Home Health - ACHC.ORG

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Home Health Accreditation

The preferred choice for agencies of all sizes

First things first

 

Home health, home care, and private duty are closely related terms with subtly different meanings.

Home Health Accreditation is for agencies seeking approval to bill Medicare for services. ACHC holds “deemed status” for home health, meaning that we have been authorized by the Centers for Medicare and Medicaid Services (CMS) to survey agencies for compliance with federal requirements for Medicare participation. These “deemed status” surveys result in both accreditation and a recommendation for CMS approval.

If your agency provides home-based, “private duty” care that is not covered by Medicare, please explore our Home Care Accreditation.

Unsure? Contact Customer Care to get you started on the right path!

Welcome

As an RN with 30+ years in home health and hospice, I’ve seen firsthand the benefit of in-home care for patients and their families. Home health holds a critical place on the healthcare continuum. And its importance is growing. ACHC was founded for home-based health care, and our Home Health Accreditation has been granted deeming authority by the Centers for Medicare and Medicaid Services (CMS) since 2006.

The program includes an incredibly knowledgeable, accessible, and enthusiastic team of experts ready and willing to help you get started or support your ongoing accreditation. The team shares a deep understanding of how agencies work and how to meet your needs. We offer relevant standards and excellent education. We support your organization as you support your patients.

Susan Mills, RN
Program Director

The ACHC approach: Surrounding you with education

ACHC surrounds you with accessible, responsive resources to fit your needs.

Your Customer Care Specialist works to ensure a successful onboarding experience for new and transitioning organizations.
Our Regulatory Team conducts research and shares knowledge about federal and state requirements.
ACHC Clinical Staff provides resources for standards interpretation and problem solving.
ACHC Clinical Staff provides resources for standards interpretation and problem solving.
Our Regulatory Team conducts research and shares knowledge about federal and state requirements.
Your Customer Care Specialist works to ensure a successful onboarding experience for new and transitioning organizations.
Your Account Advisor is a consistent point of ongoing contact
ACHC Surveyors focus on an educational approach that helps your organization improve and succeed.
Your Account Advisor is a consistent point of ongoing contact
ACHC Surveyors focus on an educational approach that helps your organization improve and succeed.

The ACHC process: Steps to achieving accreditation

Expect total support.

  • Get Started
  • Presurvey
  • Survey
  • Post-Survey
  • Decision
  • All
Get Started
people

Connect with our Team

We can help you get started.

Presurvey
monitor

Information Form

Register to access the ACHC customer portal.

Presurvey
article

Application

Complete your accreditation application and submit deposit.

Presurvey
people

Verification / Scheduling

Your Account Advisor verifies application completion and advances to Scheduling.

Survey
people

Opening Conference

Surveyor introductions and finalized survey agenda.

Survey
advisor

Onsite Survey

Surveyor observations, interviews, and document review with ongoing Q&A.

Survey
people

Closing Conference

Surveyor general observations and findings.

Survey
people

Final Survey Report

Provided within 10 business days of the last day of survey.

Post-Survey
Check-Circle

Plan of Correction

Submit Plans of Correction (PoC) within 30 days of the final survey report.

Post-Survey
Check-Square

ACHC Reviews PoC

  • PoC accepted or revised (as needed)
  • Final version submitted to the ACHC Review Committee for consideration.
Decision
monitor

Accreditation Decision

Letter sent within five business days of Review Committee decision.

Get Started
people

Connect with our Team

We can help you get started

Presurvey
monitor

Information Form

Register to access to ACHC customer portal.

Presurvey
article

Application

Complete ACHC accreditation application and submit deposit.

Presurvey
people

Verification / Scheduling

Your Account Advisor confirms that your application is complete and advances it to Scheduling.

Survey
people

Opening Conference

Surveyor introductions finalized survey agenda.

Survey
advisor

On-site Survey

Register to access to ACHC customer portal.

Survey
people

Closing Conference

General observations and an overview of preliminary findings.

Survey
people

Final Survey Report

Provided within 10 business days of the last day of survey.

Post-Survey
Check-Circle

Plan of Correction

You submit Plans of Correction (PoC) within 10 days of the final survey report.

Post-Survey
Check-Square

ACHC Processes Plan of Correction.

  • ACHC reviews PoC
  • Makes revisions (as needed).
  • Final PoC submitted to the ACHC Review Committee for an accreditation decision.
Decision
monitor

Accreditation Decision

Decision letter sent within five business days of Review Committee decision.

Home Health Accreditation Services and Distinctions

Services

The ACHC Standards—the requirements you must meet to achieve ACHC Home Health Accreditation—are compiled to be relevant to your home health agency’s business model. ACHC will work in partnership with you to build a customized accreditation solution based on your needs. View available services and distinctions below.

Home Health Aides provide personal care services on an intermittent basis. These services are covered by most payors, including Medicare, when other skilled services are also being provided.

Medical Social Services include resolving social or emotional problems that are an impediment to a patient’s recovery, and are provided on an intermittent basis by a Master’s prepared Social Worker (MSW) or a Social Worker Assistant under the supervision of a qualified Social Worker. These services are covered by most payors, including Medicare.

Occupational Therapy services include upper body strength training, improving range-of-motion skills, and a home exercise program, and are provided on an intermittent basis by a licensed Occupational Therapist or Certified Occupational Therapy Assistant (COTA). These services are covered by most payors, including Medicare.

Physical Therapy services include gait training, strength training, and a home exercise program provided on an intermittent basis by a licensed Physical Therapist or Physical Therapy Assistant (PTA). These services are covered by most payors, including Medicare.

Skilled Nursing services are provided on an intermittent basis by a licensed Registered Nurse (RN), Licensed Practical Nurse (LPN), or Licensed Vocational Nurse (LVN). These services are covered by most payors, including Medicare.

Speech Therapy services include improving swallowing, cognition, and speaking, and are provided on an intermittent basis by a licensed Speech Language Pathologist (SLP). These services are covered by most payors, including Medicare.

Distinctions

Distinctions offer additional recognition for specialties that go above and beyond expectations for home health agencies. The options must be earned in conjunction with (or after being awarded) Home Health Accreditation by ACHC.

This additional recognition acknowledges that older adults may have goals and priorities that differ from those of other age groups. Age-friendly care is intentional with regard to safety and reduction of harm and confusion. It focuses on the use of four evidence-based best practices in geriatric care known as the 4Ms*: What Matters, Medication, Mentation, and Mobility. The Distinction in Age-Friendly Care is patient-centered and designed to enhance patient outcomes.

This distinction must be achieved in combination with ACHC Home Health Accreditation.

*The 4Ms framework is a key element of the Age-Friendly Health Systems initiative developed by The John A. Hartford Foundation and the Institute for Healthcare Improvement, in collaboration with the American Hospital Association and the Catholic Health Association of the United States.

This additional recognition integrates behavioral health interventions into home care services for patients whose mental illness, substance abuse, or intellectual/developmental disabilities make it difficult for them to receive care outside of their homes. Services are provided by a psychiatric nurse and other home care personnel, as ordered by a physician.

This additional recognition focuses on collecting and analyzing data across a range of predetermined domains to evaluate the quality of care and guide continuous quality improvement. Measurement-based care highlights the strengths and weaknesses of current practices and provides evidence of goal achievement. Data are used in aggregate to benchmark and identify opportunities to improve processes, services, and operations for better overall care and outcomes. This distinction must be achieved in combination with ACHC Home Health Accreditation.

This additional recognition focuses on patient- and family-centered care that optimizes quality of life throughout the continuum of illness by addressing physical, intellectual, emotional, social, and spiritual needs and facilitating patient autonomy, access to information, and choice. ACHC Palliative Care Standards are based on the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care.

This additional recognition focuses on the provision of care to clients/patients with acute or chronic conditions, using telehealth technology that allows monitoring in the clinical or home environment. This technology creates disease management empowerment and independence, improved access to care, increased collaboration among healthcare providers, and improved client/patient outcomes. Standards were based on telehealth clinical guidelines of the American Telemedicine Association.

Ready to get started?

Home health agencies seeking ACHC Accreditation automatically gain access to essential workshops and workbooks from ACHCU, our education division.

These popular resources have helped hundreds of organizations understand and embrace the ACHC accreditation process. Now they’re available as part of your accreditation agreement.

  • Use the ACHC Accreditation Guide to Success digital workbook to create more efficient policies and procedures.
  • Assess your survey readiness with the included audit tools.
  • Use the workshop to equip your team with the know-how to achieve excellence. As a bonus, one team member can earn nursing contact hours!
Get more insight into ACHC resources and standards by subscribing to our Did You Know? newsletter.

If you have questions, don’t forget to visit our FAQs.

Preview the deep dive offered by the home health workshop.

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Vendor Partners

Regulatory Updates

Publications

Education

Vendor Partners

It’s who you know

Partnering associations that advocate for excellence in the provision of Home Health

External Resources

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