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Access to Care and Access to Care and Continuity of Care (ACC)Continuity of Care (ACC)
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Overview
A health care organization should consider the care it provides as part of an integrated system of services.
The goal of this system is to: – match the patient’s health care needs with the
services available.– coordinate the services provided to the patient.– plan for discharge and follow-up.
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So. what is the result?
The result is improved:
– Patient care.
– Patient outcomes.
– More efficient use of available resources.
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ACCESS TO ACCESS TO CARECARE
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ELEMENTS OF THE CHAPTERELEMENTS OF THE CHAPTER
–S
tand
ards
–Admission to the Organization
–Continuity of Care.
–Discharge, Referral, and Follow-Up
–Transfer of Patients
–Transportation
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1. Admission to the 1. Admission to the OrganizationOrganization
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1. Admission to the Organization
–ACC.1 ACC.1 – Patients are admitted to receive Patients are admitted to receive
inpatient care or registered for inpatient care or registered for outpatient services based on their outpatient services based on their identified health care needs and the identified health care needs and the organization’s mission and resources.organization’s mission and resources.
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1. Admission to the Organization
–ACC.1.1 The ACC.1.1 The organization has a organization has a process for: process for:
–Admitting inpatients Admitting inpatients and and
–For registering For registering outpatientsoutpatients.
–ACC.1.1.1ACC.1.1.1 Patients with emergent, urgent, or immediate needs are given priority for assessment and treatment.
–ACC.1.1.2 Patient needs for preventive, palliative, curative and rehabilitative services are prioritized based on the patient’s condition at the time of admission as an inpatient to the organization.
–ACC.1.1.3 The organization considers the clinical needs of patients when there are waiting periods or delays for diagnostic and/or treatment services
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1. Admission to the Organization
ACC.1.2 ACC.1.2 – At admission as an inpatient, patients and families receive
information on: the proposed care, the expected outcomes of that care, and any expected cost to the patient for the care. ACC.1.3 ACC.1.3 – The organization seeks to reduce physical, language,
cultural, and other barriers to access and delivery of services.
ACC.1.4 ACC.1.4
– Admission or transfer to or from units providing intensive or
specialized services is determined by established criteria.
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Measurable elements of ACC1Measurable elements of ACC1
Patients are admitted to receive inpatient care or registered for outpatient services based on their identified health care needs and the organization's mission and resources.
1. Screening is initiated at the point of first contact within or outside the organization.
2. Based on the results of screening, it is determined if the needs of the patient match the organization’s
3. Patients are accepted only if the organization can provide the necessary services and the appropriate
4. There is a process to provide the results of diagnostic tests to those responsible for determining if the
5. Policies identify which screening and diagnostic tests are standard before admission.
6. Patients are not admitted, transferred, or referred before the test results required for these decisions are available.
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Measurable Elements of ACC.1
The organization has a process for admitting inpatients and for registering outpatients.
1. The outpatient registration process is standardized.
2. The inpatient admitting process is standardized.
3. There is a process for admitting emergency patients to inpatient units.
4. There is a process for holding patients for observation.
5. There is a process for managing patients when bed space is not available on the desired service or unit or elsewhere in the facility.
6. Written policies and procedures support the processes for admitting inpatients and registering outpatient.
7. Staff are familiar with the policies and procedures and follow them.
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2.CONTINUITY 2.CONTINUITY OF CAREOF CARE
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2.CONTINUITY OF CARE:2.CONTINUITY OF CARE:
– ACC.2 ACC.2
The organization designs and carries out its own processes
– why? provide continuity of patient care services in
the organization and coordination among health care
providers.
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2.CONTINUITY OF CARE2.CONTINUITY OF CARE::
– ACC.2.1
During all phases of inpatient care;
there is a qualified individual identified as responsible for the patient’s care.
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3.Discharge, 3.Discharge, Referral, and Referral, and
Follow-UpFollow-Up
Client name/ Presentation Name/ 12pt - 17
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3.Discharge, Referral, and Follow-Up3.Discharge, Referral, and Follow-Up
– ACC.3ACC.3 There is a policy
guiding the referral or discharge of
patients.
– ACC.3.1 The appropriate referrals (acceptance form?).
– ACC.3.2 the clinical records and the discharge summary.
– ACC.3.2.1 The discharge summary of inpatients is complete.
– ACC.3.3 the clinical records
– ACC.3.4 (Discharge prescription) – – ACC.3.5 The patients who leave against
medical advice.(OVR and DAMA FORMAT)
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3.Discharge, Referral, and Follow-Up3.Discharge, Referral, and Follow-Up– ACC.3.1 ACC.3.1 The organization cooperates with health care practitioners and outside
agencies to ensure timely and appropriate referrals.–
– ACC.3.2ACC.3.2 the clinical records of inpatients contain a copy of the discharge summary.
– ACC.3.2.1ACC.3.2.1 The discharge summary of inpatients is complete.
– – ACC.3.3 tACC.3.3 the clinical records of outpatients receiving continuing care contain a
summary of All known significant diagnoses,
Drug allergies, Current medications, and
Any past surgical procedures and hospitalizations (transfer summary).–
– ACC.3.4ACC.3.4 Patients and their families are given understandable follow-up instructions.
– – ACC.3.5ACC.3.5 The organization has a process for the management and follow-up of
patients who leave against medical advice.
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4.Transfer of Patients
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4.Transfer of Patients:ACC.4 ACC.4
Patients are transferred to other organizations based on:
Status of the patient Need to meet their continuing care
needs.
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4.Transfer of Patients: ACC.4.1ACC.4.1
– The referring organization determines that the receiving organization can meet the patient’s continuing care needs.
(COMMUNICATION) ACC.4.2 ACC.4.2
– The receiving organization is given a written summary of the patient’s clinical condition and the interventions provided by the referring organization.
(Transfer summary) ACC.4.3 ACC.4.3
– During direct transfer, a qualified staff member monitors the patient’s condition.
ACC.4.4 ACC.4.4
– The transfer process is documented in the patient’s record.
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5.Transportation 5.Transportation of the patientsof the patients
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5.Transportation of the patientsACC.5 ACC.5
The process for : Referring, Transferring, or Discharging patients,
BothBoth inpatients and outpatients,
includes planning needs to meet the patient’s transportation.
What does this mean?
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Questions?Questions?
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