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Governance Unit: Accreditation Work Groups

Accreditation Work Groups make recommendations for accreditation and certification

Accreditation Work Groups (ACWG) review individual applications for accreditation, relevant survey reports, and supporting documentation in order to make recommendations to the Accreditation Committee regarding accreditation and certification.

Reports to Accreditation

Activities and responsibilities

  • Review individual entity applications, relevant survey reports, surveyor and staff recommendations, and supporting documentation.
  • Recommend accreditation and certification decisions as a result of document review.
  • Comply with all Governance Unit and AAAHC policies.
Authorities
  • Delegated authority to review survey reports, surveyor and staff recommendations, and any other relevant information needed to make an accreditation decision.
Composition, Expertise or Experience Required
  • Interest in promoting quality in ambulatory care with ability to think beyond a single specialty or ambulatory setting type.
  • Professional experience in an ambulatory health care setting. Technical or clinical expertise in a clinical specialty.
  • Good working knowledge of the AAAHC accreditation and certification standards.
  • Knowledge of other regulatory requirements such as CMS Deemed Status regulations is a positive.
  • Must have a recommendation from a member of the Accreditation Committee.
  • Must be an active surveyor with chairperson privileges for at least three years.
  • Good demonstrated performance based on: Surveyor peer evaluations, client organization evaluations, Survey Report completion, staff concurrence.
Benefits of Membership
  • Gain insight as to how sustained quality and regulatory compliance can be ensured.
  • Occasional opportunity to serve as faculty regarding the accreditation or certification programs.
  • Contribute to the improvement of ambulatory care quality and patient outcomes.

See our Governance Unit Application Process here


Annual Time Commitment Requirements

Activity# Per YearDurationDay/TimeLocation
Face-to-face meetings10.5-1.0 daysVariableVariable
Conference calls10-121.0-1.5 hrsEvenings
Hours/year of committee work required outside of meetings/calls75-100 *Additional travel or time commitmentsNone

 

*Outside of meetings ACWG members participate in the Mailvote process which requires review of survey reports and supporting documents. Members also spend time reviewing documentation in preparation for monthly ACWG calls


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