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Achieving accreditation requires submission of documentation demonstrating substantial compliance to the Standards. Though the accreditation application provides only a "snapshot" of facility functions and quality, it has always been expected that accredited facilities continuously adhere to and uphold the Standards on a daily basis, throughout their three-year accreditation cycles. In the legal accreditation agreement submitted by all applicant facilities, it is stated that once granted accreditation, "the facility bears the burden of showing and maintaining compliance during the application review period and for the duration of accreditation."
In an effort to further substantiate continued compliance by accredited facilities and in response to the requirements sanctioned by the Centers for Medicare & Medicaid Services (CMS) for CMS appointed Accreditation Organizations as part of the Medicare Improvements for Patients and Providers Act (MIPPA), the IAC has implemented a policy requiring all accredited facilities to undergo an audit or site visit at some time during their three-year accreditation period.
Facilities are randomly selected and assigned a date to receive an audit or site visit, by a computer program. Once selected, the facility is notified via e-mail and provided with instructions for either submitting the required audit materials or notification that a site visit will be performed. No additional fees are assessed to the facility as a result of these processes.
Reporting a Complaint
The IAC investigates complaints that identify specific noncompliance to the IAC Division Standards and/or the IAC Accreditation Program Policies and Procedures.
Read more about how to file a complaint on the IAC website» |
