AAAASF answers frequently asked questions about accreditation, patient safety data reporting and other topics
Patient Safety Data Reporting FAQs
- Patient Safety Data Reporting Administrator Authorization Form” located on the AAAASF website under Patient Safety Data Reporting Documents. The completed form should be emailed to firstname.lastname@example.org.
- email@example.com with a link to reset the facility password. Call the help desk at 224-643-7704 if you need further assistance.
If a surgeon/proceduralist has not performed at least one (1) case per month, cases from other months in the period may be selected for a total of three (3) reported cases per period.
- Exemption form. All cases that were performed during that period must be reported through the online system.
Once your paperwork is complete and your floor plan is approved, the AAAASF staff can usually secure a surveyor to evaluate your facility within 30 days. For Medicare accreditation, an additional Life Safety Code inspection is performed prior to the AAAASF Medicare inspection and AAAASF cannot guarantee a survey within 30 days. AAAASF does offer an expedited survey fee. Once completed, all new facilities are sent to an accreditation committee for approval. After approval is granted, accreditation is activated and the facility notified. Statistically, most facilities fully achieve accreditation 90 to 150 days after submitting an application.
For those requesting an immediate survey in a non-Medicare program, we may be able to accommodate but an additional fee would apply.
AAAASF’s patient safety data reporting system, as required by AAAASF’s standards, requires online reporting every three months. This online reporting includes the submission of three random cases for each surgeon/proceduralist and all unanticipated sequelae. The reported cases for each surgeon/proceduralist must include the first case done by each surgeon/proceduralist per month during the reporting period for a total of three cases, plus all unanticipated sequelae. If a surgeon/proceduralist has not performed at least one case per month, cases from other months in the period may be selected for a total of three reported cases per period.
Peer Review versus Patient Safety Data Reporting
What AAAASF previously called Peer Review is a separate and distinct process from what many physicians are familiar with as a full clinical peer review process, which is performed at a physician-to-physician level. The objective data elements required during the quarterly Patient Safety Data Reporting, as part of the accreditation process, is specifically intended for medical study and the evaluation and improvement of quality care and reduction of morbidity and mortality. Such data can be entered prior to the facility conducting its peer review meetings. Revised standards manuals will be published in the near future and will use more distinct language to demonstrate the difference.
As we fully transition from referring to this process as Peer Review to Patient Safety Data Reporting, be aware that our online reporting portal may continue to reflect the term Peer Review for a time until all of our vendors have completed updates to the systems they administer on our behalf.
- Contact us and speak with one of our accreditation specialists who will be happy to assist.