ADDITIONAL DOCUMENTS

Global Accreditation Documents

• Application (Global Accreditation)

Patient Safety Data Reporting Forms

• Common Procedures and Associated CPT Codes
• Patient Safety Data Reporting User Guide
• Patient Safety Data Reporting Random Case Template
• Patient Safety Data Reporting Sequela Template
• Patient Safety Data Reporting Exemption Form
• Patient Safety Data Reporting Authorization Form
• Patient Safety Data Reporting FAQs

Other Resources

In addition to our Information Packet and other materials in our Programs and Documents sections, the following links may prove helpful throughout the accreditation and survey process, as well as the overall endeavor to promote safe environments for outpatient health care.

It is important to note that not all items below are part of the AAAASF website. Some links may navigate you away from our site and onto a site that is not affiliated with AAAASF. Links to these sites are provided for convenience only and AAAASF makes no representation about them or their content.

Helpful Links

State Adverse Event Forms

• California Adverse Event Form
• New York Adverse Event Form
• Florida Adverse Event Form

California Patient Transfer Reporting Form (ENF-2240b)

Medicare Resources

• Medicare Regulations and Guidance
• Medicare 855B Details

Health & Safety Awareness

• Centers for Disease Control (CDC) Zika Virus Updates
• Centers for Disease Control (CDC) Travel Notices
• World Health Organization (WHO) News

Fee Schedules

• AAAASF Fee Schedule

Inactivation Forms

• Active Facility Inactivation
• New Facility Inactivation

Patient Safety Brochure Order Form

• This patient safety product will help facilities further educate patients on the benefits and importance of accreditation. Order here.

Floor Plan Review Order Form

• This form is for facilities who haven’t applied yet but would like to have their facility’s layout reviewed before they send the application and annual/survey fees.
• Floor Plan Review Order Form