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QUAD A Programs and Standards Manuals


It's your chance to weigh in!

Our Program Standards are evolving, and your input matters.

Follow the link, share your thoughts—we want to hear from you. The comment period for QUAD A’s 2025 Program Standards Manuals revision is open until December 9, 2024. Don’t miss this chance to make an impact. 

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Current Standards Manuals

ASC

Ambulatory Surgical Center Medicare

Accreditation Standards Manual V8.3
Effective August 5, 2024
 
OBS

Office-Based Surgery

Accreditation Standards Manual V8.3
Effective February 1, 2023

 

OBP

Office-Based Procedural

Accreditation Standards Manual V15.2
Effective February 1, 2023

 

OMS

Oral Maxillofacial Surgery

Accreditation Standards Manual V3.2
Effective February 1, 2023

 

RHC

Rural Health Clinic - Medicare

Accreditation Standards Manual V3.4
Effective OCTOBER 14, 2024
 
OPT

Outpatient Physical Therapy - Medicare

Accreditation Standards Manual V8.3
Effective August 5, 2024
 
PD

Pediatric Dentistry Program Standards

Accreditation Standards Manual V 2.2
Effective February 1, 2023
 
International

International Surgery & Dentistry Program Standards

Accreditation Standards Manual V 4.2
Effective February 1, 2023
 

Interested In Accreditation?

Preparing for a Successful Survey

Preparing for your survey doesn’t have to be stressful. QUAD A provides a Standards and Checklist manual, which is used for your initial survey, self-surveys, and resurvey to facilities to ready themselves for their upcoming survey. This ensures that there will be no surprises during the onsite survey.

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Your facility will work with your dedicated accreditation specialist to prepare for the onsite survey. You will receive an individualized description of the specific events that will lead you up to the onsite survey. You will also receive an outline of the survey to help you understand the process, who to have available, and the information that must be ready for the onsite visit.

We suggest your facility actively participates in the onsite survey and prepares with operational discipline, attention to detail and a focus on the patient. Facilities that are engaged in the survey process from start to finish tend to be better prepared. Patient safety was paramount in the mindset of the QUAD A founding members and continues to be the beacon that guides the organization today.

After the Survey

Following the conclusion of the survey, your facility will receive a formal report identifying any areas that require improvement.  Identified areas must be addressed by a written Plan of Correction. There will be a set time frame to submit evidence showing that the identified deficiency are now in full compliance with the corresponding standards. We communicate the final decision of all surveys to any appropriate state or federal agencies to facilitate official recognition.

It’s important that your facility maintains 100% compliance on an ongoing basis. QUAD A accreditation is a continuous process that requires facilities to remain in compliance with all standards at all times between onsite surveys.

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Publicize your achievement of QUAD A accreditation by notifying patients, the public, the local media, third-party payers and referral sources.

We will provide you with marketing materials to use in your facility, on your website and social media channels.

Take Advantage of Facility Consultants

Consultants help outpatient health care facilities prepare for accreditation

Consultants can be helpful assets to facilities as they prepare for accreditation, however, not all facilities need a consultant’s services. Whether or not to engage a consultant depends entirely on the facility’s needs.

There are consultants who have worked with QUAD A in the past helping facilities navigate the accreditation process. While QUAD A does not endorse or make any representation regarding consultants or their services, for your convenience a list of consultants may be obtained by contacting us.

View our Accreditation Consultancies here >

To learn more about becoming a consultant, contact marketing@quada.org.


Accreditation Application Materials

Outpatient Office-Based Surgery
The following information is required for the Office-Based Surgery program:

To be completed in the QUAD A Portal:

To be uploaded into the QUAD A Portal:

  • Anesthesia Validation Form
  • HIPAA Business Associate Agreement
  • Copy of each physician/surgeon's State Medical License
  • Copy of each physician/surgeon's Board Certificate or letter of admissibility by the certifying board
  • Copy of each physician/surgeon's delineation of Hospital Privileges (approved list of procedures from the hospital)
  • A floor plan or diagram of the facility clearly labeling rooms, including Operating Room, Prep/Scrub area, clean room/area, Dirty room/area, PACU/Recovery Room, etc. (does not need to be to scale and must clearly identify each room purpose and dimensions)
  • Copy of Certificate of Incorporation (Required for applicants in the State of New York only)
  • New York OBS Addendum (New York OBS only)

Additional accreditation information:

Outpatient Office-Based Procedural
The following information is required for the Office-Based Procedural program:

To be completed in the QUAD A Portal:

To be uploaded into the QUAD A Portal:

  • Anesthesia Validation Form
  • HIPAA Business Associate Agreement
  • Copy of each physician/surgeon's State Medical License
  • Copy of each physician/surgeon's Board Certificate or letter of admissibility by the certifying board
  • Copy of each physician/surgeon's delineation of Hospital Privileges (approved list of procedures from the hospital)
  • A floor plan or diagram of the facility clearly labeling rooms, including Operating Room, Prep/Scrub area, clean room/area, Dirty room/area, PACU/Recovery Room, etc. (does not need to be to scale and must clearly identify each room purpose and dimensions)
  • Copy of Certificate of Incorporation (Required for applicants in the State of New York only)
  • New York OBS Addendum (New York OBS only)
Additional accreditation information:
Outpatient Oral Maxillofacial Surgery
The following information is required for the Oral Maxillofacial Surgery program:


To be completed in the QUAD A Portal:

To be uploaded into the QUAD A Portal:

  • HIPAA Business Associate Agreement
  • Anesthesia Validation Form
  • A floor plan or diagram of the facility clearly labeling rooms, including Operating Room, Prep/Scrub area, clean room/area, Dirty room/area, PACU/Recovery Room, etc. (does not need to be to scale and must clearly identify each room purpose and dimensions)
  • Copy of each physician/surgeon's State Medical License
  • Copy of each physician/surgeon's Board Certificate or letter of admissibility by the certifying board (not required for facilities outside of the USA)
  • Copy of each physician/surgeon's delineation of Hospital Privileges (approved list of procedures from the hospital)
  • Copy of Certificate of Incorporation (Required for applicants in the State of New York only)
  • New York OBS Addendum (New York OBS only)

Additional accreditation information:

Outpatient Pediatric Dentistry
The following information is required for the Pediatric Dentistry program:


To be completed in the QUAD A Portal:

To be uploaded into the QUAD A Portal:

  • HIPAA Business Associate Agreement
  • Anesthesia Validation Form
  • A floor plan or diagram of the facility clearly labeling rooms, including Operating Room, Prep/Scrub area, clean room/area, Dirty room/area, PACU/Recovery Room, etc. (does not need to be to scale and must clearly identify each room purpose and dimensions)
  • Copy of each dentist/physician/surgeon's State Medical License
  • Copy of each dentist/physician/surgeon's Board Certificate or letter of admissibility by the certifying board (not required for facilities outside of the USA)
  • Copy of each dentist/physician/surgeon's delineation of Hospital Privileges (approved list of procedures from the hospital)

Additional accreditation information:

Medicare Ambulatory Surgery Centers
The following information is required for the Ambulatory Surgery Centers program:

To be completed in the QUAD A Portal:

To be uploaded into the QUAD A Portal:

  • Proof that the 855B form has been processed by the carrier
  • Anesthesia Validation Form
  • HIPAA Business Associate Agreement
  • Copy of each physician/surgeon's State Medical License
  • Copy of each physician/surgeon's Board Certificate or letter of admissibility by the certifying board
  • Copy of each physician/surgeon's delineation of Hospital Privileges (approved list of procedures from the hospital)
  • Equipment List
  • A floor plan or diagram of the facility clearly labeling rooms, including Operating Room, Prep/Scrub area, clean room/area, Dirty room/area, PACU/Recovery Room, etc. (does not need to be to scale and must clearly identify each room purpose and dimensions)

Additional accreditation information:

Medicare Rural Health Clinics
The following information is required for the Rural Health Clinics program:


To be completed in the QUAD A Portal:

To be uploaded into the QUAD A Portal:
  • Proof that your 855 Application has been processed by the Carrier.
  • Validation of current Health Professional Shortage Area Designation (HPSA) or Medically Underserved Area (MUA) letter or web posting
  • Validation of non-urbanized area by the U.S. Census Bureau
  • Accreditation Agreement
  • HIPAA Business Associate Agreement
  • Copy of professional licenses for each physician and midlevel practitioner.
  • 30 Day Schedule for each Physician, Physician Assistant, Nurse Midwife, and Nurse Practitioner
  • Floor plan of clinic
  • Clinic State License Certificate (if in a state that requires licensure)

Additional accreditation information:

Medicare Outpatient Physical Therapy
The following information is required for the Outpatient Physical Therapy program:


To be completed in the QUAD A Portal:

To be uploaded into the QUAD A Portal:

  • Proof that your 855A has been processed by the Carrier
  • Accreditation Agreement
  • HIPAA Business Associate Agreement
  • Clinic Administrator's professional license or resume
  • Copy of professional state license for each practitioner on staff
  • Floor plan of each site (primary and all extensions)
  • Ten random unique patient charts are available for review at the Primary as well as the Extension(s)

Additional accreditation information:

International Surgery
The following information is required for the International Surgery program:


To be completed in the QUAD A Portal:

To be uploaded into the QUAD A Portal:

  • Anesthesia Validation Form
  • A Floor plan of the facility (label: Procedure, Recovery, Clean/Dirty, and Prep/Scrub area
  • Copy of each physician's medical license
  • Certificate of Training or a document equivalent to Board Certification for all physicians listed on the application
  • Hospital Privileges for each physician on staff or an Agreement between the Hospital and Surgery Center

Additional accreditation information:

International Dentistry
The following information is required for the International Dentistry program:


To be completed in the QUAD A Portal:

To be uploaded into the QUAD A Portal:

  • Anesthesia Validation Form

  • Anesthesiologist Attestation Form

  • A Floor plan of the facility (label: Procedure, Recovery, Clean/Dirty, and Prep/Scrub area

  • Copy of each physician’s medical license

  • Certificate of Training or a document equivalent to Board Certification for all physicians listed on the application

  • Hospital Privileges for each physician on staff or an Agreement between the Hospital and Surgery Center

Additional accreditation information:

International Physical Therapy
The following information is required for the International Physical Therapy program:

To be completed in the QUAD A Portal:
To be uploaded into the QUAD A Portal:
  • A Floor plan of the site
  • Copy of professional license for each practitioner on staff
  • Clinic Administrator's professional license or resume
  • Ten random unique patient charts are available for review at the primary, as well as any extension(s)
  • International Physical Therapy Standards Manual

 

Accreditation Resources

Fee Schedule QUAD A Fee Schedule 
Floor Plan Review Order Form

This form is for facilities who haven’t applied yet but would like to have their facility’s layout reviewed before they send the application and annual/survey fees.

Floor Plan Review Order Form 
QUAD A Select Application

Apply today for the QUAD A Select designation. Formerly known as Global Accreditation, QUAD A Select, allows QUAD A facilities to showcase their desire and preparedness to treat an international patient population.

QUAD A Select Application

 

Accreditation Frequently Asked Questions

How do I change or add my Patient Safety Data Reporting Administrator? The Medical Director must complete the “Patient Safety Data Reporting Administrator Authorization Form” located on the QUAD A website under Patient Safety Data Reporting Documents. The completed form should be emailed to helpdesk@QUADA.org.
What if I don’t remember my facility password? Simply click the Forgot your password? link on the Patient Safety Data Reporting login screen. You will then be prompted to enter your email address. Be sure to use the designated facility administrator’s password. You will then receive an email from support@QUADA.org with a link to reset the facility password. Call the help desk at 224-643-7704 if you need further assistance.
Do we have to enter the data for the first case of every month for each surgeon/proceduralist? Yes, QUAD A standards require providers to submit Patient Safety Data Reporting information for the first case of every month for each surgeon.
What if a surgeon/proceduralist didn’t perform any cases in one of the months? If a surgeon/proceduralist has not performed at least one case per month, cases from other months in the period may be selected for a total of three reported cases per period.
What if a surgeon/proceduralist performs fewer than three cases during the period? If a physician using the facility has performed fewer than three cases during a reporting period, that information must be reported to the QUAD A office using the Exemption form. All cases that were performed during that period must be reported through the online system.
My practice doesn’t routinely use CPT Codes. How do I find a procedure’s CPT Code? QUAD A utilizes the CPT codes created and maintained by the American Medical Association (AMA). The AMA website offers a variety of CPT code resources.
How do I enter PSDR for a case that included several procedures? If you are entering a case that included several procedures, like a “mommy makeover,” you would enter each individual procedure as a line item within the random case submission. A breast lift, liposuction, and tummy tuck would be entered as Mastopexy (breast lift), Suction assisted lipectomy, and Excision of excessive skin and subcutaneous tissue.
We’ve created a helpful list of common procedures and their associated CPT codes.

You can find documentation here.

How does Peer Review differ from Patient Safety Data Reporting?

What QUAD A previously called Peer Review is a separate and distinct process from what many physicians are familiar with as a full clinical peer review process, which is performed at a physician-to-physician level. The objective data elements required during the quarterly Patient Safety Data Reporting, as part of the accreditation process, is specifically intended for medical study and the evaluation and improvement of quality care and reduction of morbidity and mortality. Such data can be entered prior to the facility conducting its peer review meetings. Revised standards manuals will be published soon and will use more distinct language to demonstrate the difference.

As we fully transition from referring to this process as Peer Review to Patient Safety Data Reporting, be aware that our online reporting portal may continue to reflect the term Peer Review for a time until all our vendors have completed updates to the systems they administer on our behalf.

 

How do I know if my facility has to submit PSDR data? Facilities participating in QUAD A’s Office-Based Surgical, Office-Based Procedural, Oral Maxillofacial Surgery, Pediatric Dentistry, International Surgical, or Medicare ASC program must submit Patient Safety Data Reporting (PSDR) information for the added provider(s) from the first day the new provider(s) began working in the facility. 

If I have questions not listed here, how can I get the answer?

Contact us and speak with one of our accreditation specialists, who will be happy to assist.