In some settings, medically stable patients might opt to wait in a personal vehicle or outside the healthcare facility where they can be contacted by mobile phone when it is their turn to be evaluated. All staff should be educated on these updates in a timely manner. To help prevent transmission, pre-screening patients about previous COVID-19 testing results and symptoms during a pre-visit call is essential. Ultimately, the AAAHC accreditation process can help pinpoint areas of improvement for a facility’s emergency plans and protocols specific to COVID-19 identification, isolation, and information. The CDC recommends EPA-registered hospital disinfectants that are effective against other respiratory pathogens, such as seasonal influenza and other human coronaviruses. Patient scheduling and pre-screening: In anticipation of the possible need to manage an influx of COVID-19 patients, your organization should have a plan for how to assess patients prior to entry into your system. Emergency Preparedness Program Emergency Preparedness Program – Blog Equipment PMs and Manuals Infection Prevention (IP) Home Page Add/Edit Policy Draft Policies Green Sheet WOSC Blog Inservice Activites and Therefore, facilities need to have safeguards in place to protect patients and staff from cross-infection. All rights reserved, Accreditation Insider - Volume 15 Issue 1, AAAHC issues COVID-19 risk prevention guidelines. Adobe InDesign 15.0 (Macintosh) The ASC must develop and maintain an emergency preparedness training and testing program that is based on the emergency plan at 8.II.A, risk assessment at 8.II.A.1, policies and procedures at 8.II.B, and the communication plan at 8.II.C. Rapid tests are now commonly used in the diagnosis of COVID-19 for symptomatic persons within the first five to seven days of symptom onset, and a list of tests is available on the Food and Drug Administration website. AAAHC clarifies number, type of emergency drills Emergency preparedness becomes a more important part of the accreditation survey, according to revisions made to the Accreditation Association for Ambulatory Health Care’s 2006 standards. As a cross-infection prevention measure, establish an internal system to track persons under investigation (PUI) and confirmed cases in your facility and local area. The emergency preparedness program must include, but not be limited to, the following elements: The Ambulatory Surgical Center (ASC) must comply with all applicable Federal, State, and local emergency preparedness requirements. Additionally, eliminate any penalties in place for cancellations to encourage sick patients to stay home or seek an office visit alternative as discussed above. Isolation is needed to prevent a spike in cases and avoid overwhelming hospitals and health centers. Standards & Policy Updates AAAHC regularly reviews its policies, procedures, and Standards to determine whether revisions are necessary. Ask specific questions about testing dates, recent travel, or known exposures, and note if they have had fevers or any other COVID-19 symptoms. Adobe InDesign 15.0 (Macintosh) H��W[o��~��0�N�����E�7�n�M-`v���h��$:"e����ͅ)Ӷ�� However, continue to offer patients alternatives to office visits, such as telehealth, patient portals, and advice lines, to further reduce risk. Patient management is key to maintaining high-quality service and protecting the health of both patients and staff. Reinforce the necessary safety measures as much as possible among both staff and patients. Emergency Preparedness Program Emergency Preparedness Program – Blog Equipment PMs and Manuals Infection Prevention (IP) Home Page Add/Edit Policy Draft Policies Green Sheet WOSC Blog Inservice Activites and ,lI��sΜ�+��a$�+Ȧ�B֣/������8��4�X1r^�>�}���a����>; “We are CMS Emergency Preparedness Rule What’s New based on the Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction Final Rule Provided By: Quality Redirecting to /regulations/expand/title42_chapterIV-i1_part416_subpartC_section416.54 xmp.iid:93196279-ea8a-4d56-89f8-5f19094b279b Federally Qualified Health Centers are often on the front lines when a state or federal emergency happen. Like most initiatives with great vision, accreditation first requires a significant commitment from those adopting the model, and then ongoing evaluation, refinements, and time to succeed. Moved Permanently. xmp.id:db829fbd-5fb1-4b4c-844e-cd30a9be1cbb Emergency Preparedness For Medicare-certified ASCs, emergency preparedness (EP) plans and procedures must comply with a final rule published in September 2016 by the Centers for Medicare & Medicaid Services (CMS). AAAHC Institute Toolkits are resources that have been developed for the internal use of ambulatory health care organizations and are not intended for additional distribution without prior written permission of the AAAHC Institute. This involves a focus on transmission-based precautions, patient monitoring and placement, and environmental cleaning. AAAHC encourages accredited centers to reference this crosswalk in conducting a gap analysis to use in reviewing, developing, implementing and evaluating their emergency preparedness plan and infection control processes. Confirm they have sufficient medication refills, and provide instructions to notify their provider by phone if they become ill. Ultimately, the AAAHC accreditation process can help pinpoint areas of improvement for a facility’s emergency plans and protocols specific to COVID-19 identification, isolation, and information. Additionally, ensure that communication protocols include completion and submission of the PUI case report to the CDC. The ASC must establish and maintain an emergency preparedness program that meets the requirements of this section. the Communication Plan, 3.) The purpose of the All Hazards Emergency Management Plan (EMP) is to establish a basic emergency preparedness program to provide timely, integrated, and coordinated response to the wide range of natural and man-made disasters that may disrupt normal operations and require a preplanned response. By providing clear, actionable methods, accreditation allows ambulatory healthcare centers to meet the challenges of COVID-19 by setting a foundation on which to build an appropriate emergency preparedness plan, identify areas for quality improvement, and assess adherence to guidelines during all phases of the pandemic and throughout the reopening process. Create algorithms to identify which patients can be managed by telephone and advised to stay home, and which patients will need to be sent for emergency care or come to your facility. Staff should strictly follow the procedures for safely and correctly donning and removing PPE. The emergence of the COVID-19 pandemic has created new burdens and unprecedented challenges for the U.S. healthcare system. 2020-05-18T08:36:06-05:00 Upon arrival, take each patient’s (and visitor’s) temperature and clean the thermometer. / 2020-05-18T08:36:06-05:00 Emergency Preparedness Program Emergency Preparedness Program – Blog Equipment PMs and Manuals Infection Prevention (IP) Home Page Add/Edit Policy Draft Policies Green Sheet WOSC Blog Inservice Activites and False With the input of the S&C Emergency Preparedness Stakeholder Communication Forum, CMS has compiled a list of useful national emergency preparedness resources to assist State Survey Agencies (SAs), their State, Tribal, Regional, local emergency management partners, and health care providers to develop effective and robust emergency plans. Ms. Deihs, along with Kris Kilgore, RN, administrative director of Surgical Care Center of Michigan in Grand Rapids, shared the five elements of emergency management to help ASCs ensure preparedness for any emergency CMS continues to emphasize the importance of building a plan that's based on an all-hazards risk assessment to ensure healthcare providers are ready to respond to a full spectrum of emergencies and disasters. Adobe PDF Library 15.0 application/pdf Or consider holding a morning meeting with key staff members who can then distribute the information to the rest of the employees. Copyright © 2021 HCPro. A comprehensive plan should include strategies to manage patient flow and capacity. Establish separate, well-ventilated spaces for patients with symptoms of suspected COVID-19, with easy access to respiratory hygiene supplies, and away from other patients seeking care. This final rule established national emergency preparedness requirements for all 17 Medicare and Medicaid provider and supplier types. Evaluate all your environmental cleaning practices, from discharge cleaning and wipe-downs of high-touch objects to terminal cleaning and sterilization of dedicated medical equipment. During surveys, AAAHC will provide health care organizations with a worksheet, specific to their survey type (Medicare, surgical non-Medicare, or primary care), to help them address emergency preparedness and infection prevention and control. Quality, Safety & Oversight Group- Emergency Preparedness Regulation Guidance Guidance for Surveyors, Providers and Suppliers Regarding the New Emergency Preparedness (EP) Rule On September 8, 2016 CMS published in the Federal Register the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule. Emergency preparedness plan: Conduct a thorough review of the written emergency preparedness plan, and ensure it addresses internal and external threats. Religious Nonmedical Health Care In addition, per the Omnibus Reduction Final Rule, CMS has modified the following: 1. Participation in benchmarking shows organizations where they stand relative to peers and helps them The three key components that must be identified to help protect a healthcare facility during a public health emergency are 1) an emergency preparedness plan, 2) potential risks, and 3) patient scheduling and pre-screening procedures. Please review the content below for the changes relevant to your organization. Optimize the supply of personal protective equipment (PPE) by fully understanding your ongoing PPE inventory and utilization rates. Surveyors Will Observe Additional Safety Measures, Include New Emergency Preparedness and Infection Prevention Worksheet The Accreditation Association for Ambulatory Health Care (AAAHC) is resuming onsite surveys after temporarily pausing activities during the height of … 1 0 obj <>>> endobj 2 0 obj <>stream xmp.did:4a104f3f-dc22-486a-9224-bcfd256a7896 All organizations across all settings should remain vigilant about practices that impact employee and patient safety and the quality of care delivered. �(��w8�IJ+��!_y��h�-U�&c�i�8Yb'�ڪ����rt;�v��EA�J�Q"M�i�~F��B3$3y��8PS�L9U64]�L�ԓ��gdjj����iz�g2,�2ʤ��POm������ To support efforts to mitigate risk of spreading infection, AAAHC has been guiding its accredited organizations through the necessary processes and carefully following recommendations from the CDC to help healthcare providers maintain essential services and provide safe and quality care as operations resume more widely. Following guidelines from the Centers for Disease Control and Prevention (CDC), the Accreditation Association for Ambulatory Health Care (AAAHC) has released recommendations to help organizations safely navigate the evolving stages of the COVID-19 pandemic, with an emphasis on steps to identify, isolate, and inform. The CDC addresses prioritization in three ways: Designate time to educate staff on CDC updates, revised facility procedures, PPE, COVID-19 symptoms, management and notification, and transmission-based precautions. Start by implementing triage before patients even enter your facility. Standard precautions, both at the pandemic’s height and in the foreseeable future, assume that every person is potentially infected or colonized with a transmittable pathogen. Infection control risk assessment: Comprehensive infection prevention and control includes evaluations of equipment and staff training. Lastly, all staff members need to be educated about the plan’s use, location and implementation. Emergency Preparedness Resources. +����L�� Z����=a��B�cd룄�찏����a��S���B��MO.eT�]��P. Benchmarking Studies Benchmarking studies are open to all ambulatory health care centers, whether AAAHC accredited or not. Shop the Red Cross Store, and stock up on emergency preparedness kits, first aid supplies, reference guides, manuals, DVDs, and Red Cross apparel *Promotion Details Terms & Conditions: Coupon code SEALQUIK0221, TRAIN0221, and PREP0221 expire at 11:59am (noon) EST on February 15, 2021. Pre-screened symptomatic patients who need to be seen in a clinical setting should be asked to call before they leave home, so staff are ready to receive them using appropriate infection control practices and PPE. However, long term facilities are still required to review their emergency program ann… Indeed, the accreditation process can be used as a starting point to effectively incorporate quality improvement initiatives needed to adapt to this dynamically evolving pandemic. [416.54(d)] E-0036 10.I.O. Inpatient and outpatient facilities are required to conduct a biennial review of their emergency programs instead of an annual review. Ensure all employees become familiar with infection prevention and control guidance for managing COVID-19 patients for the duration of the pandemic. xmp.did:4a104f3f-dc22-486a-9224-bcfd256a7896 An easy way to keep everyone informed is to send daily or real-time e-newsletters with any changes or updates in protocols. xmp.did:6dda36a2-7e7c-40b5-a5dc-8bd7f7b297e4 Depending on your state and local guidelines, you may proceed with some elective and non-urgent appointments and eventually resume more standard operations. This includes possible coordination with the city, county, state, or Centers for Medicare & Medicaid Services (CMS). default By the Accreditation Association for Ambulatory Health Care, www.psqh.com. In other settings, staff should be wearing PPE before coming within 6 feet of any patient. The CDC has a spreadsheet-based PPE burn rate calculator that will help healthcare facilities plan and optimize the use of PPE. Section 1833(i)(1)(A) of the Act authorizes the Secretary to specify those surgical procedures that can be performed safely in an ASC. Infection control risk assessment: Comprehensive infection prevention and control includes evaluations of … Develop an internal emergency and disaster plan that addresses the risks of your ASC Implement simulation-based training using clinically-based scenarios Develop corrective action plans based on evaluation of your drills It is a transformative process that can prove invaluable during turbulent times. 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