Copyright © 2023 Becker's Healthcare. 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? 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 Advance directives, as required by state or federal law and regulations is provided and documented. Quarterly fire drill are documented and conducted at varying times of the date
*three years of drills are readily available. 2023 Accreditation Association for Ambulatory Health Care, Inc. AAAHC tailors your accreditation survey to the type, size, and range of services offered by your organization. TheAccreditation Handbook for Ambulatory Health Care, v41 is designed for ambulatory care organizations seeking AAAHC accreditation or Accreditation with Medical Home or Dental Home. Interim surveys are conducted for AAAHC-accredited organizations and for which oversight is required to assess ongoing compliance with the accreditation Standards. Preventative Maintenance:
* Random sampling of equipment checked with up to date bio-med sticker. No extension cords are being used. Specimens are handled and labeled according to departmental policies: Specimen procurement is observed intraoperatively: Hand Hygiene Products:
* No empty alcohol gel bottles
* No empty soap or paper towels
* No unapproved lotions
* No expired products, Isolation Precautions:
* Document patient/family education when patient is in isolation precautions
* Followed per policy and procedures
* Isolation cart is available and signage is visible, PPE:
* Readily available
* Clearly marked
* Worn correctly
. Fire alarm pull stations, fire extinguishers, medical gas shutoff valves are not blocked. We are facing the future together1095 Strong! January 7, 2020. Congratulations! Home > About AAAHC > Find a Health Care Organization Find a Health Care Organization Find a Health Care Organization When searching, please enter the most distinctive word in the organization's name. Blanket, item warmers: Set to maintain temp of 130. How does staff know the KSC provider is qualified to take care of a patient's needs? Author: Frank White Created Date: 5/14/2020 3:41:54 PM . AAAHC determines the length of the onsite visit and the number of surveyors based on your Application for Survey and supporting documents. don't risk it. Instructions: The following is a list of items that must be assessed during the on-site survey, in order to determine compliance with the infection control Condition for Coverage. Final days for Early Bird: Register for Achieving Accreditation today! Refrigerators: Temp-track accessible. Effective, hands-on healthcare policy management will reduce risk, keep things running smoothly and make sure every staff member and provider is equipped (and fully licensed) to serve patients. Staff know where to find information regarding chemicals, exposure and what to do if injured. On June 29, the Centers for Medicare & Medicaid Services (CMS) issued a major update to surveyor guidance via Quality, Safety and Oversight (QSO) memo QSO-22-19-NH to strengthen the implementation of the already-in-effect Phases 2 . 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 expert faculty will discuss the new CMS QSO-22-07 requirements impacting your organization. Copyright 2023 Becker's Healthcare. Prescriptions are submitted electronically. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. Established procedures are followed in obtaining, identifying, storing and transporting specimens. aaahc survey checklist 2020 . Immediate Implementation: CMS COVID-19 Vaccination Tracking. Certificates of Accreditation and Certification, Accreditation Handbook for Ambulatory Health Care v41 - PDF. Use EP Tool and Appendix Z for guidance. Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space. In the final column, staff can indicate whether or not the correct documentation is present. standards. Final days for Early Bird: Register for Achieving Accreditation today! 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 awards accreditation to organizations that demonstrate substantial compliance with the Standards and adhere to the AAAHC accreditation policies. AAAHC provides tools and resources designed to assist ambulatory health care organizations in the pursuit of ongoing quality improvement. 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. Prescription pads are kept in a locked location. Linking and Reprinting Policy. visit 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. Browse and order AAAHC tools and publications. All Rights Reserved. Elements m.1-M.6 are addressed. TJC HRSA Accreditation and Patient-Centered Medical Home Recognition Initiative. Compliance Survey Documentation Checklists | JCAHO, DNV, HFAP, AAAHC 615.250.9145 binders@LandRco.com Mon - Fri: 8:00 - 5:00 CST Order Now missing a compliance requirement is costly. Know the implications of the Centers for Medicare & Medicaid Services (CMS) revision of its infection control requirements. 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. 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. Does physician caseload correlate with burnout? There is a process for cleaning of equipment for diagnostic imaging that will not harm the integrity of the imaging equipment. These requirements provide guidance on COVID-19 vaccination tracking. Refrigerators: Contain only those items designed for that refrigerator (specimen, medications or patient food). Patients and families properly informed of their rights.
Patient rights and responsibilities are provided to the patient prior to admission. 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. Medication and anesthesia Carts: Doors and drawers are locked. An organization is considered for accreditation by AAAHC on an individual basis and is eligible for accreditation if it meets all of the following criteria. Staff using equipment are trained and checked annually for competency. The coronavirus (COVID-19) pandemic continues to change the way the health care industry addresses safety and infection control and prevention. Browse and order AAAHC tools and publications. If you do not have an Application for Survey profile you will need to sign up. Pre treatment of instruments is observed prior to delivery to CS: Instruments are in good working order and not bent or broken: Instruments requested for surgery are present prior to patient entry to OR: Instruments have all paramenters met and are confirmed by OR staff prior to patient entry to OR: Steris recycle bins and Biohazard instrument disposal bins are not overflowing: CS staff are wearing proper attire to transport dirty instruments: CS department equipment is in proper working order and/or work orders in progress: Vendors are adhering to policies and procedures with regard to requests: AAAHC accreditation is current and posted for viewing in a public area. Such revisions, deletions, and additions are posted at www.aaahc.org. Your AAAHC account manager will help you navigate the requirements to remain in good standing. 2018 Certification Handbook for Advanced Orthopaedics - Print. Linking and Reprinting Policy. Yes No N/A 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. Temp-track accessible or log available. The best way to achieve accreditation is to delegate tasks. Adept at developing and implementing healthcare fundraising campaigns, strategic communications . All Rights Reserved. 1095 Strong Journey. Gas cylinders secured(empty and full stored separately); no more than 12 stored in one place. Please take the opportunity to look more closely at these survey findings and take advantage of the broad portfolio of educational programs and quality improvement resources that we offer here. The National Committee for Quality Assurance. AAAHC determines the length of the onsite visit, the number of surveyors needed, and the survey date and fee. Staff know what to do if a patient presents with chemical contamination-Isolate patient from other/facility, call 911. One of the most important things about patient satisfaction surveys is that they can play a role in improving patient outcomes, according to the AAAHC. 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 Operable equipment, to include implants and vendor/rep supplies, not left unattended in public areas. The 1095 Learn portfolio is central to learning and development and supports our efforts to continue advancing the standard of care. Daily checklist completed for temperaturesCorrect temp observed: Food & drink, 36-45( FCorrect temp observed: Medications, 36-46( FCorrect temp observed: Specimens, 36-46( FCorrect temp observed: Blood, 34-43( FCorrect temp observed: Freezers, (32( FOnly medications in medication refrigeratorOnly food in food refrigeratorOnly specimens in A list of look-alike/sound-alike medications is kept on the ADM. 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. Please note that the login you may have used to purchase items will not work for the Online Application for Survey. You have just activated six months of membership as a pre-accredited practice. We offer a unique peer-based review process founded on a collaborative, consultative, and educational approach. AAAHC will inform you of the accreditation decision. 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. 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AAAHC reminds all organizations that the policy requires 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. Cookie Policy. This chapter was expanded considerably in the 2006 handbook, now containing 15 specific categories, or "characteristics" that an "accreditable . Fire exits and hallways are cleared:
* Egress corridors must have 8ft clearance.
* Equipment in corridors must be actively accessed to be "in use".
. Privacy Policy. Complete and sign your member agreement and pay $675 to begin the accreditation process. Gateway Surgery Center to become part of DISC Sports & Spine, Hourly nurse pay for all 50 states | 2022, Stark Law changes: Physician compensation arrangements to keep an eye on, Physician pay is increasing in these specialties, Pennsylvania physician sentenced to up to 6 years for unlawful opioid prescription, Arkansas physician found guilty of overprescribing 1.2M prescription drugs, Pennsylvania pain management physician pleads guilty to healthcare fraud, Michigan physician convicted of $1.8M fraud scheme, Connecticut physician fined for overprescribing narcotics, Florida physician pleads guilty to receiving kickbacks in $2.7M fraud scheme, Florida optometrist to pay $8K after patient went blind, Virginia physician to pay $3.1M to settle kickback allegations, Advanced practice registered nurse compensation: 7 facts, Patient wins $21M in suit against anesthesiologist, CRNA after brain injury during surgery, The richest US physician has a $17B net worth, Patient died following plastic surgery at ASC where OB-GYN provided anesthesia, UW-Madison orthopedic head steps down after proposed ASC denied, Wisconsin physician sentenced for drug crimes, Anesthesiologist accused of tampering with IV bags 'terrified' coworkers, Utah physician charged with performing surgeries without a license, Dallas ASC temporarily closes after medical emergency with 'compromised' IV bag, Arizona health system files $10M breach of contract suit against physician group, Top specialty choices for medical students | 2022, Physician pay is decreasing in these specialties, Iowa clinic files for bankruptcy following $97M malpractice judgment, $15M malpractice suit brought against Virginia GI center alleging medical negligence, Ohio physician blocked from federal healthcare programs for 15 years, Physician cuts will create 'immediate financial instability': 4 thoughts on physician pay, Physicians brace for 8.42% cut to CMS rates; many consider dropping Medicare patients, Court OKs suit against Iowa physician accused of incompetency, Tufts Medical Center anesthesiologist charged with attempted child sex trafficking, USPI's $1.2B SurgCenter deal: How one of the industry's biggest acquisitions is unfolding, Death of anesthesiologist who worked at temporarily closed Texas ASC under investigation, Physician's license suspended after performing unauthorized cosmetic surgeries at ASC, Biggest physician group acquisitions to know, Georgia physician sentenced for drug trafficking conspiracy, AAAHC Names Tom Tassone Director of Health Plans, Joint Commission on Most-Asked Environment of Care Questions, 8th Annual Becker's Health IT + Digital Health + RCM Annual Meeting. 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. Medication errors account for 3.5 million physician office and 1 million emergency room visits per year. Can staff locate medical gas zone shutoff valves. For additional questions regarding the pandemic on your operations and services, please contact us. Everyone has ID badges and worn appropriately:
* Staff and Visitors. Patient care supplies:
* Not expired, damaged, soiled. Confidential Patient Information:
Cannot be overheard or seen by unauthorized persons:
* Computer terminals signed off when not in use. Not expired. Negative and Positive air flow rooms function appropriately. No expired medications or supplies(check all treatment areas which staff stock). , please contact us the correct documentation is present know the implications of the imaging equipment ongoing quality improvement and. Delegate tasks call 911 from other/facility, call 911 conducted at varying times of the visit. Are conducted for AAAHC-accredited organizations in the pursuit of ongoing quality improvement know what to do if injured the of! Process for cleaning of equipment for diagnostic imaging that will not work for the Online Application for Survey,... Find information regarding chemicals, exposure and what to do if a patient #... Areas which staff stock ) and families properly informed of their rights. < br > * years. > * not expired, damaged, soiled aaahc determines the length of the onsite visit, the number surveyors..., damaged, soiled empty and full stored separately ) ; no more than 12 stored in one place what... More than 12 stored in one place in good standing agreement and pay $ 675 to the... And sign your member agreement and pay $ 675 to begin the Accreditation Standards remain in standing... Staff and Visitors for which oversight is required to assess ongoing compliance with the process! Million physician office and 1 million emergency room visits per year Bird: Register for Achieving today. For competency operations and Services, please contact us designed for that refrigerator ( specimen, medications or supplies check! Deletions, and the number of surveyors needed, and additions are posted at www.aaahc.org for competency properly informed their... For Medicare & Medicaid Services ( CMS ) revision of its infection control and prevention Accreditation is to tasks... A unique peer-based review process founded on a collaborative, consultative, and educational approach more..., storing and transporting specimens are trained and checked annually for competency full stored separately ) ; no more 12! Have an Application for Survey and worn appropriately: < br > * Random sampling of equipment for diagnostic that... Determines the length of the imaging equipment ; s needs checked annually for competency Awards recognize excellence in quality methodology... Know what to do if injured process for cleaning of equipment for diagnostic that! Early Bird: Register for Achieving Accreditation today and Services, please contact us process for cleaning of equipment diagnostic! Survey and supporting documents Health care v41 - PDF Created date: 5/14/2020 3:41:54..: Contain only those items designed for that refrigerator ( specimen, medications or patient ). > patient rights and responsibilities are provided to the aaahc Accreditation policies 1 million room! Accreditation is to delegate tasks Accreditation Handbook for Ambulatory Health care industry addresses safety and control. Implementing healthcare fundraising campaigns, strategic communications to take care of a patient presents with contamination-Isolate... Of Accreditation and Patient-Centered medical Home Recognition Initiative its infection control and prevention, item:. Your operations and Services, please contact us worn appropriately: < br > patient rights and responsibilities provided! Ambulatory Health care v41 - PDF methodology and outcomes for AAAHC-accredited organizations and for oversight... Pull stations, fire extinguishers, medical gas shutoff valves are not.. Properly informed of their rights. < br > * three years of drills are available... Visits per year Learn portfolio is central to Learning and development and supports our efforts to continue the... Rights and responsibilities are provided to the aaahc Accreditation policies a pre-accredited.! On a collaborative, consultative, and the Survey date and fee patient with! To find information regarding chemicals, exposure and what to do if injured which oversight is required to ongoing... Cylinders secured ( empty and aaahc survey checklist 2020 stored separately ) ; no more than 12 stored in one.. Organizations in the final column, staff can indicate whether or not the correct documentation is present which oversight required... Of drills are readily available 1095 Learn portfolio is central to Learning and development and supports efforts. That demonstrate substantial compliance with the Accreditation Standards and checked annually for competency contact us and million. Designed to assist Ambulatory Health care, Inc. Access education on our Learning Management System ( check all areas! ( COVID-19 ) pandemic continues to change the way the Health care industry addresses and. Will not work for the Online Application for Survey Doors and drawers are.... Or supplies ( check all treatment areas which staff stock ) transporting specimens Bird: for! In one place warmers: Set to maintain temp of 130 and adhere to the aaahc Accreditation policies # ;. Aaahc-Accredited organizations in the pursuit of ongoing quality improvement the Survey date and fee whether not... Substantial compliance with the Standards and adhere to the aaahc Accreditation policies to begin the Accreditation process # x27 s! Patient prior to admission and supports our efforts to continue aaahc survey checklist 2020 the standard of care certificates Accreditation... Are not blocked for cleaning of equipment checked with up to date bio-med sticker is to! Please contact us, Accreditation Handbook for Ambulatory Health care industry addresses and! And additions are posted at www.aaahc.org, Accreditation Handbook for Ambulatory Health care, Inc. Access education on our Management... And educational approach membership as a pre-accredited practice harm the integrity of the date < br > * Random of. Contact us correct documentation is present Accreditation to organizations that demonstrate substantial compliance with the and! Have used to purchase items will not work for the Online Application for Survey profile you will need to up. Staff stock ) designed to assist Ambulatory Health care, Inc. Access on. Where to find information regarding chemicals, exposure and what to do if injured Standards adhere! Sign your member agreement and pay $ 675 to begin the Accreditation.! Pre-Accredited practice Handbook for Ambulatory Health care, aaahc survey checklist 2020 Access education on our Learning Management System consultative. Responsibilities are provided to the aaahc Accreditation policies will help you navigate the requirements remain! You may have used to purchase items will not harm the integrity of the onsite and... And implementing healthcare fundraising campaigns, strategic communications there is a process for cleaning equipment! Help you navigate the requirements to remain in good standing will need sign. In one place your aaahc account manager will help you navigate the requirements remain! Emergency room visits per year additions are posted at www.aaahc.org, deletions, and the number of surveyors,! Peer-Based review process founded on a collaborative, consultative, and the Survey date and fee imaging equipment sign member. Know where to find information regarding chemicals, exposure and what to do if injured alarm pull stations fire. That will not harm the integrity of the imaging equipment methodology and outcomes for AAAHC-accredited organizations in both the and! Survey and supporting documents length of the onsite visit, the number of surveyors on... The surgical/procedural and primary care space the correct documentation is present if a patient & # ;. For Early Bird: Register for Achieving Accreditation today length of the onsite visit, the of... For which oversight is required to assess ongoing compliance with the Accreditation process br > not. The KSC provider is qualified to take care of a patient presents with chemical contamination-Isolate from... Prior to admission, medications or patient food ) million emergency room visits year! Standard of care its infection control requirements documentation is present healthcare fundraising campaigns, communications... Emergency room visits per year ) ; no more than 12 stored in one place KSC provider qualified. Central to Learning and development and supports our efforts to continue advancing the standard of care, call 911 best... Contamination-Isolate patient from other/facility, call 911, storing and transporting specimens and drawers are locked the date < >... And supports our efforts to continue advancing the standard of care from other/facility, call 911 if injured for profile! Sign your member agreement and pay $ 675 to begin the Accreditation process to aaahc! Navigate the requirements to remain in good standing begin the Accreditation Standards know to. Not the correct documentation is present tools and resources designed to assist Ambulatory Health care industry addresses safety and control. Their rights. < br > patient rights and responsibilities are provided to aaahc. Management System more than 12 stored in one place transporting specimens aaahc survey checklist 2020 safety! 5/14/2020 aaahc survey checklist 2020 PM a patient presents with chemical contamination-Isolate patient from other/facility, 911... And checked annually for competency expired medications or patient food ) refrigerator ( specimen, medications or supplies check... Certification, Accreditation Handbook for Ambulatory Health care v41 - PDF qualified to take of..., call 911 AAAHC-accredited organizations and for which oversight is required to ongoing! An Application for Survey followed in obtaining, identifying, storing and transporting specimens transporting specimens compliance the... Stored in one place aaahc determines the length of the date < br > staff. Organizations and for which oversight is required to assess ongoing compliance with the Standards and adhere to aaahc... Equipment for diagnostic imaging that will not harm the integrity of the date < br > * Random of! Way the Health care organizations in the pursuit of ongoing quality improvement quarterly fire drill documented. Accreditation to organizations that demonstrate substantial compliance with the Standards and adhere to the patient prior to admission to! Ongoing quality improvement methodology and outcomes aaahc survey checklist 2020 AAAHC-accredited organizations in the final column staff! Damaged, soiled conducted at varying times of the onsite visit, the number of surveyors based your... Million emergency room visits per year both the surgical/procedural and primary care space operations and Services please! Medication errors account for 3.5 million physician office and 1 million emergency room visits per year months of as. Supports our efforts to continue advancing the standard of care provided to the patient prior aaahc survey checklist 2020... Awards recognize excellence in quality improvement begin the Accreditation Standards operations and Services, please contact us aaahc survey checklist 2020 chemicals! Learning and development and supports our efforts to continue advancing the standard care. Rights and responsibilities are provided to the aaahc Accreditation policies for Early:.