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Accreditation Program Documents

The ACHA ACHD Accreditation Program is now accepting applications for 2024.

Additional information on the application process is provided below.

Please review all documentation below for how to begin your online application, due dates, and the accreditation process. If you have any questions, please email Cortney Faust at cfaust@achaheart.org or Danielle Hile at dhile@achaheart.org.

The following are the key ACHA ACHD Accreditation Program documents and information that you will need to download and review as you go through the ACHA ACHD Accreditation process. 

Follow these links to open the documents:

Accreditation Program Criteria 

User Manual

Accreditation Site Visit Itinerary Example

Virtual Site Visit Guidelines

Business Associate Agreement (BAA) & Accreditation Program Agreement (APA)

Accreditation Application

Reaccreditation Application


To begin your online application, please contact Cortney Faust at cfaust@achaheart.org or Danielle Hile at dhile@achaheart.org.

Comprehensive Care Center Policy and Procedure Templates

*Each policy/procedure document should indicate whether it is hospital policy or ACHD program policy/clinical guideline.

Narrative of Training Example

B2 - Letter from Division Chief

E3 - Pre-peri-post-operative consultation care and diagnostics should involve CHD trained or experienced personnel

E4 - 24-7 CHD Surgical Expertise

E6 - ACHD Multidisciplinary Conference

E8 - Definition of CHD Surgery

F2 - Process for Evaluation of Advanced Heart Failure in ACHD patients

F3 -  Policy for ACHD Patients Requiring Transplant

F4 - Policy to Ensure that ACHD Patients with Advanced Heart Failure Have Access to the Same Ancillary Services

G1 - Policy for Consultation from an ACHD Cardiologist Prior to Interventional Cardiac Catheterizations for ACHD Patients

H1 - Plan for EP Procedures

H2 - Plan for 24-7 ACHD EP Coverage in Collaboration with the ACHD Team

I1 - Policy for ACHD Consultation within 24 Hours of Admission to the Hospital for all ACHD Patients (Letter)

I1 - Policy for ACHD Consultation within 24 Hours of Admission to the Hospital for all ACHD Patients (Policy)

I3 - Policy to Ensure Care is Provided in the Pediatric or Adult Hospital Appropriate for the Patient's Medical Issues, Regardless of Age

I4 - Policy to Ensure ACHD Education of Inpatient Nursing Staff

I5 - Policy for Transfer of ACHD Patients to an Adult Facility

I6 - Policy or Short Narrative for Access to General Internal Medicine and Adult Sub-Specialists Either by In-House Consultation or Transfer to Adult Hospital

J2- Cardiopulmonary Resuscitation of Adults

J4 - Process for Scheduling an Initial Appointment for New ACHD Patients within 4 weeks

J5 - Process to Evaluate Urgent Patients

J8 - Policy to Promote the Establishment of Medical Homes for ACHD Patients

J9 - ACHD Team Meets Regularly for Patient Case Conference and Review

J10 - Advance Care Plan Policy for ACHD Patients

J11 - Ongoing Patient Education and Distribution of Patient Education Materials

J14 - ACHD Education of Nursing and Other Staff in Outpatient Clinic

K1 - Policy to Provide Transition Education for Patients and Providers

K2 - Policy for Planned Patient Transfer from Pediatric to ACHD Care

K3 - Policy to Ensure Collaboration with Pediatric Cardiology Providers to Support Ongoing Discussion Regarding the Patients and Referrals

L1 - Policy to Integrate Patient-Centered Care (PCC) into the Program Mission Statement

L2 - Policy to Promote Patient-Centered Care

L5 - Policy for the ACHD PFAC

L5 - Proposal for the ACHD PFAC

L7 - Written Strategy for Healthcare Providers to Partner with, Educate, and Engage Patients and their Families in All Stages

M4 - Performance and Quality Review Meeting between Echo Program and ACHD Program

N3 - Performance and Quality Review Meeting between MRI Program and ACHD Program

O3 - Performance and Quality Review Meeting between CT Program and ACHD Program

P2 - Performance and Quality Review Meeting between PAH Program and ACHD Program

R1 - Policy to Encourage All Female ACHD Patients to Have Gynecological Care

R2 - Policy for Discussion with Patients of Appropriate Birth Control Methods and Sexual Function as it Relates to CHD

R3 - Policy to Ensure that All ACHD Patients Are Provided Pre-Pregnancy Counseling and Family Planning Advice

R4 - Policy for Discussion of Sexual Counseling Regarding Sexual Dysfunction

R5 - Policy to Ensure that ACHD Providers Articulate and Document a Plan for Delivery in Collaboration with Maternal/Fetal Medicine and Anesthesiology

S2 - Policy for Referral to Mental Health Services