Home Infusion Accreditation Program Matrix

Home Infusion Accreditation
Progr am Matrix
As the home and specialty infusion market evolves within the larger health care environment, so too is the landscape of accrediting bodies and services. To keep our members abreast of all the options, NHIA recently conducted a “survey of the surveyors” to gather some
basic information regarding the accreditation programs currently available in our space. Several members of the NHIA Standards and
Questions
Accreditation Commission for
Health Care (ACHC)
SEP TEMBER / OCTOBER 2015
Types of Accreditation Services Offered
Is your organization
Yes
one of the 10 that have
been deemed to accredit
DMEPOS Suppliers using
CMS’ Quality Standards?
Is there an accreditation program for:
Long Term Care (LTC)
Yes
Pharmacy?
Home Health Nursing
Yes
(including Medicare Deemed
Status)?
Specialty Pharmacy
Yes
Services?
Home Medical Equipment Yes
(HME)/Durable ME (DME)
Clinical Respiratory
Yes
Services?
Community Pharmacy/
Yes
Retail?
Ambulatory Infusion
Yes
Center (AIC)?
Any other non-pharmacy
• Hospice
related program(s)?
• Home health therapeutic
services (PT, OT, ST, MSW),
compounding
• Sleep lab
• Behavioral health complex
rehab
• Fitter services
• Inspection services for compounding pharmacies
34
Accreditation Standards Used
Are there specific
Yes, provider informs the AO and
standards that apply
state/federal regulatory agento infusion pharmacy
cies of negative outcomes from
practice? If yes, what are
sanctions, regulatory inspection
they?
and/or audits, including: License
suspension, license probation,
conditions/restrictions to license,
non-compliance with Medicare/
Medicaid regulations, revocation
of Medicare/Medicaid/third-party provider number, any open
investigation by any regulatory
or governmental authority (e.g.
483’s warning letters, state Board
of Pharmacy sanctions or consent
orders) Specific Standards include:
DRX2-6A, DRX2-6B, DRX4-7C, and
DRX2-10D
Center for Pharmacy Practice
Accreditation (CPPA)
Community Heath Accreditation
Partner (CHAP)
No
Yes
No
No
Yes (can be accessed using the
pharmacy standards)
Yes
Yes
Yes
No
Yes
No
Yes (addressed in HME
standards)
Yes (can be accessed using the
pharmacy standards)
No
Yes
No
Telehealth pharmacy practice
• Hospice
• Private duty
• Infusion therapy nursing
• Public health nursing
Yes, provider must comply with any
federal, state, and local statutory or
regulatory requirements including
infusion/compounding in order to
be accredited. We also request
evidence of any other type of
accreditation. All of our standards:
Require that providers demonstrate
compliance with applicable state and
national regulatory requirements
and/or standards established by a
recognized organization appropriate
for the services provided. Specialty standards: In order to provide
pharmacy services beyond the
borders of a pharmacy’s home state,
out-of-state licensure and additional
documentation may be applicable.
Dispensing, wholesaling, infusion
service provision and nursing services:
Require individualized licensure with
practice-specific oversight guiding
individual practice authority.
Yes, they are scattered throughout the Pharmacy Standards but
refer to: DI.5c 1), 15), 17), 18), 19),
20), 21), 23), etc.; DII.5e; DII.5f;
DII.5h; DII.6a2; DII.6a3; DII.8a,
DII.8f; DIII.4 (all)
Accreditation Committee assisted us in developing a questionnaire designed to obtain program information, such as services offered,
standards, accreditation process, payer recognition, fees and terms, that providers can use as the basis for research and decision making. We appreciate the contribution of each of the accrediting bodies responding to our request.
The responses appearing here have been edited for style, formatting, and length (Please see the Matrix Key on pages 42-43 for
abbreviations). The original responses can be accessed on the NHIA website in the all new “Accreditation Resource Center,” available
at www.nhia.org/accreditation. Please be sure to read “The Current State of Accreditation in Home and Specialty Infusion: A look at
the standards and drivers in the changing alternate-site marketplace” on p. 24 for a discussion of the many changes in the accrediting
landscape today, possible drivers, and things to consider when seeking accreditation and other forms of provider verification.
The Compliance Team
(TCT)
Healthcare Quality
Association on
Accreditation (HQAA)
The Joint Commission
(TJC)
National Association
of Boards of Pharmacy
(NABP)
URAC
Yes
Yes
Yes
Yes
No
Yes
No
Yes
DMEPOS only
No
Yes (non-Medicare only)
No
Yes
No
No
Yes (specialty drug pharmacy accreditation)
Yes
no
Yes
No
Yes
Yes
Yes
Yes
No
Yes
yes
Yes
DMEPOS only
No
Yes
Yes
No
Yes (we administer the accreditation process for CPPA)
No
Yes
Yes
Yes (depending on eligibility)
Yes
• Sterile and non-sterile
compounding pharmacy
accreditation
• Pharmacy-based travel/
retail clinic accreditation
• Home infusion
• Rural health clinics (CMS
Deemed)
• Third-party billing
• Ventilator unit
Yes
•Verified Internet Pharmacy
Practice Sites® (VIPPS®)
•Veterinary-Verified Internet
Pharmacy Practice Sites®
(Vet-VIPPS®)
•NABP e-Advertiser ApprovalCM Program
•Verified-Accredited Wholesale Distributors® (VAWD®)
•Verified Pharmacy Program™ (VPP™)
•State-specific inspection
programs
• Pharmacy benefit management (PBM)
• Drug therapy management
• Workers compensation
PBM
• Mail service pharmacy
• Specialty pharmacy
• Community pharmacy
Yes, Providers must provide
a full spectrum assessment,
care planning, reassessment, and performance
improvement activities.
No, we do not accredit
infusion pharmacy practices. We do have a DMEPOS
accreditation that includes
infusion pump categories
(with P&P that follow CMS
Quality Standards) and
an inspection program
(VPP) that inspects general pharmacy, non-sterile
compounding compliance to USP<795>, sterile
compounding compliance
to USP<797>, and nuclear
pharmacy
No
Yes, specific to sterile prod- Yes, 18 standards related to
uct preparation that meets infusion
requirements of USP <797>;
patient care plans, monitoring and follow-up; and staff
competencies
No
Questions
Accreditation Commission for
Health Care (ACHC)
Accreditation Standards Used (continued)
Are there specific
Yes, specific standards include:
standards that apply to
DRX2-10D, DRC4-12A, DRX4-12B,
infusion nursing practice?
DRX4-13B, DRX5-7C, and DRX5If yes, what are they?
17A
Are there specific
standards that apply
to specialty pharmacy
practice? If yes, what are
they?
Yes, in our specialty standards,
relating to immune globulin
therapy pre-initiation screening
and patient education protocols,
infusion monitoring, and adverse
effect mitigation and monitoring
Yes, the Infusion Therapy Nursing
Standards
Yes, complete set of specialty
pharmacy practice standards at:
www.pharmacypracticeaccredit.
org
No, our pharmacy standards are
written broadly enough to allow
for the specificity and details
required
Yes, see community and specialty Yes, standards incorporate indusstandards on website
try trends, evidence-informed
research/best practices, advances
in clinical practice, and state and
federal regulatory requirements
Do you recommend
consultants?
Consultants are not needed
to complete our accreditation
programs
No, but we provide certification
courses intended only for external consultants who prepare
home health and hospice providers for accreditation
Every 3 years
On an ongoing basis. We are
currently in the process of
revising all of our standards; new
standards will be available for
public comment in later 2015 and
are scheduled for release at the
end of 2016
A small group of experts in the
practice area develop or review
the current standards. Standards
or changes are vetted with 20-30
stakeholders. Revised standards
are vetted nationwide with all
stakeholders; comments are
considered, changes made as
needed, and approved by Board
of Directors. Draft standards are
reviewed by applicable committees and Board.
Yes
Review and development draws
on the evaluation of persistent
gap areas or potential redundancies in current standards,
changes in clinical practice, and/
or industry trends. Stakeholder
input is sought including at surveys, focus groups, and via calls
for public comment. The process
is overseen by a Board consisting
of staff and industry stakeholder
groups.
Yes
What is the process for
standards review? Are
stakeholders involved?
SEP TEMBER / OCTOBER 2015
Community Heath Accreditation
Partner (CHAP)
Do you use other standards Yes, dedicated PI measures. We
and/or measures? If yes,
incorporate USP 795, 797, OSHA
what are they?
and appropriate FDA requirements into our standards
How often are your
standards reviewed and
updated?
36
Yes, standards are a combination
of our infusion standards with additional specialty-specific requirements that refer to cost containment, REMs and limited-release
medications, patient monitoring,
and patient adherence
Center for Pharmacy Practice
Accreditation (CPPA)
We offer educational tools that
help with accreditation, including
workshops and workbooks, and
certified consultants, who have
gone through an onsite training
and testing (see website for listing)
Standards are formally reviewed
annually, but updates are only
completed if required by industry
regulatory changes, customer
feedback, or patient/employee
safety issues. We realize that
every change adds internal cost
to our accredited companies
All standards approved by Standards and Review Committee;
members are industry experts
with two pharmacists
When standards are
Yes
updated, are they provided
to currently accredited
pharmacies free of charge?
The Compliance Team
(TCT)
Healthcare Quality
Association on
Accreditation (HQAA)
The Joint Commission
(TJC)
Yes
No
Yes, standards address critiNo
cal components of care and
provide organizations with
the flexibility to discretely define those critical competencies based on the populations
they serve and the therapies
that are provided
Yes, specialty pharmacy
No
standards address:
medication reconciliation,
timeliness of delivery,
documentation, PI
measures, compounding
risks, and safety
No
We reference recognized
standards of care and
measures developed by the
professional associations
and external stakeholder
groups to promote operational effectiveness and
performance excellence
(i.e. NHIA, ASHP, INS, APIC,
Payer measures, USP<797>,
<795>, FDA, OSHA)
No, customer’s unique
needs determine if a consultant is needed, and the
right fit for their organization
Yes, CMS Quality Standards,
the foundation of our DMEPOS accreditation, and VPP
compounding inspections
to USP<795> and <797>
Yes, complete list of
standards and measures at: www.urac.
org/resource-center/
research-publications/
standards-and-measures-ata-glance/
No, applicants may seek
a DMEPOS accreditation
consultant, but we do not
recommend or provide a
list of accreditation consultants
The DMEPOS standards
were recently reviewed in
Q4 2014, and are updated
as needed
URAC does not specifically recommend consultants, but many providers
achieved accreditation with
assistance from consultants
Our standards are orgaNo
nized operationally with
Universal Standards. Our
subspecialty standards
address patient care plans,
patient adherence, product
delivery/shipping and tracking, and data reporting
documentation
Yes, patient satisfaction
No
survey standard requires
providers to submit,
electronically, results to be
compared against many
variables of the national patient satisfaction database
National Association
of Boards of Pharmacy
(NABP)
URAC
Yes. Specialty Pharmacy
Standards specific to specialty pharmacy practice.
The hallmark module of
the specialty pharmacy
accreditation is the patient
management section
No, we provide call advisor
series to assist providers
with accreditation preparation
It’s left up to organization
Annually
As needed
Annually, at a minimum
updated as often as
appropriate based on law,
regulation, and standards
of practice
There is a Standards
Committee for the review
process
Yes
Yes, experts in the home
infusion and specialty
pharmacy field, current
providers and industry
stakeholders regularly meet
in concert w/our staff in the
Division of Standard and
Survey Methods throughout the year
During the DMEPOS standards review session, our
standards are reviewed
to ensure compliance to
CMS Quality Standards;
stakeholders are involved
and materials are continually optimized to support
CMS and to meet applicant
needs and expectations
Our Pharmacy Advisory Group recommends
changes, which then are
published for public comment and are ultimately
approved by the Board of
Directors.
Yes
Yes
Yes, online
Yes
Yes
Generally, every three years
with occasional changes
necessitated by the environment
Questions
Accreditation Commission for
Health Care (ACHC)
Center for Pharmacy Practice
Accreditation (CPPA)
Community Heath Accreditation
Partner (CHAP)
Fees are based on the size (number of physical locations), volume
and programs and services
provided
Total for 3-year accreditation:
$3,525, broken down as: application fee: $1,000; survey fee:
$1,500; survey travel fee: $500;
annual participation fee year 1:
$175; annual participation fee
year 2: $175; annual participation
fee year 3: $175. Separate fee
structure applies to multisite
practices—call for details
Are there additional fees?
If yes, for what?
No
Annual participation fees
Estimated total cost for 3-year
accreditation of a single site,
single service HME, Pharmacy, or
Private Duty provider: $6,635,
broken down as: application fee:
$605; accreditation fee: $3,510 (3
annual payments of $1,170); site
visit daily rate: $1,260 (typically
2 days). Estimated total cost for
3-year accreditation of a single site,
single service home health, hospice,
infusion therapy nursing or public
health provider serving 150 or fewer
unique patients: $8,966, broken
down as: application fee: $605;
accreditation fee: $4,581 (3 annual
payments of $1,527); site visit daily
rate: $1,260 (typically 3 days)
Complaint site visits: $2,000 per
day; focus visits: standard site
visit fee
How are surveyor/
evaluator travel/meal etc.
expenses paid?
What are the customer’s
payment options and
terms?
Fees are all inclusive, no addition- All fees are included in the fee
al surveyor expenses
structure total
Fees and Terms
Explain your basic fee
structure--what are the
criteria for your charges?
And, what is the fee for
each?
SEP TEMBER / OCTOBER 2015
How long is the
accreditation term?
Accreditation Process
What is the timeline to
accreditation?
38
Site visitors are per diem employees and have all site visit-related
fees (travel, lodging, meals) paid
Several payment options:
Invoice #1 - Sent with application Fees are divided into 3 annual
monthly, 6-month plan, and up to (application fee plus 75% of the ac- installments. Customers are in18-month payment plan
creditation fee); Invoice #2 - Sent voiced 30 days after the last day
after document assessment and
of site visit
prior to the survey (remaining 25%
of accreditation fee, fees for any
additional survey sites, and first
year participation fee); payment
required to proceed with survey
3 years
3 years
3 years
Surveys are scheduled 2-3 months
from receipt of contract. Providers can also indicate a “readiness
date”
What accreditation
decisions are possible?
Accredited, Accreditation Pending, Dependent, and Denied
What are the criteria for
resurvey?
Usually based on patient safety
issues or a condition-level
deficiency for home health and
hospice
What is the timeframe for
corrective actions?
30 days
Community Pharmacy: application
and documentation (1 hour), document assessment (up to 90 days to
submit; 3-4 weeks to review), site
survey (up to 6 weeks from eligibility, post-survey notification (4-6
weeks), plan of action, if required
(reviewed quarterly). Specialty
Pharmacy: application and documentation (3 hours), document assessment (up to 120 days to submit; 3-4
weeks to review), site survey (up to
6 weeks from eligibility), post-survey
notification (4-6 weeks), plan of
action, if required (30 days).
On Course for Accreditation
(practice is currently going
through the accreditation) and
Accredited
Significant non-compliance discovered on initial accreditation
survey; we may verify compliance
as a result of a review or because
of facts which become known
to us
4-9 months if no action is required
See above
3-4 weeks from last day of site
visit
Accreditation without required
action or Not Accredited (denied)
A focus/follow up site visit may
be required for organizations
that have: high number of deficiencies, serious non-compliance
with patient care, condition-level findings (home health and
hospice)
The Compliance Team
(TCT)
Healthcare Quality
Association on
Accreditation (HQAA)
The Joint Commission
(TJC)
National Association
of Boards of Pharmacy
(NABP)
URAC
$7,600 (includes ambulatory suite(s) and home
infusion plus DMEPOS
accreditation)
Fees are based upon gross
revenue for Part B products; infusion is an add-on
fee
Fees are based on the
size of the organization
and scope of the services
provided
Fees are listed at www.
nabp.net. Call our accreditation staff at 847-391-4539
for more information.
Specialty Pharmacy accreditation fees are tiered,
based upon an annual claim
count. Organizations may
obtain a quote by emailing
[email protected]
No response provided
Application fee, monthly
fee for web-based standards management (ends
upon survey)
Provider pays surveyor
expenses
No
Additional fees may apply
No
(i.e. administrative fees for
services beyond the scope
of a typical accreditation)
We reimburse surveyors for Expenses are included in
their expenses
the accreditation fee
40% of fees paid in 1st year,
30% 2nd year, 30% 3rd year
Accreditation fee is invoiced at sign-up; individualized terms can be
negotiated if needed
Onsite survey fees are due
the year that the onsite
is conducted and annual
fees are billed in January;
individual payment options
and terms available
Payment for year 1 is due in
full when the application is
submitted
Generally payment is
required upon contract execution, however, payment
plans may be available.
3 years
3 years
3 years
3 years
3 years
4-6 months
6 months from sign-on to
accreditation
Typically 3-4 months; most
providers can be surveyed
within 3 months of application
Varies based on applicant’s
preparedness and performance
Varies based on the readiness of each organization;
typical timeframe is 9-12
months
Accreditation, Remedial
Program with Corrective
Action Plan
Accreditation, Accreditation
with Written Follow-Up,
Accreditation with Focus Survey, Denial, and Revocation
Deficiencies for which correction cannot be validated
via written documentation
Preliminary Accreditation,
Accreditation, Contingent
Accreditation, Denial of
Accreditation
Continuing accreditation
operation and updating
applicant file
Expenses billed separately
We perform a revisit for
scores less then 80%
60 days
30 days on average
Fees are all inclusive, no
additional charge
Accreditation is either
Full Accreditation, Provigranted, denied, or revoked sional Accreditation, Conditional Accreditation, Corrective Action, and Denial
When applicant is not
Applicants are placed on
familiar with or not able to “Corrective Action Status”
evidence compliance with
or awarded “Conditional
the CMS Quality Standards Accreditation.” They must
during the survey; when
then submit a Corrective
largely non-compliant;
Action Plan followed by an
or unable to remediate
onsite to verify compliance
issues with a manageable
post-survey action plan
45-60 days, depending on
Typically, 5 business days; ad- Usually 3 or 6 months
the corrective action needed ditional time as appropriate
Questions
Accreditation Commission for
Health Care (ACHC)
SEP TEMBER / OCTOBER 2015
Accreditation Process (continued)
How are corrective actions Template with instructions for
after survey submitted to
completion
the AO for review?
40
Center for Pharmacy Practice
Accreditation (CPPA)
Community Heath Accreditation
Partner (CHAP)
Annual review report
Though CHAPlinQ, our accreditation portal
Are written materials,
other than the standards,
available for preparation
assistance? If so, what are
they?
Yes, educational tools, including
workshops and workbooks;
certified consultants, who have
gone through onsite training and
testing, listed on our website
Yes, document assessment tool
Yes, webinars and on-demand
courses
How does the accredited
pharmacy submit documents
for pre-survey review?
What is the onsite
survey timeline? What is
the average time from
application to first day of
on-site survey?
Does your staff answer
standards questions during
preparation phase? During
on-site survey?
Upload to online portal
Upload to a secure cloud drop
box
Uploaded via LinQ, our proprietary software suite
Pharmacy average: 55 days
Nursing average: 58 days
Community: 120 days
Specialty: 150 days
Average is 4-6 months
Yes, full-time staff to help answer Yes and Yes
questions in preparation for
survey
Yes, Directors of Accreditations
answer and interpret standards
questions
Does your organization provide No, but a provider could use our No
customers with a policy and
workbook to design P&P around
procedure (P&P) manual?
our standards
Payer Recognition
Does your accreditation meet eligibility requirements for payer program participation:
Long Term Care (LTC)
Yes
N/A
Pharmacy?
Home Health Nursing
Yes
N/A
(including Medicare
Deemed Status)?
Specialty Pharmacy
Yes
Discussions in process
Services?
Home Medical Equipment Yes
N/A
(HME)/Durable ME (DME)
No, but our standards are available as a blueprint for customers
to write their P&P
Clinical Respiratory
Services?
Community Pharmacy/
Retail?
Yes
N/A
Yes
Yes
Yes, standards are adaptable
Ambulatory Infusion
Center (AIC)
Organizational Information
What are your general
pass/fail percentages?
Yes
No payers currently require
accreditation for community
pharmacy/retail
N/A
No response provided
We are still early in the rollout of
our accreditation programs
In 2014 Home health agencies: 90%
full accreditation, 4% pending,
and 6% denied. Hospice facilities:
93% full accreditation, 4% pending, 4% denied.
How many pharmacy
surveyors are currently on
staff?
More than 20
No response provided
7
Are pharmacies always
surveyed by a pharmacist
surveyor?
Yes
Yes
Yes
Yes, standards are adaptable
Yes
Yes, standards are adaptable
Yes
No
The Compliance Team
(TCT)
Healthcare Quality
Association on
Accreditation (HQAA)
The Joint Commission
(TJC)
National Association
of Boards of Pharmacy
(NABP)
URAC
via mail or email
Electronically
Electronically
Submitted to the assigned
accreditation reviewer
Yes, self assessment checklist and P&P templates
Yes, blog articles, forms,
checklists, outlines, and
other resources
Yes, document and survey guide, CMS quality
standards booklet, P&P
assessment, and product
category checklists.
U.S. mail or e-mail
Electronically
Electronically; occasionally
we conduct an onsite verification visit (depending on
the action required)
Yes, overview guide,
checklists, survey activity
guide, access to on-demand
webinars and standards
experts, online leading
practice library, and hot
topic informational portals
No pre-survey review of
documents is necessary
Yes, accreditation guide
that lists standards and
provides educational material, including interpretive
information, documentation, and explanation of
best practices
Upload via AccreditNet, our
secure web-based platform
4-6 months
Average is 4 months
Average is 30-60 days
following qualification for
survey readiness
Average time from application submission to survey
date is 3-5 months
Yes, via implementation
teleconferences and webinars
Absolutely
Yes, 24/7 online and by
phone
No, but we provide access
to P&P templates
No
No, customers are free to
use whatever P&P manual
best meets their needs
Yes, staff welcomes quesYes
tions pre and post survey;
surveyors answer basic
questions onsite but do not
consult on the standards or
give feedback on performance during the survey
Yes, new guide is targeted Yes
for release Q4 2015
Yes
N/A
Yes
Currently in review
No
Yes, non-Medicare only
N/A
Yes
No
No
Yes
N/A
Yes
No
Yes
Yes, Medicare deeming
authority
Yes
Yes
No
Yes
Yes
Yes
Yes, Medicare deeming
authority; typically applications are likewise recognized by third-party payers
No
Yes, pharmacy services and
DMEPOS
Yes
Yes, dependent on eligibility
Currently in review
No
Yes
N/A
Yes
No
No
Less than 5% failure rate
Less than 5% failure rate
A majority pass without
difficulty
1 senior pharmacy advisor
overseeing all Pharmacy
programs
0
No- All surveyors are Expert No
evaluators & are crosstrained
Electronically, via email
Most are able to demonstrate 100% compliance
with CMS Standards within
the normal accreditation
timeline; applicants unable
or unwilling to meet standards tend to withdraw
Our pharmacy surveyor
Large percentage of our
cadre is growing to meet
roster of nationwide surthe demands of our current veyors
and new customers.
Yes
Surveyor assignments align
with survey scope and applicant’s business model
3-4 months from application to onsite survey
No
In the high 90th percentile
8
A URAC survey team generally consists of a pharmacist
and a nurse
Questions
Accreditation Commission for
Health Care (ACHC)
Organizational Information (continued)
How many years has your
14 years
organization surveyed
pharmacies for clinical
pharmacy standards?
How many clinical
More than 1,000 locations
pharmacy programs are
currently accredited by
your organization?
How many pharmacies
(licensed locations) are
currently accredited by
your organization for
DMEPOS compliance?
How many nursing surveyors
are currently on staff?
Are nursing services
always surveyed by a nurse
surveyor?
Who is your current
President/CEO?
Who is the key contact
person for pharmacy
accreditation?
Please list contact
information (phone, email,
web)
More than 5,000
SEP TEMBER / OCTOBER 2015
Community Heath Accreditation
Partner (CHAP)
2 years
at least 15 years
3 community pharmacy practices
with a fourth awaiting determination and several in process; 3
specialty pharmacies in process
134 locations
N/A
Of the 134 above, 68 are seeking
DMEPOS compliance
More than 25 nursing on staff to N/A
survey
Yes, for home health; trained
N/A
pharmacists are available for
infusion nursing and survey for an
ambulatory infusion center
Jose Domingos, CEO
Lynnae Mahaney, RPh, MBA,
FASHP, Executive Director
75-80
Timothy Safley, MDA, Director of
Pharmacy DMEPOS and SLEEP
Accreditation
Patricia Foster, Account Services
Representative, 855-937-2242,
919-785-3011 (fax), pfoster@achc.
org. www.achc.org
Tomasina Chamberlain, RN, MSN,
MBA, CHPCA, Senior CP, Accreditation
202-862-34-13, [email protected],
www.chapinc.org
Matrix Abbreviation Key:
AO accrediting organization
APIC Association for Professionals in Infection Control and
Epidemiology
ASHP American Society of Health-System Pharmacies
42
Center for Pharmacy Practice
Accreditation (CPPA)
Lynnae Mahaney, RPh, MBA,
FASHP, Executive Director
Lynnae Mahaney, RPh, MBA,
FASHP; Executive Director; 608444-7847; [email protected]; www.
pharmacypracticeaccredit.org
CMS
FDA
INS
MSW
Yes
Karen Collishaw, CAE, President
& CEO
Centers for Medicare & Medicaid Services
U.S. Food and Drug Administration
Infusion Nurses Society
medical social work
2016
Save The Date
The Compliance Team
(TCT)
Healthcare Quality
Association on
Accreditation (HQAA)
The Joint Commission
(TJC)
National Association
of Boards of Pharmacy
(NABP)
URAC
9 years
8 years
27 years
8 years
a little under 350
Choose not to answer
More than 500 freestanding pharmacies + health
care facility pharmacies
about 2500
Choose not to answer
A majority of the above
organizations are dually
accredited for pharmacy
and DMEPOS
The CPPA program’s first
survey was in 2014; the first
VIPPS survey was in August
1999
• 1 clinical-based pharmacy
program: CPPA
• 4 pharmacy based programs: DMEPOS, VIPPS,
Vet-VIPPS, VPP
Nearly 525 companies,
representing almost 28,000
facilities are DMEPOS-accredited by NABP.
1 @ director level and 2
advisors
No, it’s incorporated into
entire organization not a
separate program
3
More than 100
1 registered nurse
N/A
N/A
Yes
N/A
N/A
Sandra Canally RN, Founder
& President,
[email protected]
Steve Simmerman, VP
Operations
Mary Nicholas, CEO,
[email protected]
Mark Chassin, MD, FACP,
MPP, MPH, President
Rhonda Pearce
[email protected]
215-654-9110, ssimmer866.909.4722, www.hqaa.
man@thecomplianceteam. org
org; www.thecomplianceteam.org
More than 300 pharmacy
organizations are either
accredited or in process
N/A
Carmen Catizone, MS, RPh,
PD, Executive Director/
Secretary
Margherita C. Labson, Exec- Nancy Tay, Accreditation
utive Director
Director
Kylanne Green, President
and CEO
630-792-5284 mlabson@
jointcommission.org
202.326.3943, [email protected]
NHIA National Home Infusion Association
OSHA Occupational Safety and Health Administration
OT
occupational therapy
P&P policies and procedures
Nancy Tay, Accreditation
Director, 619/334-9344
[email protected]
www.nabp.net
Heather Bonome, PharmD,
Director of Pharmacy
PT
physical therapy
REMS risk evauation and mitigation strategy, issued by FDA
ST
skilled therapy
NHIA Annual Conference & Exposition
New Orleans, Louisiana
March 21 - 24, 2016