2024 ANNUAL REPORT
2024 ANNUAL REPORT
BUILDING BRIDGES
critical access hospitals
clinical laboratory
0%
100%
0%
100%
1%
L
10%
47%
21%
4%
18%
7%
15%
11%
12%
36%
5% 12%
2%
Administrative The distribution of deficiencies across CAHs was mostly unchanged from 2023 to 2024. The biggest opportunities remain in Facilities Management. Direct Patient Care
Analytic Systems remains the most challenging group of standards and the biggest opportunity for laboratory improvement.
Facilities Management
Ancillary Patient Care Services
Quality & Risk Management
General Laboratory
Laboratory Personnel
Provider Performed Microscopy &
Proficiency Testing
General Systems
Analytic Systems
Specialty- Subspecialty Specific
Immuno- hematology & Transfusion Services
Pathology
Waived Testing
Facilities Management Chapters 3, 14, 17
Direct Patient Care Chapters 2, 6, 8, 12, 13
Administrative Chapters 1, 4, 5, 7
Ancillary Patient Care Services Chapters 10, 11, 19
Quality & Risk Management Chapters 9, 16, 18
office-based surgery
0%
100%
25%
35%
20%
14%
6%
Administrative Office settings that provide procedural care are most likely to find challenges with Administrative and Facilities Management standards. These are areas worth focus for their connection to patient and staff experience and satisfaction. Facilities Management Direct Patient Care Ancillary Patient Care Services Quality & Risk Management
Visit achc.org/resources/publications to review Surveyor – Quality Review Edition, Vol. 2024, No. 2 for detail on individual standards cited in 2024.
Facilities Management Chapters 7, 15, 16
Direct Patient Care Chapters 9, 10, 11
Administrative Chapters 1, 2, 3, 8
Ancillary Patient Care Services Chapters 12, 13, 14
Quality & Risk Management Chapters 4, 5, 6
14
15
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