14 james pavletich-international-accreditation_ncas_2011

IMPROVING HEALTH CARE QUALITY THROUGH ACCREDITATION

© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.

International Accreditation

James Pavletich, MHA, CAE

Vice President & Chief Operating Officer

Accreditation Association for Ambulatory Health Care

September 2011

Standards


About AAAHC

Over 32 years dedicated to quality improvement in ambulatory care

Private, independent, not-for-profit

Over 5,000 currently accredited organizations

Board of Directors

-16 national health care organizations

- Examine every issue related to ambulatory accreditation plus new trends impacting accreditation or quality of care

Standards


AAAHC Board Representation

Ambulatory Surgery Foundation

American Academy of Cosmetic Surgery

American Academy of Dental Group Practice

American Academy of Dermatology

American Academy of Facial Plastic and Reconstructive

Surgery

American Association of Oral and Maxillofacial Surgeons

American College Health Association

American College of Gastroenterology

American College of Mohs Surgery

American Academy of Obstetricians and Gynecologists

Standards


American Gastroenterology Association

American Society of Anesthesiologists

American Society for Dermatologic Surgery

American Society for Gastrointestinal Endoscopy

Medical Group Management Association

Society for Ambulatory Anesthesia

Public Members: Dennis Schultz, MD

Timothy Peterson, MD

AAAHC Board Representation (continued)

Standards


AAAHC Philosophy and Approach

Focus - Quality of care at the provider/patient level

Goal - Improve and enhance health care in ambulatory

settings

Standards - Designed to promote excellence,

professionalism and patient safety

Survey Process - Assure compliance with published

standards through education and consultation

Standards


Accredited Organizations-Profile

Over 5,000 Accredited Organizations

Accredited Organizations by Type:

Ambulatory health care clinics and surgery centers

Surgical recovery centers

Birthing centers

College and university health centers

Dental group practices

Diagnostic imaging centers

Endoscopy centers

Independent Physician Associations (IPAs)

Indian health centers

Standards


Accredited Organizations-Profile

(continued)

Managed care organizations

Medical home organizations

Multi specialty group practices

Office based anesthesia organizations

Occupational health centers

Office based surgery centers and practices

Oral and maxillofacial surgeons’ offices

Pain management centers

Podiatrists’ offices

Radiation oncology centers

Single-specialty group practices

Urgent or immediate care centers

Women’s health centers

Standards


AAAHC Accreditation

AAAHC recognized by regulators, health plans, insurance companies, and virtually all other stakeholders

AAAHC standards are high but sensitive to the needs of accredited organizations

AAAHC surveyors are all practicing health professionals

Accreditation process a true form of peer review

AAAHC accreditation is cost-effective, efficient, & focusing care at the patient-provider level where real quality improvement can occur

AAAHC reviews & regularly revises our standards to meet changes and demands of marketplace

AAAHC collaborates with health care organizations to achieve buy-in from our accredited community

Standards


Benefits of Accreditation

• Public recognition

• Marketing boost

• Consultative guidance

• Quality improvement

• Professional society requirements

• Increase consumer awareness

• Media influence

Standards


Increasing Demand for

International Accreditation

Highly trained physicians provide quality health care throughout the world.

Significant efforts made to develop and refine the accreditation standards over time.

U.S. and International standards are tested and proven.

Standards


Objectives in International Accreditation

The Accreditation Association endeavors to provide international accreditation in a manner that:

1. Emphasizes ease of adaptability to different types of organizations and clarity in the language of its standards;

2. Promotes adapting its standards to the relevant health care community of the applicable country without unnecessarily compromising the essence of the applicable standards; and

3. Encourages health care providers of the applicable country to provide input regarding standards and to assume the surveyor role.

Standards


Principles of International Accreditation

1. U.S. Accreditation with Cultural Adaptation

And

2. Economic Efficiencies and Affordability

Standards


1. Cultural Adaptation

Rather than a mass-market approach, the Accreditation

Association recognizes the unique attributes of existing health care systems and has initiated a one-on-one approach in order to learn about and understand it.

Introductory Private Meetings with Clinics and Physicians

in order to (i) acquaint the Accreditation Association with the accreditation marketplace and (ii) explore interest in accreditation, including whether such entities would be interested in providing information and/or advice to the Accreditation Association relating to entry into the local marketplace.

Follow-up Conferences with Clinics and Physicians

Standards


1. Cultural Adaptation (cont.)

Healthcare Consultants International, Inc. (HCI) is a for-profit subsidiary of the Accreditation Association. It provides ambulatory health care consulting services, with particular expertise in preparation for accreditation.

Standards


Establishment of a Subsidiary of AAAHC to Perform Accreditation Services Internationally

Committed to working with various representatives from the medical community regarding accreditation in that country.

Accreditation Standards Review:

Review, Analysis and Customization of AAAHC Standards to the Extent Necessary to Properly Reflect Unique Attributes of the particular Country’s Medical System;

Formulation and Proposal of International Accreditation Standards Applicable to that Country;

Publication of Standards Applicable Internationally.

1. Cultural Adaptation (cont.)

Standards


1. Cultural Adaptation (Cont.)

Establishment of Comprehensive International Surveyor Program :

AAAHC Surveyor Corps: AAAHC surveyors are physicians, dentists, podiatrists, pharmacists, nurses and health care administrators, who are actively involved in ambulatory health care. Only experienced professionals who meet stringent recruitment qualifications are selected in a rigorous application process. Candidates have to submit a complete application, including relevant credentials and supporting documentation. These individuals are screened by the Surveyor Training and Education Committee, approved by the Board of Directors, and trained by the Accreditation Association.

Team Approach to Surveying: North American AAAHC surveyors would be assigned to International AAAHC surveyors for consultation on surveys and the surveyor process.

Standards


2. Economic Efficiencies and

Affordability

AAAHC is a 501c(3) not-for-profit corporation under applicable U.S. tax regulations with a mission of advancing and promoting patient safety and health care.

Commitment to understanding the local health care market’s budgetary considerations and present needs and capabilities in order to develop a pricing paradigm that is affordable and reasonable to the international health care provider community .

Desire to accredit those facilities which exhibit the highest standard of health care .

Standards


2. Economic Efficiencies and

Affordability (Cont.)

Accreditation is paid for in one payment (due prior to the survey), and the maximum term of accreditation available is three (3) years.

In the U.S. market, pricing is comparable to other U.S. accrediting agencies – we are also competitively priced internationally.

The Accreditation Association is also committed to exploring opportunities for partnering/cooperating with local organizations for added economic efficiency.

Standards


Accreditation Process Reviews:

Core Chapters

Chapters 1-8 of Accreditation Handbook

Applicable on All Surveys. These include:

1. Rights of Patients

2. Governance

3. Administration

4. Quality of Care Provided

5. Quality Management and Improvement

6. Clinical Records and Health Information

7. Infection Prevention and Control and Safety

8. Facilities and Environment

Standards



Adjunct Chapters

Chapters 9-27 of the Accreditation Handbook

Applicable Only When Services are Offered.

These include:

9. Anesthesia Services

10. Surgical and Related Services

11. Pharmaceutical Services

12. Pathology and Medical Laboratory Services

13. Diagnostic and Other Imaging Services

Standards



Adjunct Chapters (continued)

14. Dental Services

15. Other Professional and Technical Services

16. Health Education and Health Promotion

17. Behavioral Health Services

18. Teaching and Publication Activities

19. Research Activities

20. Overnight Care and Services

21. Occupational Health Services

Standards



Adjunct Chapters (continued)

22. Immediate/Urgent Care Services

23. Emergency Services

24. Radiation Oncology Treatment Services

25. Managed Care Organizations

26. Lithotripsy Services

27. Medical Home

Standards


AAAHC /

AAAHC International

Phone: 847-853-6060

Web site: www.aaahc.org

E-mail: [email protected]

Contact AAAHC

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14 james pavletich-international-accreditation_ncas_2011

Health & Medicine