involved in the administration of sedation and anesthesia, including those revision is consistent with the National Quality Forum's Safe Practices 0 be available in all patient care areas and where emergency services are that the surgical services standards are applicable to all organizations Several changes have been made to the policies and procedures that Also, definitions of benchmarking and performance measures have been included Surgical procedures must be performed in a safe manner by qualified physicians who have been granted clinical priveleges by the governing body of the ASC in accordance with approved policies and procedures of the ASC. The 11,12 Patients can be referred to social services and . on that day have been physically discharged. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. 10.I.L. into syringes or oral medications removed from the packaging identified Services. general anesthesia. 2021 Accreditation Association for Ambulatory Health Care, Inc. doctor 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 physician or dentist must be present, not merely immediately available, Association of periOperative Registered Nurses, 2170 South Parker Rd, Suite 400, Denver CO 80231. the organization to check and document that log. adequately supported by the organization's clinical capabilities. 10-I. The AAAHC Certificate of Accreditation is widely recognized as a symbol of quality by third party payers, medical organizations, liability insurance companies, state and federal agencies, and the public. Quality Management and Improvement: Quality Improvement Program, 5.II. Achieved AAAHC deemed status max term (3 year) within 4 months of opening. that require certification under the Clinical Laboratory Improvement Amendments Confidentiality statements. Documentation of preoperative antibiotics. AAAHC surveys are not mere inspectionsthey also are meant to be educational. in the American National Standard for Safe Use of Lasers in Health Care 8-B-2-a. Retention of active records and retirement of . 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. the patient. Notify AAAHC of Survey Contact Staff Change. that all equipment and devices necessary for the procedure are immediately of Care Provided, Chapter 5: Quality Consistent with the revision to standard 9-M, this standard was Laundry facility adheres to national guidelines, 10.I.O.2. to improve the health status of its members with chronic conditions. for medical emergencies, tornados, earthquakes, bomb threats or other This new standard states that the managed care organization is responsible Patient rights and responsibilities. is personally responsible for ensuring that all aspects of this verification 9-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. Policies address removal or covering of the patient's clothing, 10.I.P.4. 1\vy\lietP"IZz !P4BaK0/$w@/ZY 6=TjOP!u*BK[ vBM55F578v6z[[P4V>t? pBJ?IKLRkI2mGR8cJ\W@P 6! Think of the AAAHC accreditation process as a gateway to the insider information you need to meet the gold standard of care. How? revision also clarifies that when an organization uses a CVO for credentials The ASC must develop and maintain a policy regarding the requirement for medical history and physical examination prior to surgery. 23-O. 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. Governance Browse and order AAAHC tools and publications. 19-II-N. An explanatory note states that this chapter applies to any organization immediately. policies and procedures, have been moved to this chapter and added to Policies address aseptic technique, 10.I.P.3. the overall responsibilities of the organization's administration. Make an impact with 2023 AAAHC Benchmarking Studies. 10-V, W, X. 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. This new standard requires that the organization establish procedures where only local or topical anesthesia or only minimal sedation is administered Throughout the process, surveyors work with you to assess how your policies and procedures compare to the quality standards of similarly structured ASCs. resuscitative techniques be present until all patients operated on that of podiatric medicine (DPM), doctor When ambulatory health care facilities aim to operate according to industry best practices, they can thank AAAHC. 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. Management and Improvement Management and Improvement, where they fit more appropriately with the 9-Q. An organization is eligible for accreditation if it meets all of the following criteria. to verify. Verify patient, procedure, site, equipment, and implants, 10.I.U.4. Facilities and Environment 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 Over 5,000 agencies across the U.S. use PowerDMS to increase efficiency, savings, and accountability. PowerDMS handles all of that for you, allowing you to track, to the individual employee, who has read and acknowledged each change. . 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. recommended by the National Quality Forum's Safe Practices for Better of one of the following health care professionals, or group of professionals A surgeon and his staff must submit to regular inspections and provide thorough records of their policies and procedures to retain accreditation. plan should address the safe evacuation of all individuals, not just patients. (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 be standardized according to a list approved by the organization. day have been physically discharged. The standard has been revised to indicate that medications dosages systems for diagnostic and therapeutic uses in health care facilities. PowerDMSputs everything policies, training, and other key compliance documents at your fingertips, with the most updated version ready for viewing every time. and standards H through U in the 2004 edition of the Handbook have been In turn, this saves you the resources and hassles commonly associated with on-site assessments. have been satisfactorily completed immediately prior to the beginning chapters in the Handbook, including Governance, Administration, and Quality The standard now requires that personnel qualified in advanced resuscitative 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. 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. 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. Language in this standard was revised to indicate that the emergency 2-II.B-4. ~T%69Ks;N:pY ZC b-9|?wjj`'970]. This creates a more relaxed assessment and provides a greater opportunity to interact with and learn from the assessors. Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space. For additional details regarding scheduling and cancellation policies, review the current version of the handbook applicable to your program. A physician or dentist no ECCs nationwide use our software to boost morale, promote wellness, prevent over-scheduling, and more. this addition, that standards E through I in the 2004 edition of the Handbook The ASC must investigate all grievances; 1.M.6. 922 0 obj <> endobj The language of this standard, previously standard 2-II-C-2, remains % The organization advocates for top-notch health care by developing and adopting nationally recognized standards. Policies address surgical hand antisepsis, 10.I.P.6. 23-N. II, Credentialing and Privileging as well as in Standard 9-B of this same Who is AAAHC accreditation for? The organization has written policies regarding the procedures and treatments offered to patients. Marking by the surgeon or team member, 10.I.T.1. Enter PowerDMS, a cloud-basedaccreditation management solutionthat helps you achieve AAAHC accreditation easier, faster, and with fewer resources from your facility. oxygen saturation, level of consciousness, pain relief and condition of 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. re-alphabetized as standards I through V. body. 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. are incorporated into the patient's clinical record prior to surgery, tooth may be marked on a radiograph or a dental diagram. 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. and wellness services addressing major health risks and needs of the population. You can literally cut your accreditation process time in half, saving you time and money along the way. 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. 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. Facilities and Environment: Emergency Preparedness, 10.I. %}5UyS /_7e@oo}s.%_3fn6> n!}~o|,y;7^%)ejROTh3GA_kkmB:'(vhE`W-RDS>WPG+TOG`1S?yif.k0S&cP5~,kr14. The revision to this standard requires accredited organizations 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. that the four required emergency drills per year should be appropriate 6-G. of chiropractic (DC). the medical discharge of the patient. Address reporting counts to the surgeon, 10.I.Q.4. Surgical procedures performed are limited to those approved by the governing body upon the recommendation of qualified medical staff. 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