Healthcare Facilities Accreditation Program HFAP

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A Straightforward Approach to Accreditation

HFAP is a nationally recognized healthcare facility accreditation organization, with deeming authority from the Centers for Medicare and Medicaid Services (CMS). HFAP meets or exceeds the standards required by CMS to provide accreditation to all hospitals, ambulatory care/surgical facilities, mental health facilities, physical rehabilitation facilities, clinical laboratories, critical access hospitals and stroke centers.

HFAP also is recognized by:

  • National Committee for Quality Assurance (NCQA)
  • Accreditation Council for Graduate Medical Education (ACGME)
  • State departments of public health
  • Managed care organizations
  • Insurance companies

Clear and Direct Survey Standards

HFAP standards have been ?cross-walked? to the Medicare Conditions of Participation (CoPs) for each type of facility. This cross-walk approach means anyone reading the HFAP standards m anual can clearly see how each standard ties directly to a Medicare Conditions.

HFAP standards are composed of all Medicare standards plus standards proven to elevate quality and ensure that the Medicare standards are met (the following is a breakdown of the composition of all HFAP standards):

  • All Medicare standards (40%)
  • Patient treatment (47%)
  • Quality improvement (29%)
  • Patient safety (27%)
  • Environmental safety (26%)

Compliance with HFAP requirements assures compliance with Medicare standards.

Basis of HFAP accreditation survey standards:

  • Medicare Conditions of Participation (CoPs)
  • National Fire Proection Association (NFPA) Life Safety Code
  • Institute for Healthcare Improvement
  • Agency for Healthcare Research & Quality (AHRQ)
  • National Quality Forum
  • Additional non-Medicare quality standards
  • Suggestions and input from our customers

High-Quality, Helpful Surveyors

Our surveyors are practicing medical professionals, with practical field experience and a helpful attitude. When a deficiency is identified, they are ready to discuss options in real time.

HFAP accreditation survey teams have an average of three surveyors: A physician serves as team captain, along with a registered nurse and hospital administrator.

To ensure surveyors maintain a high level of professional quality, HFAP requires:

  • All surveyors attend mandatory training workshops to augment the real-world experience they bring with them
  • HFAP surveyor teams are not "fixed", so surveyors work with many other surveyors
  • During each survey, each team member scores the other team members in a variety of categories

Comprehensive, Straight-Forward Survey Process

The HFAP facility accreditation process consists of only 5 basic steps, from application to accreditation. The size of the facility being surveyed and the results of the actual survey determine how long the process takes and are the only reasons the process may vary.

The basic steps in the accreditation surveying process include:

  • Application
  • Survey
  • Deficiency report
  • Plan of corrections
  • Accreditation action

When switching your accreditation to HFAP our staff will work with you to ensure there is no interruption in reimbursement. Ideally, we would like to begin the application process at least six months prior to the expiration date of your current accreditation.

Cost-Effective Quality Survey

Our customers tell us we provide the most cost effective approach.

Determining the HFAP facility accreditation survey fee is straight-forward, varying only by the size and volume of your organization. And because our standards are so clearly written, additional consultations and workshops are available, but not required.

There are three main elements to the HFAP fee for accrediting a facility:

  1. Triennial Registration Fee
  2. Purchase of Accreditation Standards Manual
  3. Reimbursement for direct costs of conducting the survey, depending on the number of surveyors assigned to your facility and their travel costs.
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