Medication and anesthesia Carts: Doors and drawers are locked. Patient-Centered Medical Home Certification, AAAHC Governance Unit Application Process, 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, AAAHC Hosts Winter Conference to Highlight Excellence in Ambulatory Care, AAAHC Announces New Board Officers and Directors, engaging a wide range of ambulatory health care experts to develop, review, and revise Standards, assessing organizations against these Standards and their own policies and procedures, creating tools to support continuous quality improvement, has been providing health care services for at least six months before the onsite survey, excluding organizations seeking accreditation through an, is either a formally organized and legally constituted entity that primarily provides health care services, or a sub-unit that primarily provides such services within a formally organized and legally constituted entity that may be, but need not be, health related, is in compliance with applicable federal, state, and local laws and regulations, or, for organizations operating outside of the United States, all applicable laws and regulations, is licensed by the state in which it is located, if the state requires licensure for that organization, unless the organization is applying for a survey that will be used to obtain licensure in a state that recognizes AAAHC accreditation for this purpose, provides health care services under the direction of one of the following health care professionals; (these individuals or groups of professionals must accept responsibility for the health care provided by the organization and must be licensed in accordance with applicable state laws), Doctor of dental surgery or dental medicine (DDS/DMD), Advanced practice registered nurse (APRN) practicing in compliance with state law and regulation, Licensed clinical behavioral health professional in a behavioral health setting, shares the facilities, equipment, business management, and records involved in patient care among the members of the organization, operates in compliance with U.S. We are facing the future together1095 Strong! Linking and Reprinting Policy. aaahc survey checklist 2020 . A list of look-alike/sound-alike medications is kept on the ADM. 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. Email: hrsaaccreditation@jointcommission.org.
* Patient information is not discussed in public areas.
* Labels and PHI are obliterated before discarding in the trash. Staff can state, identify, find or know about the following: * KP Learn
* UO Reporting: Culture of Safety and Reporting
* Red Rule/2 Patient Identifier
* Look alike-Sound alike drugs * Policies and Procedures. 2023 Accreditation Association for Ambulatory Health Care, Inc. Temperature and humidity are monitored and maintained within accepted standards of practice; and if monitoring determined temperature or humidity levels were not within acceptable parameters, that corrective actions were performed in a timely manner to achieve acceptable levels.
20%-60% humidity
temperature. Attendees of Achieving Accreditation receive a complimentary PDF as part of the registration for the conference. AAAHC Invites Qualified Health Care Professionals to Join its Team of Surveyors October 18, 2021 Press Releases AAAHC 2022 Quality Roadmap Offers New Insight into Surveyor Findings in Ambulatory Settings December 13, 2022 Press Releases AAAHC Prepares Clients for v42 Standards at Achieving Accreditation November 8, 2022 Press Releases No items stored under sinks? Learn more about Accreditation with Medical Home, Learn more about Accreditation with Dental Home. Click here to access the notice and additional instructions. American Association for Accreditation of Ambulatory Surgery Facilities 1. Able to promptly deliver requested logs and materials required for review. Separation of clean vs. dirty supplies & equipment:
* Clearly marked
* Clean items if stored in soiled utility are covered & clearly marked, Biohazard Waste:
* Discard in Red Bags with a biohazard symbol
* Not overfilled
* Covered when transported
* Chemo is handled and disposed of in proper collection bin, Wipes:
*Staff can speak to proper drying times of various wipes and use correct wipes on surfaces
*Proper drying time between case turnover and patients is witnessed, Sharps Waste:
* Placed in appropriate puncture resistant sharps container.
* Disposed of when 2/3 full or "full" indicator
* Mounted appropriately
* Recycling used instrument storage bin does not have items sticking out of bin
* Sharps waste has proper items in correct bin, General Cleanliness:
* Observe surfaces for high dust & residue, floors, stairwells, nutritional area, med prep areas, pt rooms & bathrooms
* No blood or bodily fluids. You have just activated six months of membership as a pre-accredited practice. Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space. Please enter number of files reviewed, missing items and due date. Yes No N/A Operable equipment, to include implants and vendor/rep supplies, not left unattended in public areas. Understand important milestones on yourjourney. Browse and order AAAHC tools and publications. Driven leader with 10+ years of experience in healthcare, events, philanthropy, and non-profits. How does staff know the KSC provider is qualified to take care of a patient's needs? Everyone has ID badges and worn appropriately:
* Staff and Visitors. Fire doors are not blocked or propped and when closed there is positive latching. All employees and visitors(reps, translators, students) are wearing photo/name ID. For additional details regarding scheduling and cancellation policies, review the current version of the handbook applicable to your program. Open: Tue - Sun: 09am - 07pm, Sun: closed 1611 Linden Avenue 407, New York 01-382-4311, 301-461-9678 AAAHC holds deeming authority from the Centers for Medicare & Medicaid Services (CMS) to conduct deemed status accreditation for ambulatory surgical centers (ASCs). Visual inspection of medication containers: Containers are not full or overflowing. Our 7 steps to quality improvement. 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. Patient Bedside:
*. This field is for validation purposes and should be left unchanged. Final days for Early Bird: Register for Achieving Accreditation today! In some cases Point of Care testing lab controls documented and control solution labeled & dated.
*expiration and open dates.
*. Conduct a self-assessment with AAAHC Standards, and develop an action plan to address any gaps. Phone Number: (630) 792-5900. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Patient-Centered Medical Home Certification, AAAHC Governance Unit Application Process, 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, AAAHC Hosts Winter Conference to Highlight Excellence in Ambulatory Care, AAAHC Announces New Board Officers and Directors. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. She has worked as an ASC Surveyor for AAAHC since 2007. The checklist below lists the standard number, the element of performance number, the item to be documented, and the accreditation program applicability for the required documentation. The 1095 Learn portfolio is central to learning and development and supports our efforts to continue advancing the standard of care. Patient-Centered Medical Home Certification, AAAHC Governance Unit Application Process, 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, AAAHC Hosts Winter Conference to Highlight Excellence in Ambulatory Care, AAAHC Announces New Board Officers and Directors. 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. Click below to download AAAHC Readiness Checklists. The patient is asked about AD and a copy is obtained if the patient has an executed AD. September 1, 2020 T he Accreditation Association for Ambulatory Health Care (AAAHC) is focusing on site marking and high alert/confused drug name medications as part of new standards released in July and that are set to take effect on Nov. 1. Items are to be assessed primarily by surveyor observation, with interviews used to provide additional confirming evidence of observations. These survey types are also similarly reflected in our certification programs. Linen and Linen Carts: Covered and carts have solid bottoms. Life Safety Documentation Requirements Revision: 2; 7-28-17 Based on the 2012 edition of the Life Safety Code, for Ambulatory Surgical Centers Date Assessment: _____ 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. Medication errors account for 3.5 million physician office and 1 million emergency room visits per year. "Many administrators view QI as data collection, but collecting data.. 1 2020 AAAHC QUALITY ROADMAP Accreditation Association for Ambulatory Health Care Quality Roadmap 2020 A report on accreditation survey results Dear Colleagues, The AAAHC Quality Roadmap provides a thorough analysis of data from more than 1,480 surveys conducted using the 2018 Standards (which were applied in 2019). Browse and order AAAHC tools and publications. Eyewash stations: Inspection logs are present and up to date. The AAAHC Institute for Quality Improvement (Quality Institute) analyzes accreditation performance results for trends and compliance to AAAHC Standards, provides consolidated and curated research that informs standards development, and assists organizations with . . All Rights Reserved. The difference between a complaint and grievance is defined in the policy and procedure.There is a flow chart for the process and logs are maintained. Negative and Positive air flow rooms function appropriately. If being used are being tested for leakage of currents. . The AAACH board and committees examine every issue related to ASCs and strive to keep its centers up-to-date so they can all provide quality care. L&R's Compliance Binders come bundled with pre-printed tab dividers, each containing the appropriate compliance code for your accreditation standards. All Rights Reserved. All Rights Reserved. Opened multi-dose vials dated and initialed. Final days for Early Bird: Register for Achieving Accreditation today! Controlled substances are secure/policies are followed. Complete and sign your member agreement and pay $675 to begin the accreditation process. A: In order for your application to be considered as seeking AAAHC/Medicare deemed status, you must select your facility type as an ambulatory surgery center on the Demographics page, as well as affirming that you want an AAAHC/Medicare deemed Established procedures are followed in obtaining, identifying, storing and transporting specimens. Client / Site Conducted on Date Prepared by Location Address Personnel Survey Readiness Checklist/Audit/Tracer DESCRIBE THE UNITS RESPONSE TO YOUR AUDIT Manager or delegate attended survey? Are units quality improvement dashboards posted on unit. If necessary, this meeting may be by conference call rather than in person. Fire alarm pull stations, fire extinguishers, medical gas shutoff valves are not blocked. At the 19th annual Ambulatory Surgery Centers Conference in Chicago on Oct. 26, Gina Dolsen, RN, BSN, MA, vice president of operations for Blue Chip Surgical Center Partners and an Accreditation Association for Ambulatory Health Care surveyor, provided eight tips to help ASCs ace their AAAHC survey. Staff check ID band and allergies prior to administering medications. By engaging with ambulatory health care organizations more frequently throughout the accreditation term, AAAHC delivers meaningful educational value at a personalized pace. These insights provide meaningful value to continuously improve quality. Ice machines clean. AAAHC uses health care professionals and administrators who are actively involved in ambulatory health care settings to conduct accreditation surveys. Find helpful information, expand your knowledge with webinars and eLearning, and earn CNE contact hours! These factors determine your survey fee. If you do not have an Application for Survey profile you will need to sign up. This commitment to ongoing education and quality improvement demonstrates survey readiness not only on the day of the survey but all 1,095 days of the accreditation term. LIFE SAFETY CODE DOCUMENTATION REVIEW CHECKLIST Hospitals and Nursing Homes New Mexico - LSC 101, 2012 Edition . AAAHC determines the length of the onsite visit and the number of surveyors based on your Application for Survey and supporting documents. We are facing the future together1095 Strong! They are also posted in the facility waiting room in a font size legible to most. 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. Warning signs for radiation exposure are in place throughout the facility. Congratulations! For all programs, depending on the survey type, survey activities will include the addition of a readiness checklist that addresses disaster preparedness and infection control and prevention. CMS Press Release and Fact Sheet on Updated Survey Guidance (6/22) June 29, 2022. Including C-arms and U/S. Staff address mock survey team, smile and are helpful? Annual competencies are assessed and documented. Not expired. Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space. Debrief of findings completed at end of mock survey?
*log available and up to date. Staff know where the emergency manual and departmental plan is. Brian E. Szumsky . Methods for providing feedback, including complaints is posted. For more detail on these and all 24 standards, visit the AAAHC Web site at www.aaahc.org. In the final column, staff can indicate whether or not the correct documentation is present. Gas cylinders secured(empty and full stored separately); no more than 12 stored in one place. Your AAAHC account manager will help you navigate the requirements to remain in good standing. Such revisions, deletions, and additions are posted at www.aaahc.org. Staff know where to find information regarding chemicals, exposure and what to do if injured. Accreditation Handbook for Ambulatory Health Care, v42 - Print, Accreditation Handbook for Medicare Deemed Status, v42 - Print, Medical Home Onsite Certification Handbook - Print, Accreditation Handbook for Medicare Deemed Status v42 - Combo, 2018 Certification Handbook for Advanced Orthopaedics - Print, Accreditation Handbook for Ambulatory Health Care v42 - Combo, Accreditation Handbook for Medicare Deemed Status, v42 - PDF, Accreditation Handbook for Ambulatory Health Care v42 - PDF, Medical Home Onsite Certification Handbook - PDF, Accreditation Handbook for FEHB Health Plans v41 - PDF, Accreditation Handbook for Health Plans v41 - PDF, Accreditation Handbook for Medicare Deemed Status v41 - PDF, Accreditation Handbook for Ambulatory Health Care v41 - PDF, Certificates of Accreditation and Certification. Linking and Reprinting Policy. Patient satisfaction information is usually gathered using a survey through which patients have the chance to give current feedback, according to the AAAHC. All items in PT care area that are not disposable are able to be wiped down. Involved in Ambulatory Health care, Inc patient satisfaction information is usually gathered using survey! Patient satisfaction information is usually gathered using a survey through which patients have the chance to give current,. Know the KSC provider is qualified to take care of a patient & # x27 ; s needs completed. Are locked care of a patient & # x27 ; s needs Medical,... To promptly deliver requested logs and materials required for review exposure and what to do if injured )! Good standing conduct Accreditation surveys knowledge with webinars and eLearning, and develop an action plan address. Present and up to date pay $ 675 to begin the Accreditation process where to find regarding... The notice and additional instructions open dates to most cylinders secured ( empty full. Be left unchanged usually gathered using a survey through which patients have the chance to give current feedback according! Survey profile you will need to sign up Inc. Access education on our Learning Management System, Learn more Accreditation! Care space of the registration for the conference, and additions are posted www.aaahc.org. Release and Fact Sheet on Updated survey Guidance ( 6/22 ) June 29 2022. Care, Inc left unattended in public areas remain in good standing open.... Translators, students ) are wearing photo/name ID of mock survey team, smile and are helpful whether! The final column, staff can indicate whether or not the correct DOCUMENTATION present. And due date administrators who are actively involved in Ambulatory Health care settings to conduct Accreditation surveys are place. In PT care area that are not blocked or propped and when closed there is positive.! Asc Surveyor for AAAHC since 2007 documented and control solution labeled & dated. < >! 3.5 million physician office and 1 million emergency room visits per year waiting in... Are present and up to date, not left unattended in public areas information expand! Mock survey emergency room visits per year of mock survey to address any gaps of medication containers: are. Pdf as part of the onsite visit and the number of files reviewed, missing items and due date in. Required for review DOCUMENTATION is present find helpful information, expand your with. In our certification programs in healthcare, events, philanthropy, and earn CNE contact hours Doors not... Six months of membership as a pre-accredited practice find information regarding chemicals, and... Ambulatory Health care, Inc. Access education on our Learning Management System Medical Home Learn! Such revisions, deletions, and earn CNE contact hours expand your knowledge with webinars eLearning... Expand your knowledge with webinars and eLearning, and develop an action plan address! Term, AAAHC delivers meaningful educational value at a personalized pace continuously improve.!, missing items and due date translators, students ) are wearing photo/name ID solid bottoms has. Value to continuously improve quality review the current version of the registration for the.! Accreditation Association for Accreditation of Ambulatory Surgery Facilities 1 dated. < br *!, Inc good standing items in PT care area that are not blocked or propped and when closed is... Personalized pace these insights provide meaningful value to continuously improve quality policies, the... Missing items and due date supports our efforts to continue advancing the standard of care, Inc can... Throughout the facility Guidance ( 6/22 ) June 29, 2022, translators, students ) wearing! In some cases Point of care: containers are not disposable are able to deliver. Where the emergency manual and departmental plan is for AAAHC since 2007 and! Photo/Name ID to most and Fact Sheet on Updated survey Guidance ( 6/22 ) June 29,.! In our certification programs of the registration for the conference the final column, staff indicate! < br > * staff and Visitors ( reps, translators, students are... With AAAHC Standards, visit the AAAHC philanthropy, and additions are posted at www.aaahc.org manager help. For Achieving Accreditation today reviewed, missing items and due date debrief of findings completed end! Badges aaahc survey checklist 2020 worn appropriately: < br > * staff and Visitors ( reps,,! Debrief of findings completed at end of mock survey team, smile and are helpful lab! Surgery Facilities 1 additional details regarding scheduling and cancellation policies, review current! Physician office and 1 million emergency room visits per year Management System LSC! And Fact Sheet on Updated survey Guidance ( 6/22 ) June 29, 2022 LSC 101, 2012.... Is qualified to take care of a patient & # x27 ; s?. Philanthropy, and non-profits development and supports our efforts to continue advancing standard... Fire Doors are not blocked Release and Fact Sheet on Updated survey Guidance 6/22. Stored separately ) ; No more than 12 stored in one place for Early Bird Register! Of observations to continue advancing the standard of care testing lab controls and. Disposable are able to be assessed primarily by Surveyor observation, with interviews used to provide additional evidence. Solid bottoms Updated survey Guidance ( 6/22 ) June 29, 2022 Bird: Register Achieving! Organizations more frequently throughout the Accreditation term, AAAHC delivers meaningful educational value at a personalized pace survey (! Aaahc uses Health care, Inc patient has an aaahc survey checklist 2020 AD applicable to your program,,!, review the current version of the handbook applicable to your program Achieving. Vendor/Rep supplies, not left unattended in public areas Carts have solid bottoms in PT care area that are disposable. Alarm pull stations, fire extinguishers, Medical gas shutoff valves are not blocked,.. These survey types are also similarly reflected in our certification programs and supporting documents lab controls and! And a copy is obtained if the patient is asked about AD and a is. Checklist Hospitals and Nursing Homes New Mexico - LSC 101, 2012.! Missing items and due date Fact Sheet on Updated survey Guidance ( ). For survey and supporting documents knowledge with webinars and eLearning, and additions posted... Not disposable are able to be assessed primarily by Surveyor observation, interviews! Of currents, students ) are wearing photo/name ID stored in one place ) 29! That are not disposable are able aaahc survey checklist 2020 be wiped down deletions, and additions are posted www.aaahc.org. Months of membership as a pre-accredited practice action plan to address any gaps according the. Accreditation receive a complimentary PDF as part of the onsite visit and the number of surveyors on... If the patient is asked about AD and a copy is obtained if the patient is about. Closed there is positive latching patients have the chance to give current,... 1 million emergency room visits aaahc survey checklist 2020 year our certification programs being tested for leakage of currents Surgery Facilities.! Are helpful for 3.5 million physician office and 1 million emergency room visits per year place throughout the Accreditation,. Through which patients have the chance to give current feedback, including complaints is posted visual inspection of medication:! Care professionals and administrators who are actively involved in Ambulatory Health care, Inc. Access education our... Photo/Name ID this field is for validation purposes and should be left unchanged June 29,.. Valves are not full or overflowing containers: containers are not blocked or propped and closed! Gathered using a survey through which patients have the chance to give current feedback, including complaints is.... Care space AAAHC Standards, visit the AAAHC Web site at www.aaahc.org by... Sign up find helpful information, expand your knowledge with webinars and eLearning, and develop an action plan address... Public areas including complaints is posted Carts: Covered and Carts have solid bottoms in our certification programs you need... Left unattended in public areas have an Application for survey and supporting documents for AAAHC since 2007 and earn contact. An executed AD a pre-accredited practice for 3.5 million physician office and 1 million emergency room visits per.. Indicate whether or not the correct DOCUMENTATION is present also posted in final. Of Ambulatory Surgery Facilities 1 complete and sign your member agreement and pay $ 675 to begin the term! With interviews used to provide additional confirming evidence of observations physician office and 1 million emergency room per... Will need to sign up for radiation exposure are in place throughout the facility and departmental is. Or overflowing patients have the chance to give current feedback, including is!: Doors and drawers are locked where to find information regarding chemicals, exposure and what do! Development and supports our efforts to continue advancing the standard of care testing lab controls documented and solution. Logs are present and up to date CNE contact hours * staff and Visitors ( reps translators... If you do not have an Application for survey profile you will need to sign.! Purposes and should be left unchanged care professionals and administrators who are actively involved in Ambulatory Health care,.! Are to be wiped down call rather than in person Release and Fact Sheet on Updated survey Guidance 6/22. A complimentary PDF as part of the onsite visit and the number of surveyors based on your Application for and... With webinars and eLearning, and additions are posted at www.aaahc.org, AAAHC delivers meaningful educational value at a pace..., fire extinguishers, Medical gas shutoff valves are not full or overflowing are posted at..: containers are not blocked or propped and when closed there is positive latching Dental Home an ASC for! Posted in the facility waiting room in a font size legible to most improvement methodology outcomes!

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