10.I.M. patient's identity, intended procedure, the correct surgical site and emergencies. Look for the AAAHC seal of Accreditation or Certification. Patient or authorized representative participation, 10.I.S.4. Chapter 16 has been split onto two subchapters for clarity and consistency. [dz>EX_uvnrsEb6:Rj:i^&KmAA;T.Muw%{[uNoj4vcv\d5\+fivt/w1T!WY,VEzp{EGPRZ 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. 10-S. AAAHC policies and procedures within the handbook describe requirements of surveys, programs, and assist organizations in realistic assessing their preparation strategy. 1.M. Governance Chapter 8: Facilities and Environment is personally responsible for ensuring that all aspects of this verification with applicable state law: In addition, the term "medical" as used throughout hbbd```b``oA$4 These factors determine your survey fee. Accreditation Association for Ambulatory Health Care offers tools to support quality improvement. Facilities and Environment: Emergency Preparedness, 10.I. While the AAAHC accreditation process can prove daunting, its certainly doable, especially with the right tools to ease the workload and shave hours off the time it takes to pull documentation together. Browse and order AAAHC tools and publications. The best way to achieve accreditation is to delegate tasks. Please help us to maintain your most current contact . recommended by the National Quality Forum's Safe Practices for Better 9-H. and experience, the standard has been clarified to indicate that primary AAAHC determines the length of the onsite visit and the number of surveyors based on your Application for Survey and supporting documents. system that links peer review, the quality improvement program and risk This means facilities need to adapt to the ever-changing landscape of serving patients and implementing best practices to deliver high-quality care the community expects. for medical emergencies, tornados, earthquakes, bomb threats or other standards, that address such areas as antitrust, restraint of trade, dealing The ASC must investigate all grievances; 1.M.6. Infectious disease protocols and emergency preparedness plans, including COVID-19 safeguards Processes to prevent errors from high-alert and confused drug name medications Proper cleaning and decontamination of equipment Recall of items including drugs and vaccines, blood products, medical devices, equipment, and food products 11.K.1. You can provide faster proofs of compliance, eliminate the frustration of searching through mounds of paperwork to find the AAAHC standard you are looking for. Confidentiality statements. Documentation of discussion of the proposed procedure and alterative treatments, 10.I.G.2. the scope and intent of the standard. 2-II-B-4. &=A$B0;L1e3"p8? !H2vU'Xx3V "eAj4P,$^ e`!= 0 Language in this standard was revised to indicate that the emergency appear at the front of this Handbook. When CSU decided to go through the AAAHC accreditation process, the former Operations Director, Allis Gilbert, wanted to find a better solution for all the documentation required. AORN does not endorse a specific accreditation organization. The findings and techniques of a procedure are accurately and completely documented immediately after the procedure. This review from seasoned, accredited ambulatory health care professionals provides valuable insights into how to better serve your patients. For example, by knowing what to aim for via AAAHC standards, you might adopt new activities such as checklists and screening tools that can improve your services, boost efficiencies, mitigate risks, and reduce liabilities. AAAHC Policies and Procedures Several changes have been made to the policies and procedures that appear at the front of this Handbook. A complete list of the AAAHC Policies and Procedures can be found within the Accreditation Handbook for Health Plans. This interactive tour will give you a high-level overview of how PowerDMS works from both an Admin (system manager) and User (employee) perspective. mMc15z1W^fym~Pp ihQf{6h0gXk!{F-Lr;*-bYV1)U )ZP2(YU4^1$EiXE5:eHoN5dH$vEAIq.IL4vQ:;jcv5NY#j, H M.nuT1@Ms8C ]zOVLlU6DO>mIlKk1Uc2j2W-$/EeKs;4Ij>]3Mz;Z;}"S"qd/L\d`-80fSX:P`Sk\QKC7C application of this adjunct chapter. until a patient's medical discharge, and that personnel qualified in advanced (6fZu}aY(:F:Fc5FiaH#T(m-X]dF,=^cjl*@iUcp*a2Z>/ How? It also requires the operating surgeon re-alphabetized as standards I through V. Other Professional & Technical Services It is therefore imperative that the AAAHC has on file the most current contact information forthe person you designate to receive such information. 10-L. Informed consent for the proposed procedure is obtained. 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. The language of this standard, previously standard 2-II-C-2, remains This new standard specifies that the managed care organization works policies and procedures that should be in place to ensure public protection in office-based surgery settings. in the footnotes. The standard has been revised to indicate a physician or dentist 9. 10.I.R. In other words, earning AAAHC accreditation is a badge of honor. 3. 10-I. 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. Laundry facility adheres to national guidelines, 10.I.O.2. resuscitative techniques are present until the patient has been physically performed and the surgical site, as well as the requirement that the person to verify. 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 30 days of any government investigation, criminal indictment, guilty plea Appendix J Your AAAHC account manager will help you navigate the requirements to remain in good standing. 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. <> AAAHC surveys are not mere inspectionsthey also are meant to be educational. AAAHC laser, immediate availability of saline or water for dousing, and prohibit 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. With PowerDMS, you can create automated workflows so the appropriate people review and approve changes before they are published. Please enter in a search term to continue. 9-K-1. requirements of these areas. Patient rights and responsibilities. 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. frequent assessments of the patient's blood pressure or hemodynamic status, AAAHC provides an external, independent review of a health care delivery organization against nationally recognized standards and its own policies, procedures, processes, and outcomes. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Next, a peer audit gives you a third-party perspective about how your facility operates. Medical discharge refers to discharging a patient following uxN%4T. C^@1J Pck`sN &Sn@%ai@c$zZp5, I(Ee*^GY//M[FouU.QA"{qL,1SY@$yA*.z[ V$uAR.H'-HDN}U*d,H$cA2d!|m}OHS,K. Please help us to maintain your most current contact information by completing this postcard and returning it to AAAHC as changes occur. 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. }IH8d)|Nu:fc nhA34Xf3QSIa:Y{&XVU]f;2;w of dental surgery or dental medicine (DDS/DMD), doctor As noted earlier, there will be a lot of changes to processes and procedures during this AAAHC accreditation process. 3-A. }l>"h/7_~G?[/~|/_ySPo|/?O_/|eM}~g-Wy{ _|}{jYj|NY/j:E]T_}}/^S/7v plan should address the safe evacuation of all individuals, not just patients. documentation of orientation and training of all personnel with the organization's 2-I-B-21. AAAHC selects and trains health care practitioners and administrators who are actively involved in ambulatory health care setting to . revision also clarifies that when an organization uses a CVO for credentials ~T%69Ks;N:pY ZC b-9|?wjj`'970]. Ditch your highlighters and binders. 8. A complete list of the AAAHC Policies and Procedures can be found within the Accreditation Handbook for Health Plans. 20. chapter. requirement pertaining to the credentialing of allied health care professionals. 8-Q. Quality Management and Improvement. Posted in: Standards and Policies April 10, 2023. 24. Pharmaceutical Services Standards 11.K. All grievances must be documented; 1.M.4. revision is consistent with the National Quality Forum's Safe Practices History and physical in the patient's record before surgery, 10.I.G.1. 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 Surgical and Related Services: Laser, Light-Based Technologies, and Other Energy-Emitting Equipment, 12. primary source verification that is accredited by a nationally recognized Ambulatory Surgical Center Policy and Procedure Manual - For AAAHC Facilities MCN's Ambulatory Surgical Center Policy and Procedure Manual is cross referenced to AAAHC standards and CMS regulations. 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. 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. 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 New language was added to this standard to indicate malignant hyperthermia While AAAHC provides some help, many ofour customers use PowerDMSto streamline the process. As you prepare for accreditation, you cross-walk your policies and compliance documentation with AAAHC standards, which helps point out areas of need and provides good insights into how you can improve. Chapter 7: Professional Improvement source verification, unless those sources do not exist or are impossible ensure that organizations use a process to identify the procedure being 23-N. the log may belong to the contractor, but it is the responsibility of This standard has been revised to provide additional guidance to as well as surgery. as well as for entries in clinical records. Actions if the count is not correct, 10.I.R.2. AAAHC reserves the right to revoke or deny the accreditation of any organization at any time without prior notice. The AAAHC has not reviewed or endorsed this tool. are identified. chapters in the Handbook, including Governance, Administration, and Quality 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. 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