14 james pavletich-international-accreditation_ncas_2011

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  • 1. International Accreditation September 2011 James Pavletich, MHA, CAE Vice President & Chief Operating Officer Accreditation Association for Ambulatory Health CareIMPROVING HEALTH CARE QUALITY THROUGH ACCREDITATION © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 2. 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 accreditationStandards or quality of care © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 3. 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 AssociationStandards of Gastroenterology  American College  American College of Mohs Surgery  American Academy of Obstetricians and Gynecologists © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 4. AAAHC Board Representation (continued)  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:Standards Dennis Schultz, MD Timothy Peterson, MD © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 5. 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 publishedStandards education and consultation standards through © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 6. 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 centersStandards  Endoscopy centers  Independent Physician Associations (IPAs)  Indian health centers © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 7. 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’ officesStandards group practices  Radiation oncology centers  Single-specialty  Urgent or immediate care centers  Women’s health centers © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 8. 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 marketplaceStandards with health care organizations to achieve buy-in  AAAHC collaborates from our accredited community © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 9. Benefits of Accreditation • Public recognition • Marketing boost • Consultative guidance • Quality improvement • Professional society requirements • Increase consumer awarenessStandards • Media influence © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 10. 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.
  • 11. 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; andStandards 3. Encourages health care providers of the applicable country to provide input regarding standards and to assume the surveyor role. © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 12. Principles of International Accreditation 1. U.S. Accreditation with Cultural Adaptation And 2. Economic Efficiencies and AffordabilityStandards © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 13. 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.StandardsConferences with Clinics and Physicians  Follow-up © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 14. 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.
  • 15. 1. Cultural Adaptation (cont.)  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.Standards © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 16. 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.Standards  Team Approach to Surveying: North American AAAHC surveyors would be assigned to International AAAHC surveyors for consultation on surveys and the surveyor process. © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 17. 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 .Standards  Desire to accredit those facilities which exhibit the highest standard of health care . © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 18. 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 toStandards exploring opportunities for partnering/cooperating with local organizations for added economic efficiency. © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 19. 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 ImprovementStandards  6. Clinical Records and Health Information  7. Infection Prevention and Control and Safety  8. Facilities and Environment  © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 20. 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 ServicesStandards  12. Pathology and Medical Laboratory Services  13. Diagnostic and Other Imaging Services © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 21. 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 ActivitiesStandards  20. Overnight Care and Services  21. Occupational Health Services © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 22. 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 HomeStandards © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.
  • 23. Contact AAAHC AAAHC / AAAHC International Phone: 847-853-6060 Web site: www.aaahc.orgStandards E-mail: info@aaahc.org © 2011 Accreditation Association for Ambulatory Health Care, Inc. All rights reserved.