Find helpful information, expand your knowledge with webinars and eLearning, and earn CNE contact hours! The Joint Commission. Understand important milestones on yourjourney. The Joint Commission Life Safety & Environment of Care Document List and Review Tool 2021 Page 2 of 17 Legend: C=Compliant; NC=Not compliant; NA=Not applicable; IOU=Surveyor awaiting documentation STANDARD - EPs C See Legend Document / Requirement Yes No NC NA IOU LS.01.01.01 Buildings serving patients comply w/ NFPA 101 (2012) You should independently determine whether the template is suitable for your circumstances. Early Option Surveys (EOS) apply to organizations not accredited by AAAHC, meet AAAHC eligibility criteria, and have been providing services for fewer than six months. You have just activated six months of membership as a pre-accredited practice. 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. 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. Debrief of findings completed at end of mock survey? 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
. 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. Please enter in a search term to continue. TJC HRSA Accreditation and Patient-Centered Medical Home Recognition Initiative. Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space. survey EP for non long term care facilities. For additional questions regarding the pandemic on your operations and services, please contact us. AAAHC offers tools, resources, and education throughout your pre-survey planning. Fire extinguishers have been inspected monthly.
* Random sampling extinguisher tags checked. Staff using equipment are trained and checked annually for competency. Final days for Early Bird: Register for Achieving Accreditation today! Can staff locate medical gas zone shutoff valves. Browse and order AAAHC tools and publications. Browse and order AAAHC tools and publications. All medications, needles and syringes are secured in locked cabinet or locked room or under constant surveillance. Medication errors account for 3.5 million physician office and 1 million emergency room visits per year. AAAHC Publishes Medication Reconciliation Benchmarking Study Findings. Fire exits and hallways are cleared:
* Egress corridors must have 8ft clearance.
* Equipment in corridors must be actively accessed to be "in use".
. Scan this QR code to use this paper checklist on your smartphone or tablet or All items in PT care area that are not disposable are able to be wiped down. 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. Adept at developing and implementing healthcare fundraising campaigns, strategic communications . Blanket, item warmers: Set to maintain temp of 130. Open: Tue - Sun: 09am - 07pm, Sun: closed 1611 Linden Avenue 407, New York 01-382-4311, 301-461-9678 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. AAAHC expert faculty will discuss the new CMS QSO-22-07 requirements impacting your organization. Kershner QI Awards recognize excellence in quality improvement methodology and outcomes for AAAHC-accredited organizations in both the surgical/procedural and primary care space. Established procedures are followed in obtaining, identifying, storing and transporting specimens. Accreditation Certification 1095 Strong Journey Quality Institute Accelerated Readiness News and Updates About Us Become a Surveyor Find Accredited Organizations Store Login Search The patient is asked about AD and a copy is obtained if the patient has an executed AD. Discretionary surveys are conducted for cause, when concerns have been raised about an accredited organizations continued compliance with AAAHC Standards. 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. Able to promptly deliver requested logs and materials required for review. Existing Users. Email: HRSA@aaahc.org. They are also posted in the facility waiting room in a font size legible to most. Privacy Policy.
*log available and up to date. Brian E. Szumsky . i Medication . Third party payers, medical organizations, liability insurance companies, state and federal agencies, and the public recognize the value that comes from AAAHC Ambulatory Accreditation. For more detail on these and all 24 standards, visit the AAAHC Web site at www.aaahc.org. 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 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 aaahc survey checklist 2020. 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. 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. 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
* Patient conversations private, Please provide examples of NC(include picture if appropriate). 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. 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. Initial accreditation surveys apply to organizations currently not accredited by AAAHC and have been providing services for at least six months before the onsite survey, or organizations with expired AAAHC accreditation that are again seeking accreditation through AAAHC. 2018 Certification Handbook for Advanced Orthopaedics - Print. AAAHC delivers up-to-date Standards for a variety of program types, along with interactive, engaging education and tools conveniently accessible to our clients. The AAAHC Handbook for Ambulatory Health Care does contain a chapter on Dental Services (Standard 12). Email: hrsaaccreditation@jointcommission.org. Final days for Early Bird: Register for Achieving Accreditation today! . Your AAAHC account manager will help you navigate the requirements to remain in good standing. With PowerDMS, you can assign people the specific tasks and . Quarterly fire drill are documented and conducted at varying times of the date
*three years of drills are readily available. No expired medications or supplies(check all treatment areas which staff stock). Food and drink only in designated areas:
* No evidence of it in patient areas, hazardous chemical storage area, laboratory specimen area, or any area where cross contamination may occur. Know the implications of the Centers for Medicare & Medicaid Services (CMS) revision of its infection control requirements. Surveyors found that the areas with the highest deficiencies included: Infection prevention/safe injection practices Click on " join " and create an account. Please note that the login you may have used to purchase items will not work for the Online Application for Survey. Medications stored appropriately to maintain stability. Use EP Tool and Appendix Z for guidance. 2023 Accreditation Association for Ambulatory Health Care, Inc. Access education on our Learning Management System. 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