Accreditation Roadmap for Pharmacies
1. Assess Readiness: Conduct a thorough assessment of your pharmacy’s readiness for long-term care at home accreditation. Evaluate current practices, policies, and procedures to identify areas for improvement and compliance with accreditation standards set by the Long-Term Care at Home Quality Commission.
2. Educate Staff: Ensure that all pharmacy staff members are educated and trained on the accreditation standards set by the Long-Term Care at Home Quality Commission. Provide ongoing training and resources to keep staff informed.
3. Develop Policies and Procedures: Create comprehensive policies and procedures that align with the accreditation standards, covering all aspects of pharmacy operations related to long-term care at home services.
4. Implement Quality Improvement Measures: Establish quality improvement measures to monitor and enhance the quality of pharmacy services provided to long-term care at home patients.
5. Ensure Compliance with Regulatory Requirements: Ensure compliance with all regulatory requirements set by relevant regulatory bodies. Stay updated on any changes to regulations impacting long-term care at home pharmacy services.
6. Prepare Documentation: Prepare all necessary documentation for accreditation, including policies and procedures manuals, staff training records, and quality improvement plans
7. Conduct Mock Surveys: Conduct mock surveys or internal audits to assess readiness for accreditation, identifying gaps before the official accreditation survey.
8. Submit Application: Submit your accreditation application to the Long-Term Care at Home Quality Commission once confident in your pharmacy’s readiness, ensuring all required documentation is included.
9. Undergo Accreditation Survey: Prepare for and undergo the accreditation survey, demonstrating compliance with accreditation standards during the survey.
10. Address Survey Findings: Promptly address any findings identified during the survey, developing corrective action plans as needed.
11. Achieve Accreditation: Upon successful completion of the survey and resolution of deficiencies, your pharmacy will achieve accreditation. Celebrate this achievement and continue to uphold high standards in long-term care at home pharmacy services.
Long Term Care at Home Pharmacy Quality Commission™ (LTC@HPQC) Long Term Care at Home Pharmacy Accreditation™ Standards Overview
A pharmacy aiming for accreditation through LTC@HPQC standards must meet or exceed the standards outlined in the following key areas:
- 1. Pharmacy Standards (Section PMCY): Pertaining to all aspects of pharmacy operations.
- 2. Contracting Standards (Section CTS): Applicable to pharmacies seeking reimbursement through state/federal/commercial prescription plans for dispensing medications to beneficiaries receiving long term care.
- 3. Long Term Care at Home Standards (Section LTCH): Relevant to pharmacies seeking accreditation for Long Term Care at Home Pharmacy services.
The standards outlined above are essential for applicants pursuing LTC@Home Pharmacy Quality Commission Long Term Care at Home Accreditation. This overview serves as a resource for pharmacies to reference as they prepare for the accreditation process.
Section PMCY: Pharmacy Standards
| PMCY. A | General | Topics Include: · Eligibility · Submission Review · Business Overview · Ownership · Services · Digital Presence · Ethics |
| PMCY. B | Licenses | Topics Include: · Federal Licenses · State Licenses · Other Credentials (As Applicable) |
| PMCY. C | Facility | Topics Include: · Retail/Combo/LTC requirements · Disaster Plan, Emergency Preparedness, & Recovery |
| PMCY. D | Personnel | Topics Include: · Contact/Responsible Person(s) · PIC · Organizational Structure · Personnel Qualifications · HR Management & Practices · Training |
| PMCY. E | Compliance | Topics Include: · General Compliance · State Board History · Record |
| PMCY. F | Product Procurement and Storage | Topics Include: · Wholesalers/Procurement Source · Controlled Substances · Hazardous Drugs · Inventory Management · Storage Conditions · Outdates/Returns/Damaged Process · Recall Process |
| PMCY. G | Dispensing and Delivery | Topics Include: · Dispensing Types · Manual and Automation · Shipping, handling, and delivery |
| PMCY. H | Quality Improvement | Topics Include: · Overview and Requirements |
| PMCY. I | Policies and Procedures | Topics Include: · Overview and Requirements |
Section CTS: Contracting Standards
| CTS. A | Medicaid Compliance | Topics Include: · Program Participation · Contracting/Licensing · Standards of Practice |
| CTS. B | Medicare (CMS) Compliance | Topics Include: · Program Participation · Contracting/Licensing · Standards of Practice |
| CTS. C | Payer/PSAO Compliance | Topics Include: · Contracting/Credentialling · Licensing |
| CTS. D | Compliance with Laws and Regulations | Topics Include: · Reporting · Patient Privacy |
| CTS. E | Personnel | Topics Include: · Staff Requirements |
| CTS. F | Prescription Processing | Topics Include: · Information Technology · Review of Prescription Order · Drug Use Review · REMS · Dispensing Procedures and Accuracy · Automation Procedures and Accuracy |
| CTS. G | Quality | Topics Include: · Clinical References · Outcome Measures · Incident Reporting System/Procedures · Adverse Event Management · Feedback |
Section LTCH: Long Term Care at Home Standards
| LTCH. A | General Requirements | Topics Include: · Pharmacy Qualifications · CMS LTC Standards of Practice Prerequisite · LTC@Home Champion CE |
| LTCH. B | Compliance, Plan of Care, and Ongoing Support | Topics Include: · CMS LTC Standards of Practice · Compliance Documentation · Initial Assessment · Ongoing Assessment · LTC-at-Home Service Documentation · LTC-at-Home Patient Qualification Attestation · LTC-at-Home Medication Acquisition Attestation · Monthly Medication Reconciliation Documentation · Medication Lists · Care Coordination · Care Plan · Ongoing monitoring and documentation · Compliance Packaging · Pharmacy Availability · Compounding/Infusion Availability · 24/7 Availability · eCAREPLAN Availability · Anti-Kickback Statutes · Additional Professional Services and Assessments |
| LTCH. C | Prescription Processing/Fulfillment | Topics Include: · Coding and Billing · Prescription Intake/Data Entry · Maintenance Medication Fulfillment · Ancillary Medication Fulfillment · Compliance Packaging · USP800 |
| LTCH. D | Patient Prescription Acquisition | Topics Include: · Delivery · Shipping · Pick-Up · Proof of Medication Acquisition |
| LTCH. E | Patient Management | Topics Include: · Pharmacy Management System · Record System · Patient & Caregiver Education & Counseling · Care Coordination · Patient/Provider Communication |
| LTCH. F | Quality | Topics Include: · Measures · Reporting |
| LTCH. G | Policies and Procedures | Topics Include: · Overview of Standards of Care · Education and Training of Staff |