ACHA COVID-19 Resources for College Health and. AAAHC Through their Task Force, ACHA has released guidelines, addressed Telemedicine-Toolkit.pdf.
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ACHA COVID-19 RESOURCES FOR COLLEGE HEALTH AND AAAHC STANDARDS CROSSWALK1ACHA COVID-19 Resources for College Health and AAAHC Standards CrosswalkThe Accreditation Association for Ambulatory Health Care (AAAHC) commends he American College Health Association (ACHA) and its appointed COVID-19 Task Force on advancing the health and wellness of college students in response to the COVID-19 pandemic. Amidst the rapidly evolving pandemic, staying on top of information and discerning its relevance and applicability to the college health setting becomes increasingly challenging but essential. Through their Task Force, ACHA has released guidelines, addressed telehealth and highlighted the importance of mental health in the COVID-19 environment. The Task Force has provided sound guidance for infection prevention and student wellness that can be supported through your AAAHC Standards. We encourage you to consider these resources and the Centers for Disease Control and Prevention (CDC) references when reviewing, developing, implementing, and evaluating your emergency preparedness plan and infection control processes. This document crosswalks the Standards with the information provided in the ACHA resources and will Our 1095 Strong, quality every day philosophy centers on providing accreditation tools, resources, and relevant education to bring meaningful value to organizations and promote compliance with the Standards, all 1,095 capabilities to assess and treat patients.ACHA Guidelines Preparing for COVID-19 AAAHC 2018 Accreditation Handbook for Ambulatory Health CareEstablish a Student Health Services (SHS) COVID-19 Planning and Response Committee to lead the organizational response to COVID-19. 2.I.C.7. Evidence is present that the governing body takes responsibility for establishment, implementation, and oversight of the organization™s infection control and safety programs to ensure a safe environment of care.7.I.A.3. The written infection prevention and control program is based on nationally- recognized infection prevention and control guidelines considered and selected by the governing body.8.H. A comprehensive written emergency and disaster preparedness plan addresses 8.H.3. The plan includes participation in community health emergency or disaster preparedness, if applicable.
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ACHA COVID-19 RESOURCES FOR COLLEGE HEALTH AND AAAHC STANDARDS CROSSWALK2ACHA Guidelines Preparing for COVID-19 AAAHC 2018 Accreditation Handbook for Ambulatory Health Care personnel must be trained and capable of adhering to and implementing infection control procedures, including: Respiratory hygiene and cough etiquette Hand hygiene PPE including facemasks Social distancing hygiene, including cough etiquette, the proper techniques for using alcohol- based hand sanitizers and washing hands with soap and water, and the use of standard facemasks and social distancing. as correct use of personal protective equipment (PPE) including long- sleeved isolation gowns, gloves, and eye protection (goggles or disposable disposal of PPE; and the prevention of contamination of clothing, skin, and masks and trained in their proper use as required by OSHA respiratory protection standards.3.E. Orientation and training according to position description are provided to all 3.E.2. At minimum, orientation and training are provided for the following: a) Fire safety and disaster preparedness plan. c) The infection prevention and control program, including bloodborne pathogen and other training required by OSHA. d) The safety program, 3.E.4. The training described in element 2 above is provided when there is an 7.I.B.2. To reduce the risk of health care-acquired infection, the program requires education and active surveillance consistent with: a) WHO, CDC or other nationally-recognized guidelines for hand hygiene.7.I.B.3. A written policy outlines appropriate hand hygiene using products according to the product manufacturer™s instructions for use.7.I.C. The infection prevention and control program is under the direction of a competence in infection prevention and control.7.I.F. Safeguards are in place to protect patients and others from cross-infection.7.I.F.4. The following are adequate to protect patients and others from cross-infection: a) Space b) Equipment c) Supplies d) Personnel7.II.L. Health care workers are protected from biologic hazards, consistent with state, federal, and CDC guidelines.Prepare the SHS facility for triage and isolation of patients potentially infected with COVID-19. Call ahead Pre-screening calls Supplies such as tissues, masks Separate areas and dedicated treatment rooms Restrict visitors Share information on website and social media Upon arrival of a patient with a potential infection, immediately institute infection prevention and control procedures, including use of PPE1.C.1. Prior to receiving care, patients are informed of their responsibility to provide complete and accurate information to the best of their ability about their health, any medications taken, including over-the-counter products and dietary supplements, and any allergies or sensitivities.5.II.A.1. The written risk management program and/or policies address methods by which a patient may be dismissed from care or refused care.7.I.B. The written infection prevention and control program describes how infections and 7.I.B.1. The program requires immediate implementation of corrective and preventive 7.I.F. Safeguards are in place to protect patients and others from cross-infection. At minimum, the organization has written policies and procedures that ensure: 1. The isolation or immediate transfer of patients with communicable diseases. 3. The sources and transmission of infections are minimized through adequate surveillance procedures. 4. The following are adequate to protect patients and others from cross-infection: a) Space b) Equipment c) Supplies d) Personnel.
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ACHA COVID-19 RESOURCES FOR COLLEGE HEALTH AND AAAHC STANDARDS CROSSWALK3ACHA Guidelines Preparing for COVID-19 AAAHC 2018 Accreditation Handbook for Ambulatory Health CareDevelop SHS protocols and tools for triage and evaluation of potential COVID-19 patients. Refer to current CDC guidelines regarding the assessment of potential COVID-19 patients. https://www.cdc.gov/coronavirus/2019-nCoV/clinical- criteria.html 1.A.3. To the degree that it is known, patients are provided with information concerning their diagnosis, evaluation, treatment, and prognosis. When it is medically inadvisable to give such information to a patient, the information is provided to a person designated by the patient or to a legally authorized person.1.A.4. Patients are given the opportunity to participate in decisions involving their reasons.4.F. When the need arises, the organization assists patients with the transfer of their care from one health care professional to another.4.G. One of the following is in place in the event of an emergency or unplanned outcome for which hospitalization is indicated to evaluate and stabilize the patient: A written transfer agreement for transferring patients to a nearby hospital. A written policy of credentialing and privileging physicians and dentists who have admitting and similar privileges at a nearby hospital. A written agreement with a physician or provider group with admitting privileges at a nearby hospital. A detailed written procedural plan for medical emergencies 5.I.A.6. The risk management program and/or policies address restrictions on observers in patient care areas.5.I.A.7. persons authorized to perform or assist in the procedure area.7.I.A.3. The written infection prevention and control program is based on nationally- recognized infection prevention and control guidelines considered and selected by the governing body.7.I.B.2. To reduce the risk of health care-acquired infection, the program requires education and active surveillance consistent with: a) WHO, CDC or other nationally-recognized guidelines for hand hygiene.7.I.F. Safeguards are in place to protect patients and others from cross-infection. At minimum, the organization has written policies and procedures that ensure: 1. The isolation or immediate transfer of patients with communicable diseases. 3. The sources and transmission of infections are minimized through adequate surveillance procedures. COVID-19 patient. Identify key communications people. Prepare an internal alert system with roster and checklist and review the 2.I.B.8. throughout the organization, including ensuring links between quality management and improvement activities and other management functions of the organization.7.I.F.2. 8.H. A comprehensive written emergency and disaster preparedness plan addresses 8.H.3. The plan includes participation in community health emergency or disaster preparedness, if applicable.
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ACHA COVID-19 RESOURCES FOR COLLEGE HEALTH AND AAAHC STANDARDS CROSSWALK4ACHA Guidelines Preparing for COVID-19 AAAHC 2018 Accreditation Handbook for Ambulatory Health CareStock personal protective equipment (PPE) in accordance with CDC guidelines. The COVID-19 Planning and Response Committee should take steps to ensure that the or services to potential COVID-19 patients.5.II.A.6. The risk management program and/or policies address restrictions on observers in patient care areas.5.II.A.7. persons authorized to perform or assist in the procedure area.7.I.F.4. The following are adequate to protect patients and others from cross-infection: a) Space b) Equipment c) Supplies d) Personnel8.H. A comprehensive written emergency and disaster preparedness plan 8.H.3. The plan includes participation in community health emergency or disaster preparedness, if applicable.8.K. Appropriate emergency equipment and supplies are maintained and are readily accessible to all areas of each patient care service site. implement environmental infection control appropriate to emerging viral pathogens, including SARS-CoV-2, the virus that causes COVID-19. As per current interim CDC guidance: Dedicated medical equipment should be used for patient care. All non-dedicated, non-disposable medical equipment used for patient care should be cleaned and disinfected according to manufacturer™s instructions and facility policies. Ensure environmental cleaning and disinfection procedures are followed consistently and correctly and are appropriate for SARS-CoV-2 in health care settings. Products with EPA-approved emerging viral pathogens claims are recommended for use against SARS-CoV-2.7.I.A.3. The written infection prevention and control program is based on nationally- recognized infection prevention and control guidelines considered and selected by the governing body.7.I.B. The written infection prevention and control program describes how infections and 7.I.D. Safe processes are used for the cleaning, decontamination, high-level disinfection, and sterilization of instruments, equipment, supplies, and implants.7.I.D.4. Cleaning, decontamination, high-level disinfection, and sterilization processes adhere State and federal guidelines.7.I.G. Written policies address the cleaning of patient treatment and care areas.7.I.H. according to the manufacturer™s instructions or nationally-recognized guidelines, whichever are more stringent.8.F. Facilities are clean and properly maintained.Develop a surge care plan. The SHS should consider how to provide care in the event COVID-19 becomes more widespread, creating increased health care demand. Actions could include: Suspending routine care to focus on care for COVID-19 patients and other acute care. patients. Developing continuity of operations plans to allow for continued services. distancing. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html8.H. A comprehensive written emergency and disaster preparedness plan addresses response to contagion and the disruption, misinformation, and chaos that could quickly ensue once a member of the campus community is diagnosed with COVID-19 or deemed a PUI (Person Under Investigation).2.I.B.8. throughout the organization, including ensuring links between quality management and improvement activities and other management functions of the organization.
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ACHA COVID-19 RESOURCES FOR COLLEGE HEALTH AND AAAHC STANDARDS CROSSWALK5ACHA Guidelines Preparing for COVID-19 AAAHC 2018 Accreditation Handbook for Ambulatory Health CarePrepare a COVID-19 Event Communications Plan: Develop capacity to translate information for target audiences in languages that meet their needs Draft messages for potential future events Develop mechanisms to monitor and correct for rumors and inaccurate information Plan media relations communication 2.I.B.8. Evidence is present that the governing body takes responsibility for ensuring links between quality management and improvement activities and other management functions of the organization.3.A.6. Evidence is present that policies, procedures, and other information are minutes, emails, intranet, manuals and other forms of communication.3.A.8. Evidence is present of organizational procedures to permit appropriate responses to inquiries from entities such as, but not limited to, government agencies, attorneys, consumer advocate groups, and the media.
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ACHA COVID-19 RESOURCES FOR COLLEGE HEALTH AND AAAHC STANDARDS CROSSWALK6Telehealth: What to Consider AAAHC 2018 Accreditation Handbook for Ambulatory Health CareEstablishing Telehealth ServicesChapter 1: Patient Rights and Responsibilities 1.A, with consideration for electronic vs. in-person communication Applicable elements of Standards 1.B, 1.C and 1.D, with consideration for how the receipt of such information is acknowledged by the patient in a telehealth settingChapter 2.I: Governance Œ General Requirements These Standards are relevant as reminders that new services and new or revised policies require governing body approval. 2.I.B: The governing body addresses and is fully and legally responsible, either directly or by appropriate professional delegation, for the operation and performance of the organization. 2.I.B.6: Adopting policies and procedures necessary for the orderly conduct of the organization, including the organization™s scope of clinical activities. 2.I.C: The governing body addresses and is fully and legally responsible, either directly or by appropriate professional delegation, for the clinical operations and performance of the organization. 2.I.D: event in writing.See next section regarding relevant Standards in Chapter 2.II.Chapter 5.II: Risk Management procedures created or revised accordingly. As an example, the American Health Information Management Association (AHIMA) suggests consideration of, at minimum, the following items: State requirements Privacy and security requirements Legal requirements Documentation requirements Reimbursement requirements Provider requirements Consumer experience requirements https://healthsectorcouncil.org/wp-content/uploads/2018/08/AHIMA- Telemedicine-Toolkit.pdfProvider Credentialing Provider licensing Chapter 2.II: Credentialing and PrivilegingPolicies and processes for credentialing and privileging should be reviewed and updated if necessary for the provision of telehealth services:2.II.A: The credentialing and privileging process may need to be updated to allow for reciprocity of licensure across state lines, in accordance with any relevant federal and state regulations as they evolve.2.II.F: If new personnel are being credentialed and privileged, but it is not possible to conduct currently operating, the Governing Body should approve temporary revisions to the policy providers of telehealth services per se.ACHA Guidelines Preparing for COVID-19: Exploring Telehealth Capabilities to Assess and Treat PatientsThis document provides supplementary direction for the AAAHC Standards that align with ACHA™s telehealth guidelines.
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