Most common deficiencies for AAAHC Chapter 2 “Governance”, Subchapter II “Credentialing and Privileging”

The most common deficiencies our surveyors see for Chapter 2-II “Governance: Credentialing and Privileging” of the AAAHC Accreditation Handbook for Ambulatory Health Care:

  • Provider education must be verified – copies of diplomas are not verification. Most organizations use the AMA Physician Profile. For non-physician providers, we suggest the National Student Clearinghouse for education verification.

  • For each provider, you must have a report from the NPDB – National Practitioner Data Bank – for credentialing and re-credentialing.

  • Governing Board minutes must state the names of the providers approved for privileges.

To learn how HealthCon can assist with your accreditation/certification needs, visit www.healthconcorp.com or contact us at kmighion@healthconcorp.com

*Sources:

  1. “AAAHC Quality Roadmap 2019” report: applies to Ambulatory Surgery Centers, Office-Based Surgery practices, and Primary Care settings.

  2. HealthCon Consultant survey experience

Kristine Mighion, MD, MBA