Tips and Tools for Selecting an Accrediting Body Grace P. Sierchio-Fletcher MSN, CRNI, CPHQ
Top 5 Things to Know for CE: Make sure your BADGE IS SCANNED each time you enter a session, to record your attendance. Carry the Evaluation Packet you received on registration with you to EVERY session. If you re not applying for CE, we still want to hear from you! Your opinions about our conference are very valuable. Pharmacists, Pharmacy Technicians and Nurses need to track their hours on the Statement of Continuing Education Certificate form as they go. FOR CE: At your last session, total the hours and sign both pages of your Statement of Continuing Education Certificate form. Keep the PINK copies for your records. Place the YELLOW and WHITE copies in your Evaluation packet. Make sure an evaluation form from each session you attended is completed and in your Evaluation packet (forgot to pick up an evaluation form at a session? (Extras are available in an accordion file near the registration desk.) Put your name and unique member ID number (six digit number on the bottom of your badge) on the outside of the packet, seal it, and drop it in the drop boxes in the NHIA registration area at the convention center.
Disclosures Grace Serchio-Fletcher declares no conflicts of interest or financial interest in any service or product mentioned in this program. Clinical trials and off-label uses will not be discussed in this presentation.
Accreditation is a process by which an impartial organization will review a company's operations to ensure that the company is conducting business in a manner consistent with national standards. d URAC
From voluntary to regulatory Payer expectations Community awareness An improvement process
Traditional Specialty Mail Order Disease State Management AIC Intermittent and/or Private Duty Nursing
Ownership Tax IDs NSC numbers NPI numbers Understand the structure and communicate it!
Local home care agencies Hospitals The payer community
Determine the root reason for accreditation Some accrediting bodies might work towards your goal better than others
Current Options for the Home Infusion Pharmacy
ACHC (Accreditation Commission for Health Care, Inc.) ABCOP (Association of Boards for Certification of Orthotics and Prosthetics) BOCI (Board of Certification/Accreditation International) CARF (Commission on Accreditation of Rehabilitation hbl Facilities)
CHAP (Community Health Accreditation Program) HQAA (HealthCare Quality Association on Accreditation) NABP (N ti l A i ti f B d f NABP (National Association of Boards of Pharmacy)
The Compliance Team, Inc. TJC (The Joint Commission) NBAOS (The National Board of Accreditation for Orthotic Suppliers)
ACHC CHAP HQAA The Compliance Team TJC
PCAB (Pharmacy Compounding Accreditation Board) URAC ISO (International Standards Organization)
Structure and Cost
Medicare Part B Deemed Authority? Standards for DMEPOS (Part B Quality Standards) Remember: CMS is not your only payer!
An accreditation product for pharmacy? For infusion pharmacy? An accreditation product for infusion nursing?
Ambulatory infusion suite Long term care pharmacy Specialty ypharmacy services Disease state management programs
HME/DME services Clinical respiratory services Community/retail pharmacy services Home health (Medicare) nursing
For how many years has the accrediting body surveyed that service? How many organizations like yours are currently accredited: For DMEPOS accreditation? For clinical i l pharmacy services?
Direct (in house) Referral Neither
Part of accreditation fee? Referral to published materials? Additional resources (written, audiovisual media)?
Typical application to certificate time cycle Timeline for: Availability of standards Application fee/deposit Pre survey document review Unannounced survey Receipt of decision and certificate
What is the term of accreditation? Annual or mid term requirements Unannounced surveys Document submissions Online data submission
Application fee Total accreditation cost (calculation method) Additional fees Travel Deposit amount Payment options
Compare the total cost of accreditation for a standard period (i.e. three years) Discounts available for prepayment Discounts for groups/volume GPO discounts or network discounts
Process and Performance
How are documents submitted? Who reviews the documents? How long is the typical document review time frame?
Are missing documents forwarded before the survey or onsite at the survey? What is the typical time frame between the review and the unannounced survey?
What professional discipline is the surveyors assigned to your organization? Educational and licensing requirements Cross training i across disciplines i Surveyor staff size
Experience requirement Experience with organizations of your size and structure Geographic assignment/conflict of interest Right of refusal
Organization Peer review review process; stakeholder involvement Public comment Updates Distribution of updates Fees for updates
Scalability Interrater reliability Pass/fail ratio for individual standards and overall performance Can you see examples of standards prior to your application and deposit?
Established minimum i time requirements for survey visit Survey structure (checklist versus interview) Home visit patient selection Procedure for chart selection Requirement for minimum number of charts available
Availability of a preliminary i report/score Timeline for official decision Decision options Timeframe for corrective actions Method dfor submission of corrective actions Resurvey decision
Considerations i
On the organization On individual surveyors From the organization From colleagues
Responsiveness to questions Email Tl Telephone Web entries Trnoer Turnover Accessibility to resources/references Ease of web site use
http://www.cms.gov/medicareprovidersupen roll/07_dmeposaccreditation.asp Conway, M.E. The View from 30,000 Feet, HomeCare, July 2010. (www.homecaremag.com) NHIA S d d C i A di i NHIA, Standards Committee, Accreditation Decision Matrix (nancy.kramer@nhia.org)
www.bocinternational.org ti www.carf.org/dmepos http://www.chapinc.org http://www.hqaa.org hqaa www.nabp.net www.exemplaryprovider.com (TCT) http://www.jointcommission.org org
www.urac.org www.pcarb.org http://www.iso.org/iso/pressrelease.htm?refi d=ref802
It s I like shopping for a shirt
Grace P. Sierchio Fletcher MSN CRNI CPHQ 727 726 7794 gsierchio@vitalcareinc.com