ACHC Annual Report - 2024

2024 ANNUAL REPORT

2024 ANNUAL REPORT

BUILDING BRIDGES

pcab pharmacy

BOARD OF COMMISSIONERS

0%

100%

1%

3%

6%

13%

25%

50%

Brock Slabach, MPH, FACHE chair Chief Operating Officer, National Rural Health Association Maria (Sallie) Poepsel, PhD, MSN, CRNA, APRN vice chair Owner and CEO, MSMP Anesthesia Services, LLC Mark S. DeFrancesco, MD, MBA, FACOG secretary Women’s Health Connecticut/Physicians for Women’s Health (retired)

Leonard S. Holman, Jr, RPh treasurer Healthcare Executive and Consultant

1%

John Barrett, BSEE, MBA officer-at-large Senior Consultant, Quality Systems Engineering Roy G. Chew, PhD immediate past chair Past President, Kettering Health Network

Standards for compounders align closely with USP and section titles vary from other Community Care Services. Prior to 2024, PCAB standards were in six sections. In 2024, a seventh section was added to reflect the addition of Hazardous Drug Handling as an element of accreditation relevant to the majority of compounding pharmacies. The most frequent deficiencies—in Provision of Care and Record Management— decreased in frequency from 57% in 2023 to 50% in 2024.

Program/Service Operations Section 2

Organization & Administration Section 1

Personnel Training and Competency Section 3

Patient Communications Section 4

Quality Outcomes/Performance Improvement Section 5

Provision of Care and Record Management Section 6

Gregory Bentley, Esq. Principal, The Bentley Washington Law Firm

Richard A. Feifer, MD, MPH, FACP Chief Medical Officer, Innovage

Jennifer Burch, PharmD, RPH, CDCES, FNCAP, FAPC Owner, Central Pharmacy, Central Compounding Centers José Domingos President and CEO, Accreditation Commission for Health Care

Denise Leard, Esq. Attorney, Brown & Fortunato

Marshelle Thobaben, RN, MS, PHN, APNP, FNP Professor, Humboldt State University

LEADERSHIP TEAM

Visit achc.org/resources/publications to review Surveyor – Quality Review Edition, Vol. 2024, No. 2 for detail on individual standards cited in 2024.

José Domingos President and CEO

Matt Hughes Vice President, Community Care Services

Patrick Horine, MHHA Vice President, Acute Care Services

Jonathan Kennedy, CPA, MBA Vice President, Finance and Corporate Services

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