Accreditation Resources: Comparison Chart - Health Resources and ...
Updated 02/19/2015
Accreditation Resources: Comparison Chart
The Health Resources and Services Administration (HRSA), Bureau of Primary Health Care (BPHC) supports Health Center Program grantees in achieving ambulatory health care accreditation. The chart below provides a comparison between HRSA's contracted accreditation organizations--the Accreditation Association of Ambulatory Health Care (AAAHC) and The Joint Commission (TJC).
Section
Activity
1.0 Survey Services
1.1 Initial survey of ambulatory YES care services
AAAHC
The Joint Commission YES
1.2 Re-accreditation surveys YES
YES
and self-assessments of
ambulatory care services
1.3 Surveys of laboratory
YES
YES
services: waived tests and
provider performed
microscopy
1.4 Surveys of laboratory
YES
services: moderately and
high complexity labs
1.5 Integrated behavioral
YES
health services
1.6 Stand-alone behavioral NO health services
YES. Meets CLIA '88 Lab Certificate of Accreditation requirements so state survey is not needed.
YES
YES. When either chemical dependency services are offered (with more than 100 visits per year) or behavioral health services are offered with 20% or more of the total number visits for all services.
Section
Activity
2.0 The Accreditation Cycle
2.1 Three year cycle for on-site YES survey process to evaluate compliance with standards for ambulatory and behavioral health
2.2 Post survey activities to YES assure ongoing compliance with current standards
2.3 An unannounced survey NO following initial surveys
2.4 Two year survey cycles for NO laboratory
3.0 Electronic Application
3.1 Electronic, web based
YES
application process
4.0 Surveyors and Staff
4.1 Experienced professional YES surveyors and staff
4.2 Initial and ongoing
YES
surveyor training
4.3 Monitoring and evaluation YES of surveyor performance
5.0 Accreditation Standards
5.1 Standards handbook
YES
and/or manual
5.2 Medical home
YES
certification/recognition
Accreditation Resources: Comparison Chart | Page 2
AAAHC
The Joint Commission
YES
YES
YES YES. A laboratory survey maybe needed at a different time than when the ambulatory survey is conducted.
YES
YES YES YES
YES YES
Accreditation Resources: Comparison Chart | Page 3
Section
Activity
AAAHC
6.0 Accreditation Resources
6.1 Publications
YES
6.2 Professional assistance YES with interpretation of standards
6.3 Accreditation readiness YES packets
6.4 Dedicated website for
YES
health centers
7.0 On-site Post Survey Conference
7.1 Summation conference YES
7.2 Preliminary report
NO
provided on-site
8.0 Reports and Accreditation Decisions
8.1 Decision letter within 30 YES business days
8.2 Final survey report within YES 30 days of survey
8.3 Plan of correction
YES
8.4 Appeal of a negative
YES
accreditation decision
9.0 Intra Cycle Activities
9.1 Annual periodic
NO
performance review
The Joint Commission YES YES YES YES
YES YES
YES YES YES YES
YES
9.2 Random unannounced
YES
YES
survey
9.3 Discretionary survey or for YES
YES
cause survey
Accreditation Resources: Comparison Chart | Page 4
Section
Activity
AAAHC
The Joint Commission
10.0 Education, Training, and Technical Assistance
10.1 Mock survey or pre-survey YES, but with an additional YES. No fee for the initial fee to the health center. survey.
10.2 Webinars, teleconferences, YES
YES
conference calls, and audio
conferences
10.3 Activities/programs in
YES
YES
conjunction with the
National Association of
Community Health Centers
and or Primary Care
Associations
10.4 Continuing Education Units NO
YES
(CEUs)
10.5 Conference calls and audio YES
YES
conference
10.6 Webinars
YES
YES
10.7 Custom on-site training YES
YES
POINTS OF CONTACT
Accreditation Resources: Comparison Chart | Page 5
For additional information on AAAHC or The Joint Commission, please see the list below to find out how to contact HRSA's partners.
AAAHC Mona Sweeney, RN BSN Assistant Director - Accreditation Services 847-324-7487 | msweeney@
The Joint Commission Lon Berkeley Project Director, CHC Accreditation 630-792-5787 | lberkeley@
Rex Zordan Senior Account Executive 630-792-5509 | rzordan@
Delia Constanzo BPHC Accreditation Initiative 630-792-5011 | dconstanzo@
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