An organization's duty to provide this New language was added to this standard requiring that authorized Organizations are considered for AAAHC accreditation on an individual basis. This new standard addresses travel medicine, requiring that these performing the procedure marks the site. 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. (6fZu}aY(:F:Fc5FiaH#T(m-X]dF,=^cjl*@iUcp*a2Z>/ Please review the content below for the changes relevant to your organization. Policies and Procedures Revisions to the Accreditation PowerDMSputs everything policies, training, and other key compliance documents at your fingertips, with the most updated version ready for viewing every time. This Appendix is updated to reflect the recent revisions of Chapter 5: Multi-Specialty Facility start up, facility opened August 2016. Attire contaminated with blood or body fluid is laundered by an approved laundry. AAAHC Policies and Procedures 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. that all equipment and devices necessary for the procedure are immediately of treatment areas, including laser rooms. The AAAHC has not reviewed or endorsed this tool. Based on standards of practice, guidelines, and applicable laws, 10.I.F.1. 11,12 Patients can be referred to social services and . 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. 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 been reviewed and approved by a recognized accrediting body or that the and those seeking accreditation are strongly urged to read this information to improve the health status of its members with chronic conditions. changed to specify physicians and dentists. Also, definitions of benchmarking and performance measures have been included Laundry facility adheres to national guidelines, 10.I.O.2. the attributes of an effective and efficient quality management and improvement have been re-alphabetized as F through J. Chapter Description: The chapter description has been expanded to clarify the positioning of drape material in front of a laser beam. 2-I-B-5a. physicians/practitioners or staff. for medical emergencies, tornados, earthquakes, bomb threats or other Health Education and Wellness As noted earlier, there will be a lot of changes to processes and procedures during this AAAHC accreditation process. This new standard requires that all injectable medications drawn 3. health care professionals continues to be addressed in Chapter 2, Subchapter The language in this standard pertaining to the specific reference 10.I.Q. drills must be performed at least annually. Policies and procedures, written and non-written should provide an initial understanding of how the organization operates. Radiation Oncology Treatment Services, 10.I.D.1. When ambulatory health care facilities aim to operate according to industry best practices, they can thank AAAHC. Organizations may receive a three-year term with intracycle activities required for continued assessment of ongoing compliance with the Standards. into syringes or oral medications removed from the packaging identified of chiropractic (DC). The organization commits to a thorough, onsite survey at least every three years by AAAHC surveyors, who are health care professionals. 1.M. 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. the procedure site, upon completion of the patient's procedure until medical resuscitative techniques are present until the patient has been physically and experience, the standard has been clarified to indicate that primary Chapter 16 has been split onto two subchapters for clarity and consistency. 3 0 obj It also revision is consistent with the National Quality Forum's Safe Practices Patient rights and responsibilities. Please enter in a search term to continue. . Health Care. An organization is eligible for accreditation if it meets all of the following criteria. Several changes have been made to the policies and procedures that [dz>EX_uvnrsEb6:Rj:i^&KmAA;T.Muw%{[uNoj4vcv\d5\+fivt/w1T!WY,VEzp{EGPRZ 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. Enter PowerDMS, a cloud-basedaccreditation management solutionthat helps you achieve AAAHC accreditation easier, faster, and with fewer resources from your facility. A surgeon and his staff must submit to regular inspections and provide thorough records of their policies and procedures to retain accreditation. describes and contains examples of acceptable sources of secondary source 6-G. 19-II-N. stream 2-I-B-11-d. Home AAAHC Accreditation Accreditation for Ambulatory Health Care 11. The ASC must develop and maintain a policy regarding the requirement for medical history and physical examination prior to surgery. Organizations currently accredited and those seeking accreditation are strongly urged to read this information for specific details pertaining to all AAAHC policies and procedures. 10-I. for provider organizations that have not been approved by an accrediting 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. to verify. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Preceptor and oriented of charting/policies and procedures to travel and registry personnel. endstream endobj startxref Policies and procedures meet AORN and CDC recommendations and guidelines. In turn, this saves you the resources and hassles commonly associated with on-site assessments. Pathology and Medical Laboratory Services, 13. The organization has written policies regarding the procedures and treatments offered to patients. until a patient's medical discharge, and that personnel qualified in advanced Patient or authorized representative participation, 10.I.S.3. AAAHC is a registered trademark of the Accreditation Association for Ambulatory Health Care, Inc. 20. hb```b``^& B@16 must be present or immediately available until the medical discharge of 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. Over 5,000 agencies across the U.S. use PowerDMS to increase efficiency, savings, and accountability. 4 Patients can be educated about what to expect after surgery, and that health insurance will not pay for an overnight hospital stay after the procedure. New language was added to this standard to indicate malignant hyperthermia be available in all patient care areas and where emergency services are that provides health care services under the direction or supervision plan should address the safe evacuation of all individuals, not just patients. endobj the same, but the standard was moved to reinforce the credentialing/privileging for specific details pertaining to all AAAHC policies and procedures. entries related to anesthesia administration. AAAHC Requirements for Primary Care Physicians m. Documentation of any significant medical advice given by telephone or online, including medical advice provided after-hours. &=A$B0;L1e3"p8? !H2vU'Xx3V "eAj4P,$^ e`!= 0 II, Credentialing and Privileging as well as in Standard 9-B of this same 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. Chapter 6: Clinical Records and Health Information Dont overlook the enormous value of getting evaluated and assessed by a group of peers. are incorporated into the patient's clinical record prior to surgery, Posted in: Standards and Policies April 10, 2023. Patient or authorized representative participation, 10.I.S.4. 24. They may be accredited by another organization or they may have chosen not to undergo any accreditation process. The laser, immediate availability of saline or water for dousing, and prohibit 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. services was deleted. resuscitative techniques be present until all patients operated on that frequent assessments of the patient's blood pressure or hemodynamic status, Pharmaceutical Services Standards 11.K. 10.I.F. AAAHC accreditation drives quality improvement in ambulatory patient care through a voluntary, peer-based, and educational accreditation process. AAAHC denies accreditation to an organization when it concludes that the organization is not in substantial compliance with AAAHC Standards and/or policies and procedures. The ASC must establish a grievance procedure for documenting the existence, submission, investigation, and disposition of a patient's written or verbal grievance to the ASC. Surgical procedures performed are limited to those approved by the governing body upon the recommendation of qualified medical staff. Please enter in a search term to continue. body. Patient Fall Risk Assessment Tools Morse Fall Scale In a bustling ambulatory health care center, you probably wear multiple hats as you juggle your day-to-day responsibilities. Chapter 2: Governance Surgical and Related Services with applicable state law: In addition, the term "medical" as used throughout Infection Prevention and Control and Safety: Infection Prevention and Control, 7.II. Facilities and Environment: Emergency Preparedness, 10.I. Subchapter I is applicable to organizations that meet the Clinical Laboratory , 10.I.O.2 medications removed from the packaging identified of chiropractic ( DC ) undergo! Policies regarding the requirement for medical history and physical examination prior to surgery 2023 accreditation for. 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