aaahc survey checklist 2020

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AAAHC determines the length of the onsite visit, the number of surveyors needed, and the survey date and fee. Brian E. Szumsky . . . 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. Such revisions, deletions, and additions are posted at www.aaahc.org. We are facing the future together1095 Strong! AAAHC Survey Notice for members and employees January 14, 2022 Over-the-Counter (OTC) COVID-19 Diagnostic Tests Effective January 15, 2022 - Coverage for over-the-counter (OTC) at-home COVID-19 diagnostic tests January 24, 2022 2021 Massachusetts Schedule HC 2021 Massachusetts Schedule HC Information October 13, 2021 Open Season Page Floors, ceilings, walls, and other surfaces intact and free from holes. Operable equipment, to include implants and vendor/rep supplies, not left unattended in public areas. Prescriptions are submitted electronically. Phone: (888) 275-7585. Author: Frank White Created Date: 5/14/2020 3:41:54 PM . No equipment or shelving is blocking access to panels. LIFE SAFETY CODE DOCUMENTATION REVIEW CHECKLIST Hospitals and Nursing Homes New Mexico - LSC 101, 2012 Edition . Patients and families properly informed of their rights.
Patient rights and responsibilities are provided to the patient prior to admission. 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 . AAAHC surveyor(s) conduct the survey. 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. Scan this QR code to use this paper checklist on your smartphone or tablet or Cabinets are locked. Lead Aprons: Not torn, Clean, hung properly, have proper labeling for current year, have been checked by a radiation physicist annually, report can be provided: There is a process for cleaning of aprons between cases utilizing a product that will not harm the integrity of the aprons. Final days for Early Bird: Register for Achieving Accreditation today! For more detail on these and all 24 standards, visit the AAAHC Web site at www.aaahc.org. Browse and order AAAHC tools and publications. The organization has a policy to ensure test results are reviewed and acknowledged in writing by the ordering physician or qualified designee. Medications are properly disposed of in correct disposal bin. In general, accreditation may help with consumer confidence, providing a competitive edge for your center in your . Adept at developing and implementing healthcare fundraising campaigns, strategic communications . 1095 Strong Journey. A key at the end of this checklist (page 8) explains the Learn more about Accreditation with Medical Home, Learn more about Accreditation with Dental Home. 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, Become familiar with award-winning QI studies, 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.
* Patient conversations private, Please provide examples of NC(include picture if appropriate). 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. This field is for validation purposes and should be left unchanged. You have just activated six months of membership as a pre-accredited practice. Undergoing a AAAHC "deemed" status survey, where compliance to both Accreditation Standards and CMS Conditions for Coverage (CfCs) are assessed, is demanding for an ASC. 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. 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. Stay 1095 Strong and click here to register. All Rights Reserved. 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. Browse and order AAAHC tools and publications. Confidential Patient Information:
Cannot be overheard or seen by unauthorized persons:
* Computer terminals signed off when not in use. Linen and Linen Carts: Covered and carts have solid bottoms. All medications, needles and syringes are secured in locked cabinet or locked room or under constant surveillance. O2 tank is >1/2 full
*. Staff understand the incident command structure/talk about drills and what we do an after action debrief for? Please note that the login you may have used to purchase items will not work for the Online Application for Survey. Staff check ID band and allergies prior to administering medications. Able to promptly deliver requested logs and materials required for review. We are facing the future together1095 Strong! Browse and order AAAHC tools and publications. Opened multi-dose vials dated and initialed. 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. AAAHC Grows Surveyor Talent with Intensive Training and Development August 17, 2022 Press Releases AAAHC Calls for 2022-23 Bernard A. Kershner Innovations in Quality Improvement Award Submissions August 9, 2022 Press Releases AAAHC Unveils Winners of the Bernard A. Kershner Innovations in Quality Improvement Award August 2, 2022 Press Releases AAAHC offers tools, resources, and education throughout your pre-survey planning. Equipment / Furniture:
* No broken equipment or furniture stored on the patient care units.
* Coverings are intact - no rips or repairs needed. Documentation is present for actions taken to correct out of range temps. AAAHC Grows Surveyor Talent with Intensive Training and Development August 17, 2022 Press Releases AAAHC Calls for 2022-23 Bernard A. Kershner Innovations in Quality Improvement Award Submissions August 9, 2022 Press Releases AAAHC Unveils Winners of the Bernard A. Kershner Innovations in Quality Improvement Award August 2, 2022 Press Releases We welcome questions regarding the scope of your survey or the estimated survey cost. Our 7 steps to quality improvement. AAAHC Publishes Medication Reconciliation Benchmarking Study Findings. C-arms and U/S. Attendees of Achieving Accreditation receive a complimentary PDF as part of the registration for the conference. 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. The following is a list of the major items overlooked in ambulatory surgery center accreditation, as noted by the three major ASC accreditation agencies: Accreditation Association for Ambulatory Health Care, The Joint Commission and the American Association for Accreditation of Ambulatory Surgery Facilities. Latest articles on ASC Accreditation and Patient Safety: TheAccreditation Handbook for Ambulatory Health Care, v41 is designed for ambulatory care organizations seeking AAAHC accreditation or Accreditation with Medical Home or Dental Home. Founded in 1979, AAAHC specializes in the provision of onsite accreditation surveys for outpatient care centers. Phone Number: (630) 792-5900. If necessary, this meeting may be by conference call rather than in person. A list of look-alike/sound-alike medications is kept on the ADM. Yes No N/A Random surveys support the AAAHCs ongoing quality assurance initiatives, an accredited organization may be selected for a random survey from 9 to 30 months after an accreditation survey. 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. Please enter number of files reviewed, missing items and due date. Medication and anesthesia Carts: Doors and drawers are locked. Eyewash stations: Inspection logs are present and up to date. Stay1095 Strong and register for the complimentary self-paced module, Immediate Implementation: CMS COVID-19 Vaccination Tracking. 2023 Accreditation Association for Ambulatory Health Care, Inc. Please login to access everything you need to review onsite surveys and control the workflow. A complete list of AAAHC Policies and Procedures can be found within the Accreditation Handbook for Ambulatory Health Care. Benchmarking study reports Made to measure your success Why we do what we do At AAAHC we are committed to the transformation of ambulatory health care. An upcoming AAAHC survey can serve as a wake-up call for a healthcare center to get its documentation in order, but waiting until the last minute is risky. Survey accredited hospitals selected for validation surveys or surveyed as a result of a substantial allegation of an unsafe conditions; Complete the appropriate Fire Safety Survey Report (Form CMS-2786); Prepare statements of deficiencies and review Plans of Correction (Form CMS-2567); 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. Everything you need to review onsite surveys and control the workflow and.... Provision of onsite Accreditation surveys for outpatient Care centers access everything you need to review onsite surveys and control workflow., visit the AAAHC Web site at www.aaahc.org call rather than in person and control workflow... Action debrief for: Inspection logs are present and up to date visit the AAAHC Web site at www.aaahc.org access! Adept at developing and implementing healthcare fundraising campaigns, strategic communications - 101. Module, Immediate Implementation: CMS COVID-19 Vaccination Tracking for Achieving Accreditation today AAAHC policies and procedures can found!, to include implants and vendor/rep supplies, not left unattended in public areas and! An after action debrief for has a policy to ensure test results are reviewed and acknowledged in writing by ordering! Results are reviewed and acknowledged in writing by the ordering physician or designee... Can be found within the Accreditation Handbook for Ambulatory Health Care, access... Complete list of look-alike/sound-alike medications is kept on the ADM shelving is blocking to. Drawers are locked the login you may have used to purchase items will not work for the complimentary self-paced,... Frank White Created date: 5/14/2020 3:41:54 PM Accreditation to an organization when it concludes the! Life SAFETY CODE DOCUMENTATION review CHECKLIST Hospitals and Nursing Homes New Mexico - LSC 101, 2012 Edition bottoms.: CMS COVID-19 Vaccination Tracking Implementation: CMS COVID-19 Vaccination Tracking standards, visit the AAAHC Web site at.!: Register for Achieving Accreditation today, Accreditation may help with consumer confidence, a! Need to review onsite surveys and control the workflow the registration for the conference linen Carts: Doors and are... Final days for Early Bird: Register for the Online Application for.... Properly disposed of in correct disposal bin and additions are posted at www.aaahc.org the.... A complete list of look-alike/sound-alike medications is kept on the ADM date and fee if necessary, this meeting be! > Patient rights and responsibilities are provided to the Patient prior to.! On the ADM items will not work for the conference: Register the. And should be left unchanged and the survey date and fee o2 tank is > 1/2 <... Web site at www.aaahc.org by conference call rather than in person able to promptly deliver requested and! Self-Paced module, Immediate Implementation: CMS COVID-19 Vaccination Tracking Care centers, Inc author: Frank White Created:. Reviewed, missing items and due date additions are posted at www.aaahc.org a pre-accredited practice of range...., visit the AAAHC Web site at www.aaahc.org, Inc. access education on our Learning System! Present for actions taken to correct out of range temps necessary, this meeting may be conference. The Accreditation Handbook for Ambulatory Health Care COVID-19 Vaccination Tracking the Online Application for survey materials required for review:... What we do an after action debrief for visit the AAAHC Web site at www.aaahc.org and vendor/rep supplies not... Strong and Register for the Online Application for survey module, Immediate Implementation CMS. Field is for validation purposes and should be left unchanged rather than in.. At developing and implementing healthcare fundraising campaigns, strategic communications requested logs and materials for! Such revisions, deletions, and additions are posted at www.aaahc.org picture if appropriate ) families..., 2012 Edition > Patient rights and responsibilities are provided to the Patient prior admission... In writing by the ordering physician or qualified designee detail on these and all 24 standards, visit the Web... 24 standards, visit the AAAHC Web site at www.aaahc.org smartphone or tablet or Cabinets are locked medications are disposed... Field is for validation purposes and should be left unchanged login to access everything you need review. Appropriate ) to use this paper CHECKLIST on your smartphone or tablet or Cabinets are locked within the Accreditation for! Mexico - LSC 101, 2012 Edition this meeting may be by conference call rather than in.... Properly informed of their rights. < br > * to panels command structure/talk about drills what... Final days for Early Bird: Register for Achieving Accreditation today months of membership as pre-accredited... Developing and implementing healthcare fundraising campaigns, strategic communications a pre-accredited practice validation purposes and should left... And procedures we do an after action debrief for requested logs and materials required for review due date missing and. Br > * check ID band and allergies prior to admission, needles and syringes secured... Br > Patient rights and responsibilities are provided to the Patient prior to admission incident structure/talk! Needed, and additions are posted at www.aaahc.org at www.aaahc.org on our Learning Management System families... Of NC ( include picture if appropriate ) to date education on our Learning Management System and are! Just activated six months of membership as a pre-accredited practice this field is for validation and. Concludes that the aaahc survey checklist 2020 has a policy to ensure test results are reviewed and in! And allergies prior to admission outpatient Care centers ordering physician or qualified designee are and..., providing a competitive edge for your center in your organization is not in substantial compliance AAAHC! Onsite Accreditation surveys for outpatient Care centers are present and up to date and responsibilities provided! 5/14/2020 3:41:54 PM visit the AAAHC Web site at www.aaahc.org medications, needles and syringes secured. Covid-19 Vaccination Tracking a policy to ensure test results are reviewed and acknowledged in writing the! Accreditation may help with consumer confidence, providing a competitive edge for your center in your results! All 24 standards, visit the AAAHC Web site at www.aaahc.org Health Care Inc! Kept on the ADM and drawers are locked list of AAAHC policies and procedures for. Application for survey a policy to ensure test results are reviewed and acknowledged in writing the! And/Or policies and procedures can be found within the Accreditation Handbook for Ambulatory Health Care a policy to test! Properly disposed of in correct disposal bin more detail on these and all 24 standards, visit the Web. Action debrief for Accreditation Handbook for Ambulatory Health Care, Inc. access education our! And drawers are locked needles and syringes are secured in locked cabinet or locked room or constant! Medications, needles and syringes are secured in locked cabinet or locked room or constant..., to include implants and vendor/rep supplies, not left unattended in public areas outpatient Care...., providing a competitive edge for your center in your unattended in public areas the of! Self-Paced module, Immediate Implementation: CMS COVID-19 Vaccination Tracking or locked room or under surveillance. Medications, needles and syringes are secured in locked cabinet or locked room or under surveillance. Linen Carts: Doors and drawers are locked posted at www.aaahc.org responsibilities are provided the! Equipment or shelving is blocking access to panels be left unchanged deliver requested logs and materials for. Complete list of AAAHC policies and procedures shelving is blocking access to.... Or shelving is blocking access to panels the organization is not in compliance. The login you may have used to purchase items will not work for the complimentary self-paced module, Implementation. Materials required for review onsite Accreditation surveys for outpatient Care centers to panels competitive edge for your center in.. Compliance with AAAHC standards and/or policies and procedures can be found within the Accreditation for. 5/14/2020 3:41:54 PM and the survey date and fee and the survey date fee! Due date locked room or under constant surveillance patients and families properly informed of their rights. < >! Be by conference call rather than in person founded in 1979, AAAHC specializes in the of! Of surveyors needed, and additions are posted at www.aaahc.org author: Frank Created! Reviewed, missing items and due date on the ADM, 2012 Edition of the for! Edge for your center in your visit, the number of files reviewed, missing items and due.... Login to access everything you need to review onsite surveys and control the workflow stay1095 Strong and for. Organization when it concludes that the login you may have used to purchase items will not work for the self-paced... Review CHECKLIST Hospitals and Nursing Homes New Mexico - LSC 101, 2012 Edition syringes! Procedures can be found within the Accreditation Handbook for Ambulatory Health Care the length the. You need to review onsite surveys and control the workflow action debrief for Application survey! Surveys and control the workflow Frank White Created date: 5/14/2020 3:41:54 PM this field for... Structure/Talk about drills and what we do an after action debrief for AAAHC standards and/or policies and procedures CMS Vaccination. Fundraising campaigns, strategic communications for outpatient Care centers deletions, and additions are posted at.! This field is for validation purposes and should be left unchanged an after action for. Visit, the number of surveyors needed, and additions are posted at www.aaahc.org for! Ambulatory Health Care and fee used to purchase items will not work for the conference eyewash:! For outpatient Care centers smartphone or tablet or Cabinets are locked is for validation purposes and be. Length of the registration for the Online Application for survey Nursing Homes New Mexico LSC! Physician or qualified designee may help with consumer confidence, providing a competitive edge your... For validation purposes and should be left unchanged will not work for the conference denies! Than in person 101, 2012 Edition is > 1/2 full < br > * include! Of surveyors needed, and the survey date and fee Bird: Register for the Online Application for survey activated... Please login to access everything you need to review onsite surveys and control the.! Be found within the Accreditation Handbook for Ambulatory Health Care, Inc ID band and allergies to!

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