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Access to Care and Continuity of Care (ACC)
Access to Care and
Continuity of Care (ACC)
© Copyright, Joint Commission International Access to Care and Continuity of Care (ACC)
© Copyright, Joint Commission International Access to Care and Continuity of Care (ACC)
© Copyright, Joint Commission International Access to Care and Continuity of Care (ACC)

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WHAT IS MEANT BY BOTH TERMS?
WHAT IS MEANT BY BOTH TERMS?
ACCESS TO CARE
ACCESS TO CARE
  • All insurance are accepted.

  • Changes in insurance are actively accommodated.

  • Practice is accessible by public transportation, where available.

  • Families are able to reach directly to the facility when needed (24 hours/d, 7 days/wk, 52 wks/yr)

  • The practice is physically accessible and meets public

requirements.

CONTINUITY OF CARE
CONTINUITY OF CARE
  • maintenance of comprehensive central record that contains all pertinent information

  • Facility provides continuous care

for transfer and after discharge from the facility

Why are we here?
Why are we here?
1 • To know a little information about the ACC chapter
1
• To know a little
information
about the ACC
chapter
2 • To conduct a better practice for health care provision.
2
• To conduct a
better practice
for health care
provision.
3 • To fulfil criteria of JCIA reaccreditation © Copyright, Joint Commission International
3
• To fulfil criteria
of JCIA
reaccreditation
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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?

© Copyright, Joint Commission International So. what is the result? The result is improved: – Patient
The result is improved:
The result is improved:

Patient care.

Patient outcomes.

More efficient use of available resources.

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ACCESS TO CARE (ADMISSION TO ORGANIZATION)
ACCESS TO CARE
(ADMISSION TO ORGANIZATION)
© Copyright, Joint Commission International ACCESS TO CARE (ADMISSION TO ORGANIZATION)

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ELEMENTS OF THE CHAPTER
ELEMENTS OF THE CHAPTER

Admission to the Organization Continuity of Care. Discharge, Referral, and Follow-Up Transfer of Patients Transportation

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So, to be easy to understand the contents of this chapter we will listen to this
So, to be easy to understand the contents of
this chapter we will listen to this story:

Few days in Zahra life in our facility

  • Madam Zahra brought by family to ask for medical advice through ER

  • Been aramco listed.

  • Admission decided according to her needs confirming the priority items and the facility mission.

  • Admitted to regular ward.

  • Care plan and proposed outcome explained to family

  • All barriers detected are bypassed

Related standards:

  • Access to care

  • Access to care

  • Admission to organization

  • ACC 1

  • ACC 1.2

  • ACC 1.3

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© Copyright, Joint Commission International So, to be easy to understand the contents of this chapter

So, to be easy to understand the contents of this chapter we will listen to this story:

© Copyright, Joint Commission International So, to be easy to understand the contents of this chapter

Few days in Zahra life in our facility

  • One day later, patient suffered from medical condition that need to be shifted to other intra-organization areas.

  • Treating physician still in command care

  • The case endorsed well by well documented file workup

  • The patient and her family asked for referral to other facility

  • Family counselled for the proposed care plan after referral and they are thinking to go DAMA

Related standards:

  • ACC 1.4

  • ACC 2

  • ACC 2.1

  • ACC 2.1

  • ACC 3

  • ACC 1.2

  • ACC 3.3

  • ACC 3.5

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© Copyright, Joint Commission International So, to be easy to understand the contents of this chapter

So, to be easy to understand the contents of this chapter we will listen to this story:

© Copyright, Joint Commission International So, to be easy to understand the contents of this chapter
  • Report prepared based upon clinical assessment and include all significant history of our patient

  • ACC 3.2

  • Patient will be transferred to this facility based upon her needs and their mission

  • Sending the report to receiving facility and care plan approved and accepted

  • ACC 4

  • ACC 4.1

  • ACC 4.2

  • Discharge summary wrote and kept in our patient file

  • Transfer summary wrote and sent to receiving facility.

  • Qualified team matching the patient needs will transfer the patient

  • ACC 3.2

  • ACC 3.2

  • ACC 4.3

  • ACC 4.4

  • With full medical records with transfer summary

  • Patient been transported to the receiving facility by our facility according the patient needs

  • ACC 5

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1. Admission to the Organization
1. Admission to the
Organization

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1. Admission to the Organization

–ACC.1  Patients are admitted to receive inpatient care or  registered for outpatient services
–ACC.1
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.
based on their identified health care needs
and the organization’s mission and
resources.

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1. Admission to the Organization

© Copyright, Joint Commission International 1. Admission to the Organization – ACC.1.1 The organization has a

ACC.1.1 The organization has a

© Copyright, Joint Commission International 1. Admission to the Organization – ACC.1.1 The organization has a
process for:
process for:
© Copyright, Joint Commission International 1. Admission to the Organization – ACC.1.1 The organization has a

ACC.1.1.1 Patients with emergent, urgent, or immediate needs are given priority for assessment and treatment.

© Copyright, Joint Commission International 1. Admission to the Organization – ACC.1.1 The organization has a

Admitting inpatients and

© Copyright, Joint Commission International 1. Admission to the Organization – ACC.1.1 The organization has a

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.

© Copyright, Joint Commission International 1. Admission to the Organization – ACC.1.1 The organization has a

For registering outpatients.

© Copyright, Joint Commission International 1. Admission to the Organization – ACC.1.1 The organization has a

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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2.CONTINUITY OF

CARE
CARE
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2.CONTINUITY OF CARE: – ACC.2
2.CONTINUITY OF CARE:
– 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.

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, Referral, and Follow-Up
3.Discharge,
Referral, and
Follow-Up

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3.Discharge, Referral, and Follow-Up
3.Discharge, Referral, and Follow-Up
– ACC.3
– ACC.3

There is a policy

guiding

  • the referral or

  • discharge of patients.

ACC.3.1 The appropriate referrals (written

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)

© Copyright, Joint Commission International 3.Discharge, Referral, and Follow-Up – ACC.3 There is a policy guiding
© Copyright, Joint Commission International 3.Discharge, Referral, and Follow-Up – ACC.3 There is a policy guiding

Client name/ Presentation Name/ 12pt -

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3.Discharge, Referral, and Follow-Up
3.Discharge, Referral, and Follow-Up
© Copyright, Joint Commission International 3.Discharge, Referral, and Follow-Up – ACC.3.1 The organization cooperates with health

ACC.3.1 The organization cooperates with health care practitioners and outside agencies to ensure timely and appropriate referrals.

–

ACC.3.2 the clinical records of inpatients contain a copy of the discharge summary.


© Copyright, Joint Commission International 3.Discharge, Referral, and Follow-Up – ACC.3.1 The organization cooperates with health

ACC.3.2.1 The discharge summary of inpatients is complete.

© Copyright, Joint Commission International 3.Discharge, Referral, and Follow-Up – ACC.3.1 The organization cooperates with health

ACC.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).

© Copyright, Joint Commission International 3.Discharge, Referral, and Follow-Up – ACC.3.1 The organization cooperates with health

ACC.3.4 Patients and their families are given understandable follow-up instructions.

© Copyright, Joint Commission International 3.Discharge, Referral, and Follow-Up – ACC.3.1 The organization cooperates with health

ACC.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

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Patients

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4.Transfer of Patients:

ACC.4
ACC.4
© Copyright, Joint Commission International 4.Transfer of Patients : ACC.4 Patients are transferred to other organizations

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:

© Copyright, Joint Commission International 4.Transfer of Patients :  ACC.4.1 – The referring organization determines
 ACC.4.1
ACC.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 summaryof the patient’s clinical condition and the interventions provided by the referring organization.

 ACC.4.3
ACC.4.3

(Transfer summary)

During direct transfer, a qualified staff membermonitors 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 of the patients
5.Transportation
of the patients

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5.Transportation of the patients

ACC.5
ACC.5

The process for :

  • Referring,

  • Transferring, or

  • Discharging patients,

© Copyright, Joint Commission International 5.Transportation of the patients ACC.5 The process for :  Referring,

Both inpatients and outpatients, includes planning needs to meet the patient’s transportation. What does this mean?

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