Home Health

ACHC shares vaccine mandate survey priorities

The Accreditation Commission for Health Care (ACHC) recently shared a list of the items its surveyors will be reviewing as they check organizations for compliance with the CMS COVID-19 vaccine mandate.

ACHC surveyors are reviewing:

  • Policies and procedures regarding COVID-19 vaccination(s).
  • The tracking process used to log vaccination status of affected personnel.
  • The process to ensure confidentiality of the vaccination status of affected personnel.
  • Contingency plans for personnel who are not fully vaccinated to mitigate the spread of COVID-19 infections.
  • A personnel list of individuals who provide care, treatment, or other services for the organization and/or its patients, under contract or by other arrangement.
    • This list should include the percentage of unvaccinated personnel, excluding those who have approved exemptions.
    • This list should identify personnel who remain unvaccinated due to approved exemptions.
  • A sampling of personnel files to verify acceptable proof of vaccination status.
  • Documentation for personnel unvaccinated due to a medical contraindication. Documentation includes:
    • Authentication (signature and date) by a physician or an advanced practice provider and including identification of the specific vaccine contraindicated and the recognized clinical reason for contraindication with a statement recommending exemption.

See more from the ACHC blog post at https://www.achc.org/covid-vaccination-compliance-review.