AAAHC Flashcards
Applicant must attest to history or loss of license and felony convictions if any?
AAAHC
Applicant must attest to lack of present illegal drug use?
AAAHC
Applicant must attest to current malpractice insurance coverage?
AAAHC
According to AAAHC, for initial appointments in addition to licensure and education, what verification is required?
experience & hospital affiliation
Who on initial appointment review work history for continuity and relevance?
AAAHC
AAAHC requires re-credentialing every 3 years except for?
when state regulations require less time
AAAHC requires PSV of the following elements upon initial application
experience reviewed including gaps, peer evaluation, liability insurance, NPDB, education, training experience, current state license, DEA
AAAHC standards require PSV of a # of elements on initial application
Name them: 1) Education 2) Training 3) Experience 4) Current state license 5) DEA 6) NPDB 7) Peer references 8) Experienced review 9) current malpractice insurance
Who allows credentialing information from another healthcare organization such as a hospital or group practice to be accepted for credentialing?
AAAHC
Who gets credentialed? Ambulatory Care Facility
AAAHC requires that the governing body defines criteria for the initial appointment and reappointment of physicians and dentists. They do not specify which providers need to be credentialed.
AAAHC organization requires information upon application regarding
information concerning complaints or adverse actions by a professional society, licensure board, licensure disciplinary actions, refusal of professional liability coverage, criminal convictions other than minor traffic violations, Medicare/Medicaid sanctions, current physical/mental health, and chemical dependency problems.
Medicare certified ASC’s
who requires the ASCs to have either a written transfer agreement with a hospital or to ensure that all physicians performing surgery in the ASC have admitting privileges at a nearby hospital?
When must ASCs verify admitting privileges?
when they are Medicare certified
When does the AAAHC require verification of board certification?
at initial application and ongoing basis
Nondiscrimination according to AAAHC
not addressed
Medicare/Medicaid sanctions exclusions requirement by AAAHC
disclosed and evaluated on initial and reapplication
Competence is determined by AAAHC how?
on initial application; obtained from peers
Board Certification: AAAHC 2015 Accreditation Handbook for AHC
Verify on application, reappointment, expiration and on an
ongoing basis.
Complaints - AAAHC 2015 Accreditation Handbook for AHC 2
risk management process includes an ongoing review of patient complaints and grievances that includes defined response times, as required by law and regulation.
Compliance with law - AAAHC 2015 Accreditation handbook for AHC
Standards require compliance with all applicable federal, state and local laws.
Continuing Medical Education: AAAHC 2015 Accreditation Handbook for AHC
Not addressed for medical staff members.
CVOs/Delegation: AAAHC 2015 Accreditation Handbook for AHC
CVO is allowed. The organization must perform an assessment of the capability and quality of the CVO’s work. Accreditation of the CVO by a nationally recognized organization can meet this requirement.
Criminal Background Checks AAAHC 2015 Accreditation Handbook for AHC
Background checks not specifically addressed.
Current Competence: AAAHC 2015 Accreditation Handbook for AHC
On formal application for initial medical or dental staff privileges, the applicant must provide documentation of current competency in performing the requested procedures. Documentation of current competence is obtained from peers.