ACHC shares vaccine mandate survey priorities

Effective Mar 25, 2022

Published Mar 25, 2022

Last Reviewed Mar 25, 2022

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.

See recent coverage at HHL of vaccine mandate guidance:

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