Surveyor Newsletter | 2026 No. 1

SURVEYOR

acute care

Certification Programs Certification confirms quality in specific programs within an organization. These are programs treating a subset of the organization’s patient population. Generally, the program is of sufficient scope to require formal support from the organization’s governing body. The certification survey is limited to review of the specialty service and how it integrates into the organization as whole.

office-based surgery

An increasing number of states are mandating accreditation for office-based surgery providers, leading to uncertainty and stress for practices new to compliance with accreditation requirements. ACHC is ready and waiting to help you determine what to do and when to do it. Our standards are relevant and attainable for any specialty offering procedural services under minimal to moderate sedation. Strengthen your processes, empower your staff, and get ahead of the curve by obtaining voluntary accreditation now.

joint replacement

Certification for joint replacement recognizes commitment to a multidisciplinary approach that drives refinements to patient care alongside continuous quality improvement. options:

ACHC Surveyor Cyndi Newman, MSHL, BSN, RN, has visited many OBS practices with successful strategies for compliance. She’s seen firsthand that accreditation is 100% attainable for small settings facing budget limitations and staffing challenges. Here a few tips she’s collected along the way: Field notes: Practical advice for smaller practices

Advanced Joint Replacement is for organizations performing partial joint procedures with no or controlled comorbidities. Advanced Joint Replacement with Distinction is for organizations performing partial or total joint

procedures on outpatients or inpatients. Comprehensive Joint Replacement is for organizations that perform high complexity, high acuity total joint replacements or revision procedures on inpatients. eligibility: » Advanced Joint Replacement - ASCs or HOPDs » Advanced Joint Replacement with Distinction – ASCs, hospitals » Comprehensive Joint Replacement - hospitals

■ Eliminate guesswork with checklists. “Is this in the chart?” “Is this in the file?” Check, check, check. Creating checklists takes some work upfront but they’ll pay huge dividends. ■ Don’t be shy. Seek support from outside resources, organizations, and even other practices. Share ideas. Find out what others do and how it works for them.

■ Above all else, organization is the key. Establish your systems upfront and stick to them. ■ Automate as much as possible. For example, use simple calendar notifications for credentialing schedules and life safety reminders. ■ Consider analog solutions. A big whiteboard tracking your due dates can work just as well as expensive software. Go with what fits your budget, and most importantly, what you’ll actually use.

This ACHC Certification is for providers of noninvasive therapy for kidney stones and stones and masses in other organs. Organizations must demonstrate protocols supporting continuous improvement and positive patient outcomes. options: » Advanced Lithotripsy lithotripsy » Comprehensive Lithotripsy

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achc.org | (855) 937-2242 | 27

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