The report was released June 16 and identifies high-compliance areas and spots for improvement. AAAHC analyzed data from more than 1,120 accreditation surveys conducted using the 2018 standards and standards applied from Nov. 1 to Dec. 31, 2020.
Here are the most common standard deficiencies for non-Medicare Deeming Status organizations:
1. Documentation: Reports and notes weren’t being reviewed and incorporated into patient records.
2. Credentials: Appointment and reappointment decisions didn’t include a peer review. The results of peer reviews weren’t used as part of the process for granting clinical privileges.
3. Infection prevention: Procedures weren’t in place to prevent errors from high-alert medications, or medications with confused drug names.
4. Emergency preparedness: Scenario-based drills of internal and external emergencies weren’t conducted.
5. Quality improvement: The organization wasn’t able to show it was conducting quality improvement studies.
Access the full report here.
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