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ACEP Launches Pilot Phase of Its Emergency Dept. Accreditation Program

By ACEP Now | on October 9, 2024 | 0 Comment
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Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.

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ACEP Now: Vol 43 – No 10 – October 2024

“High quality care for anyone, any age, any condition—that’s what this program will work to ensure,” says Dr. Gausche-Hill, an emergency physician and Interim CEO of the Lundquist Institute at Harbor-UCLA Medical Center. “We understand there are large community hospitals, academic centers and rural hospitals with vastly different resources and needs. However, when a patient walks through the door, they want to know there are resources available for that ED to delivery high quality care.”

ACEP’s ED Accreditation Program (EDAP) is the next step in ACEP’s robust suite of Accreditation programs.

ACEP’s Clinical Ultrasound Accreditation Program (CUAP) strives for continuous quality management and patient safety, communication, responsibility, and clarity regarding the use of clinical ultrasound. Accreditation ensures that safe, quality examinations are performed in any ED that utilizes clinical, point-of-care ultrasound.

ACEP’s Geriatric Emergency Department Accreditation Program (GEDA) promotes the best clinical practices for older adults. In August, GEDA’s work was validated when the Centers for Medicare and Medicaid Services introduced an Age-Friendly Hospital Measure as part of the fiscal year 2025 Inpatient Prospective Payment System rule. This measure incorporates important aspects of the GEDA framework into care delivery.

Finally, ACEP’s Pain and Addiction Care in the ED Program (PACED) works to accelerate the transfer of knowledge about acute pain management and secure appropriate resources to care for patients. A June CDC report found that, although medications for opioid use disorder substantially reduce mortality, they are underused. In 2022, only 25 percent of the patients needing OUD treatment received it, according to the report.

ED ACCREDITATION

ACEP’s ED Accreditation Program will include Level 1, Level 2, Level 3 and Rural Emergency or Critical Access Hospital accreditation. There are five sets of domains. Each domain is driven by ACEP policies and the criteria support a physician led emergency health care team including emergency physicians, NPs, PAs and nurses.

  • Physician/Other Hospital Staffing
  • Emergency Department Planning and Resource Guidelines
  • Guidelines Regarding the Role of Physician Assistants and Nurse Practitioners in the ED
  • Role of the Emergency Physician in the Care of Trauma Patients
  • Social Work and Case Management in the Emergency Department
  • Physician Contracting
  • Due Process for Physician Medical Directors of Emergency Medical Services
  • Medical Practice Review and the Practice of Medicine
  • Use of Short Courses in Emergency Medicine as Criteria for Privileging or Employment
  • Emergency Department Planning and Resource Guidelines
  • Emergency Physician Contractual Relationships
  • Quality
  • Emergency Department Planning and Resource Guidelines
  • Physician Credentialing and Delineation of Clinical Privileges in Emergency Medicine
  • Pediatric Readiness in Emergency Medical Services Systems
  • Policies
  • Responsibility for Admitted Patients
  • Disaster Planning and Response
  • Adult Psychiatric Emergencies
  • Pediatric Medication Safety in the Emergency Department
  • Food And Drink for Staff in the Emergency Department
  • Protection From Violence in the Emergency Department
  • Pediatric Readiness Guidelines
  • Resources
  • Advanced Practice Provider Point of Care Ultrasound Guidelines
  • Domestic Family Violence
  • Use of Medical Interpreters in the Emergency Department
  • Support for Nursing Mothers

Dr. Gausche-Hill says the success of these programs sends a clear message that rigorous and adaptive quality standards are paramount, and therefore, EDAP is a logical next step in ACEP’s pursuit of enhanced patient care, transparency and support for frontline workers. Because overall accreditation is so broad, however, she says the work it takes to launch such a program is nothing short of enormous.

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Topics: AccreditationEmergency Department Accredication ProgramPractice Management

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