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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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
Benefits of Accreditation
• Public recognition
• Marketing boost
• Consultative guidance
• Quality improvement
• Professional society requirements
• Increase consumer awareness
• Media influence
Standards
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
Principles of International Accreditation
1. U.S. Accreditation with Cultural Adaptation
And
2. Economic Efficiencies and Affordability
Standards
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
Accreditation Process Reviews:
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
Accreditation Process Reviews:
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
Accreditation Process Reviews:
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
© 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
AAAHC /
AAAHC International
Phone: 847-853-6060
Web site: www.aaahc.org
E-mail: [email protected]
Contact AAAHC