What You Need to Know

 

Here are the references that you need to be thoroughly familiar with in your role as lead surveyor, reviewing the relevant ones before surveys as needed, depending on the survey type.

 

Standards:

 

All of the four standards, accessible at this link:  http://www.ashp.org/Import/ACCREDITATION/ResidencyAccreditation/RegulationsStandards.aspx:

 

· ASHP Accreditation Standard for Postgraduate Year One (PGY1) Pharmacy Residency Programs

· ASHP Accreditation Standard for Postgraduate Year Two (PGY2) Pharmacy Residency Programs

· Accreditation Standard for Postgraduate Year One (PGY1) Community Pharmacy Residency Programs

· ASHP Accreditation Standard for Postgraduate Year One (PGY1) Managed Care Pharmacy Programs.

 

Note that a rewrite of residency standards is being planned by 2013. In 2011 it will be 6 years since the last revision, which was done in 2005 and went into effect in 2007.

 

You also need to be familiar with the supplemental goals and objectives, if applicable, for the specific program you will be surveying. 

 

In addition, you should compare the site's completed "Pre-Survey Questionnaire" and "Self-Assessment Checklist" to the corresponding "ASHP Accreditation Standard" for either PGY1 (pharmacy, community, managed care pharmacy), PGY2 programs or managed care systems.

 

Guidelines

 

For all programs, you should compare their materials to the appropriate guidelines that can all be found on the ASHP website, including the following guidelines, which are often referred to during the survey process. Click on the name of the guideline to access it.

• ASHP Guidelines on Quality Assurance for Pharmacy-Prepared Sterile Products
• ASHP Guidelines on the Safe Use of Automated Medication Storage and Distribution Devices
• ASHP Guidelines: Minimum Standard for Pharmacies in Hospitals
• ASHP Guidelines on a Standardized Method for Pharmaceutical Care
• ASHP Guidelines: Minimum Standard for Pharmaceutical Services in Ambulatory Care

 

In addition to the ASHP guidelines listed above, these guidelines from the United States Pharmacopeia (USP) may be helpful:

 

USP 797 Guideline

 

Best Practices

 

You should also be familiar with the Best Practices for Hospital and Health-System Pharmacy book published by ASHP, which you can access via this link: http://www.ashp.org/bestpractices. The accreditation process is looking to see if "Best Practices" are followed at a training site.

 

Critical Factors

 

It is also important to be familiar with the "Critical Factors" for PGY1, PGY1 Community and PGY2 programs you will be surveying. These factors are considered critical and are weighted more heavily in determining the length of accreditation for a program. You will determine, when the site's report comes back to review, if areas of PC/NC (partial compliance/non compliance) have been resolved.

 

Consistency Criteria

 

As already mentioned, consistency among surveyors is important. To aid in achieving as much consistency as possible, the consistency criteria were developed. You can review them by clicking here.

 

 

Here is a summary of resources on the web for presurvey preparation:

 

Resource	Web Link
ASHP Accreditation Standard for Postgraduate Year One (PGY1) Pharmacy Residency Programs	http://www.ashp.org/s_ashp/docs/files/RTP_PGY1AccredStandard.pdf
ASHP Accreditation Standard for Postgraduate Year Two (PGY2) Pharmacy Residency Programs	http://www.ashp.org/s_ashp/docs/files/RTP_PGY2AccredStandard.pdf   For the menu of outcomes, goals and objectives for each type of PGY2 program, click here: http://www.ashp.org/menu/Accreditation/ResidencyAccreditation.aspx
Accreditation Standard for Postgraduate Year One (PGY1) Community Pharmacy Residency Programs	http://www.ashp.org/Import/ACCREDITATION/ResidencyAccreditation/RegulationsStandards.aspx, Click on "Accreditation Standards for PGY1 Pharmacy Residencies, Community Pharmacy Residency (PGY1)
Accreditation Standard for Postgraduate Year One (PGY1) Managed Care Pharmacy Residency Programs	http://www.ashp.org/s_ashp/docs/files/RTP_%20Managed%20Care%20Standard%200407.pdf
Outcomes/Goals/Objectives associated with Standards	http://www.ashp.org/Import/ACCREDITATION/ResidencyAccreditation/RegulationsStandards.aspx
PGY1 Pre-survey Questionnaires and Self-Assessment Checklists for Accreditation of Pharmacy Practice Residency Programs	http://www.ashp.org/Import/ACCREDITATION/ResidencyAccreditation/PrepareSurvey.aspx

 

 

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