ACHC/URAC Accreditation
Accreditation is Not the End-Goal.
It is a Stratigic Tool for Achieving Excellence in specialty and infusion pharmacy services.
We ensure that your organization not only meets the rigorous demands of accreditation standards but also fully capitalizes on the accreditation process to establish a foundation for sustained success.
Navigating Your Challenges:
We understand your challenges. We’ve been there and are still actively engaged in the same roles.
The accreditation process can be overwhelming, especially for organizations pursuing it for the first time:
- Uncertainty about which accreditation to pursue
- Difficulty navigating the complex process effectively
For those approaching reaccreditation, the pressure can be even greater:
- Discovering compliance gaps can lead to increased uncertainty and stress
- Proving compliance over the past three years presents significant challenges
- There are concerns about how to streamline compliance process to avoid repeat issues in the future
Whether during initial accreditation or reaccreditation, several factors such as lack of knowledge and inadequate preparation, ineffective ongoing compliance processes, and lack of strategic remediation significantly increase the risk of accreditation failure or lead to the inefficient use of resources.
Achieving accreditation is not just about reaching the goal; it’s about ensuring the process is efficient, sustainable, and aligned with your long-term objectives.
Even if initial accreditation is achieved, inefficient process design can lead to wasted time, money, and effort in maintaining ongoing compliance.
Our focus is not only on helping you achieve accreditation but also on establishing streamlined, lean pharmacy processes for sustainable success and continued compliance.
Our Strategic Accreditation Solutions for Sustainable Success:
Through our accreditation preparation process, we provide distinguished support to establish robust key programs, laying a foundation not just for achieving accreditation but also for fostering sustainable growth and compliance.
Our Distinctive Advantage Include:
- Expert-Led Solutions: Delivered by our principal consultant with deep expertise as active specialty pharmacy practitioners and accreditation surveyors, we deliver clear, effective solutions that transform accreditation challenges into growth opportunities. This strategic support consistently achieves a 100% success rate as a natural outcome of thoughtful planning and precise execution.
- Foundational Strength for Long-Term Success: Our principal consultant meticulously analyzes your business goals to develop key programs during the accreditation preparation phase. This rigorous process forms a solid foundation for both clinical and financial success, positioning accreditation as a strategic tool for long-term growth.
- Customized Strategic Master Plans: Tailored strategies align with your specific needs, maximizing outcomes while minimizing costs, ensuring the accreditation preparation processes are perfectly suited to your organizational context.
- Efficiency Through Lean Pharmacy Practices: By applying lean methods, we ensure that our programs are not only effective but also highly efficient and adaptable, simplifying compliance and enhancing operational flexibility while reducing overhead.
- Ongoing Optimization and Sustainability: Our support extends beyond initial accreditation, continuously optimizing and maintaining sustainable structures and processes. This minimizes resource allocation, allowing your organization to concentrate on core objectives—specifically, patient care.
Outcomes:
By leveraging the deep expertise of our consultants, we ensure that your organization not only meets the rigorous demands of accreditation standards but also fully realizes the benefits of the accreditation process.
Our Service Offerings Include:
Accreditation and Compliance Support:
- Accreditation Assistance: Comprehensive support for all major accreditation types including specialty pharmacy, home infusion, HIV, oncology, rare diseases, and orphan drugs.
- Mock Surveys and Corrective Actions: Conduct detailed mock surveys and gap analysis with strategic corrective actions to ensure compliance readiness.
Key Program Development and Implementation:
- Clinical Patient Management Program Development: Develop patient management programs integrated into pharmacy software, minimizing personnel time, maximizing patient engagement, and complying with accreditation standards.
- Quality Management Program Development: Establish robust systems for continuous improvement tailored to meet your unique needs and enhance quality.
- Accreditation Compliance Management: Develop compliance management systems that embed major program data directly into your pharmacy management software, streamlining data entry and unifying compliance processes across accreditations.
Technology Integration and Optimization:
- Software Selection and Implementation: Identify and implement optimal software solutions to enhance operational efficiency and compliance.
Ongoing Support and Strategic Optimization:
- Continuous Operational Enhancement: Provide expert troubleshooting and solutions to optimize operations post-setup.
- Compliance and Quality Assurance: Utilize streamlined tools to maintain compliance and adapt practices to evolving standards.
- Financial and Clinical Efficiency: Apply lean pharmacy methods to improve clinical outcomes and financial performance, fostering strategic growth and sustainability.
Policies & Procedures
: ACHC and URAC-compliant Policies and Procedures with practical guidance to establish your specialty pharmacy.
EK’s Accreditation Support Process
Accurate Gap Analysis through Comprehensive Mock survey performed by active surveyors.
Starting with a deep analysis of the total opportunity and existing operations, EK develops a thorough understanding of the organization.
“The moment your organization signs the accreditation agreement, the clock starts ticking.”
EK identifies opportunities, targets and obstacles and takes clinical, financial, regulatory and operational factors into account to develop personalized plans that fit your organization’s unique business models and meet your objectives.
Due to EK consultants’ hands on experiences from working as pharmacy executives, compliance officers, pharmacy directors, clinical pharmacists, QM directors, EK consultants understand every element of specialty pharmacy operations and lead the project extremely fast and smoothly.
EK will be a vital member of your project team and work together with your team as well as provide up to date information, tools and skill sets at an enjoyable pace.
EK will provide key staffing support with essential tasks. This support will save you tremendous time and resources. You will achieve the accreditation with greater success in record time.
“Give a man a fish, and he’ll eat for a day. Teach a man to fish, and he’ll eat for a lifetime.”
With EK’s educational approach, you will be able to connect the dots between each standard with your operations and develop plans that are meaningful to your organization with clarity and greater confidence.
Education and coaching will unlock your employee’s potentials and enable them to deal with the unknown.
Policy makers and health plans seek value-based management of specialty drugs.
You can thrive in the era of value-based health care by providing Patient Management services with proven outcomes.
Outstanding Patient Management program is a key element for success as well as a crucial requirement of accreditation.
Specialty pharmacies are required to demonstrate their ability to improve clinical outcomes and reduce cost to be included in payer networks, earn referrals from prescribers, and obtain Limited Drug Distribution agreements from pharmaceutical manufacturers and also required to measure outcomes to maintain accreditation from leading accreditation agencies.
With EK, you will develop an individualized Patient Management (PM) program that is tailored to your business model, the current operations and the focused disease states and is also simplified to easily operationalize while meeting all accreditation requirements and promoting therapy outcomes.A QM/PI Program should be utilized as a tool to successfully achieve goals. EK’s QM/PI Program is highly effective, yet the process is simple and easy to implement which is important to perform continuous quality improvement activities. Quality is your competitive advantage. You will be able to prepare and share proven improvement data with providers, payers and manufacturers.
Collecting and measuring data, capturing the full scope of your practice in a reliable way will demonstrate the value of your specific services to providers, payers and manufacturers.
Simplify the processes! Through EK’s lean methodology, you will not waste time and money.
All programs are developed to streamline operations and achieve sustained compliance without burdening your organization. EK’s simplified process will save tremendous resources including personnel time.
All meetings are thoughtfully prepared to offer valuable education and achieve substantial progress at each session.
No time or resources should be wasted on unnecessary task creation. Save the resources for the real duties, patient care and the business development.
At EK, the mock survey will be performed by ACHC active surveyors who stay current on survey trends and up-to-date requirements.
EK’s Mock Survey service itself will bring tremendous benefits to your organization.
This simulated survey process will prepare your team to excel during survey. With greater confidence, you will be ready for the actual survey.
Oftentimes, dual accreditation is inevitable.
EK helps to achieve dual accreditation in a strategic way through EK’s One System methods.
You will have “One Unified System” to comply with both standards and achieve dual accreditation in record time while producing the highest quality outcomes and efficiency.
With EK’s dedicated support, you will achieve dual accreditation in the most efficient way while saving tremendous time and resources to move to the next level.
Maintenance is crucial not only because accreditation requires ongoing compliance and payers require continuous quality review data and reports, but also it affects the quality of your service which is the bottom line of your business and significantly impacts the long-term sustainability.
Upon achieving the accreditation, EK Specialty and the client assess the necessity of maintenance compliance service and areas that need support in order to enable your organization to keep up with the latest accreditation standards and continue to improve.
Strategic Guidance for Selecting and Navigating the Accreditation Process
Navigating the complex landscape of specialty pharmacy accreditation is crucial for organizations seeking payer network inclusion and access to manufacturers’ limited distribution drugs. This process involves selecting the right accreditation, such as URAC or ACHC, each offering distinct standards and benefits.
Assessment of Strategic Alignment: Our principal consultant will:
- Evaluate how each accreditation aligns with your organization’s strategic goals.
- Determine which accreditation best supports your long-term objectives.
- Assess your organization’s current readiness for accreditation.
- Identify any gaps that need to be addressed before proceeding.
Next Steps: Schedule a consultation with our principal consultant to explore the best accreditation strategy for your organization.
