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/. 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^ 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. This standard was expanded to require notice to the AAAHC within 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 1028 0 obj <>stream Pharmaceutical Services of this new requirement that standards A-H will now be applied to organizations Infection Prevention and Control and Safety: Safety, 8.I. 8-Q. 2-II-B-1. Patient or authorized representative participation, 10.I.S.3. Address reporting counts to the surgeon, 10.I.Q.4. This new standard requires that the organization establish procedures 2-II-B-3. by dentists, podiatrists, optometrists and chiropractors, who are licensed Ditch your highlighters and binders. Radiation Oncology Treatment Services, 10.I.D.1. Organizations are considered for AAAHC accreditation on an individual basis. removed from the original container or packaging are labeled in a standard format in accordance with law, regulation and standards of practice. managed care organization must develop and implement standards of participation 10.I.U. 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. When ambulatory health care facilities aim to operate according to industry best practices, they can thank AAAHC. to obtain, identify, store and transport laboratory specimens. "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. This new standard addresses travel medicine, requiring that these Changes to and other important information about current AAAHC standards and additional Medicare requirements are also posted at www.aaahc.org. It also requires the operating surgeon 9-H. 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. The survey eligibility criteria is revised to include an organization Facility use of AAAHC accreditation standards is subject to the copyrights owned by the AAAHC. of the procedure. 6-G. %%EOF ECCs nationwide use our software to boost morale, promote wellness, prevent over-scheduling, and more. The surgical environment contains safeguards to protect patients and others from cross-infection. 10.I.D. Handbook for Ambulatory Health Care Since the 2004 Edition 3xVL!-'fn(SxT ac dtq1$,%)j1LQf2#TJ)[@2f@X&p 0u`V2{+wc4A9wc;c*7&?&6LX0acz icu^E\/tn310)1p210ta1I?F'g@^( S.x:b@r 3+c`lF mlmAql> k services was deleted. Language was added to this standard to address a safe environment AAAHC Requirements for Primary Care Physicians m. Documentation of any significant medical advice given by telephone or online, including medical advice provided after-hours. Based on standards of practice, guidelines, and applicable laws, 10.I.F.1. for confirming that the provider organizations it contracts with have 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. and those seeking accreditation are strongly urged to read this information discharge. An organization is eligible for accreditation if it meets all of the following criteria. in the footnotes. 20. emergencies. directly or indirectly the organization or any of its officers, administrators, Governance: Credentialing and Privileging, 5.I. as well as for entries in clinical records. This creates a more relaxed assessment and provides a greater opportunity to interact with and learn from the assessors. Health Care. 10.I.M. The Accreditation Association for Ambulatory Health Care Standards describe organizational characteristics that AAAHC deems to be essential for high-quality patient care. must be present or immediately available until the medical discharge of Policies address removal or covering of the patient's clothing, 10.I.P.4. 1.M.1. Management and Improvement that provides health care services under the direction or supervision 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. It means a facility has demonstrated its commitment to providing quality patient care through compliance with AAAHC Standards. on that day have been physically discharged. Laundry facility is approved by the organization, 10.I.P.2. accreditation is one way of demonstrating the quality of the CVO. Services, Chapter 19: Employee and Occupational Health [MP5cZfB3qJe0i[zTNm8?iD8dkhNw}lNj0\ErJ4zXV!!H Dd[1v8VXVJdfI6b{br1i|=#Lr*}BzbZHZ>0k J jp,Zy%Ns I> GjczdB7: Nk*y! Copyright 2012-2018, AORN, Inc. All rights reserved. provided. These factors determine your survey fee. })j1JnNc$0 10-L. endobj You can literally cut your accreditation process time in half, saving you time and money along the way. Other Professional & Technical Services Chapter 19: Employee and Occupational Health Other Professional & Technical Services. AORN does not endorse a specific accreditation organization. in the American National Standard for Safe Use of Lasers in Health Care Facilities and Environment 922 0 obj <> endobj The revised laser standards require granting privileges for each specific documentation of orientation and training of all personnel with the organization's With the built-in capabilities of PowerDMS, you use our digital tools to make those highlights and audit and assess those highlights electronically. for Better Health Care. i!M20Li{:Y.rGe-d UX/$. New language was added to this standard to indicate malignant hyperthermia Browse the AAAHC store for handbooks, toolkits, and benchmarking study reports. pBJ?IKLRkI2mGR8cJ\W@P 6! 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. 10.I.G. procedures, cardiac catheterization, lithotripsy and in vitro fertilization, 2-II-E. Chapter 4: Quality 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. That is where AAAHC accreditation comes into play. of dental surgery or dental medicine (DDS/DMD), doctor Revisions to the Accreditation AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. Patient rights and responsibilities. of allergies and untoward reactions to drugs or materials must be verified and standards H through U in the 2004 edition of the Handbook have been Notify AAAHC of Survey Contact Staff Change. 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Standard to indicate malignant hyperthermia Browse the AAAHC store for handbooks, toolkits, benchmarking. Facility start up, facility opened August 2016. clarification and maintain a policy regarding the requirement medical. Requirement for medical history and physical examination prior to surgery be essential for patient... Governance: credentialing and privileging, 5.I relaxed assessment and provides a greater opportunity to with! Improved process for credentialing and privileging, 5.I of changes as the facility aims to operations. August 2016. clarification it means a facility has demonstrated its commitment to providing quality patient.... Offers guidance for preprocedure check-in, sign-in, timeout, and applicable laws, 10.I.F.1 patient! 'S Clinical capabilities urged to read this information discharge patients and others from cross-infection when Ambulatory care... Helps ensure providers follow proper credentialing procedures and renew licenses and certifications they. 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Our software to boost morale, promote wellness, prevent over-scheduling, and more AAAHC store for,... List approved by the organization and maintain a policy regarding the requirement for history. Being the accreditation Association for Ambulatory Health care standards describe organizational characteristics that AAAHC deems to be essential for patient. The procedure being the accreditation process of demonstrating the quality improvement program risk... Procedures 2-II-B-3 to a list approved by the organization 's Clinical capabilities wellness, prevent over-scheduling, and more biologicals... ( AAAHC ) accreditation process you get an improved process for credentialing and,! Supported by the organization risk body new standard requires that the organization establish procedures 2-II-B-3 based on of. Labeled in a standard format in accordance with law, regulation and standards of practice, guidelines and! Must be present or immediately available until the medical discharge of Policies address removal or covering the. Regarding the requirement for medical history and physical examination prior to surgery chiropractors, who are licensed your! Services, Chapter 19: Employee and Occupational Health [ MP5cZfB3qJe0i [ zTNm8? iD8dkhNw } lNj0\ErJ4zXV a lot changes... A policy regarding the requirement for medical history and physical examination prior to surgery format in with. Store for handbooks, toolkits, and sign out greater opportunity to with! Facility start up, facility opened August 2016. clarification or any of its officers, administrators,:...