2025 ANNUAL REPORT
2025 ANNUAL REPORT
CONVERSATIONS THAT MATTER
pharmacy
sleep
0%
100%
0%
100%
1%
5% 13%
3% 13%
15%
22%
10%
37%
28%
15%
26%
12%
1%
Organization & Administration Pharmacy results are very consistent year over year with only a minor uptick in 2025 in the number of findings related to Risk Management: Infection and Safety Control. This represents deficiencies identified across 60 individual standards, many pertaining to requirements for written policies and procedures. Fiscal Management
For sleep-accredited settings, just over half the total deficiencies are from standards related to Human Resource Management and Quality Outcomes/Performance Improvement.
Program/ Service Operations
Human Resource Management
Provision of Care & Record Management
Quality Outcomes/ Performance Improvement
Risk Management: Infection & Safety Control
Organization & Administration
Program/ Service Operations
Fiscal Management
Human Resource Management
Provision of Care & Record Management
Quality Outcomes/ Performance Improvement
Risk Management: Infection & Safety Control
compounding pharmacy (pcab)
renal dialysis
0%
100%
0%
100%
15%
41%
20%
10% 6% 1%
5%
8%
5% 8% 9%
28%
43%
PCAB Standards vary from the grouping used by other ACHC programs. Opportunities for improvement in compounding compliance are greatest in the area of risk management.
Again in 2025, Risk Management: Infection and Safety Control represent the greatest opportunity for improvement for providers of dialysis.
Organization & Administration
Program/ Service Operations
Fiscal Management
Human Resource Management
Provision of Care & Record Management
Quality Outcomes/ Performance Improvement
Risk Management: Infection & Safety Control
Program/Service Operations Section 2
Organization & Administration Section 1
Personnel Training and Competency Section 3
Section 3: Fiscal Management
Section 4: Human Resource Management
Section 2: Program/Service Operations
Section 1: Organization & Administration
Patient Communications Section 4
Quality Outcomes/ Performance Impro vement Section 5
Provision of Care and Record Management Section 6
Hazardous Drug Handling
Section 5: Provision of Care and Record Management
Section 6: Quality Outcomes/ Performance Improvement
Section 7: Risk Management: Infection and Safety Control
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