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AAAHC Accreditation Preparation

A Comprehensive Service to Improve your Pro-Life Pregnancy Medical Center

Accreditation is a key Benchmark for measuring the Quality of your Pregnancy Medical clinic

The accreditation process involves self-assessment by your organization and a consultant to obtain a baseline of where you measure to the standards, as well as a thorough review by a third-party surveyor from an approved accrediting body recognized nationally and in your state. AAAHC is a true third party review of your organization’s care and service.

Why Clinics Choose Us for Accreditation Success

Why become Accredited?

Accreditation greatly improves the quality of care you provide and sends a positive message to your patients. It’s a voluntary process through which your organization can measure the quality of your services and care performance against nationally recognized standards.

Preparing you for accreditation

We recognized the need early on that pregnancy medical clinics and women’s health clinics stood a better chance of becoming accredited if we could COME ALONGSIDE them and guide them through the process, guaranteeing their success on an Accreditation Survey.

We help you get the standards in place to be confident you are doing it right. Throughout the process your organization’s strengths and opportunities for growth are revealed, ultimately creating the best possible care and service environment for your patients.

BASE PROGRAM Options

We offer accreditation programs designed to get your clinic on the path to success.

Accreditation Achievement

Full Preparation
$ 16,000 + Travel
  • On-site / Remote (Gap analysis)
  • Mock Survey
  • AAAHC Compliant Policies & Procedures: (Safety, Governance Human Resources, HIPPA, Medical services, Risk Management/Patient Rights)
  • Credentialing/Privileging
  • State Privacy and Security Compliance / Risk Assessments
  • Quality Improvement/Patient Satisfaction
  • Plans: (Safety, Security Mgt., Emergency Preparedness, Fire Preparedness,Exposure Control,Work Place Violence Prevention, Risk Management)
  • Logs/Binders
  • Accreditation AI Knowledge Base Access
  • 6 Hours Online Compliance Training
  • Online Project Management System

Compliance Achievement

Compliance Without Accreditation
$ 12,000 + Travel
  • AAAHC Compliant Policies & Procedures: (Safety, Governance Human Resources, HIPPA, Medical services, Risk Management/Patient Rights)
  • Credentialing/Privileging
  • State Privacy and Security Compliance / Risk Assessments
  • Quality Improvement/Patient Satisfaction
  • Plans: (Safety, Security Mgt., Emergency Preparedness, Fire Preparedness,Exposure Control,Work Place Violence Prevention, Risk Management)
  • Logs/Binders
  • Accreditation AI Knowledge Base Access
  • 6 Hours Online Compliance Training
  • Online Project Management System
Schedule Consultation

Modular Program Options

Build Your Accreditation Readiness One Step At Time

Governance, Credentialing & Privileging

$ 1,750
  • Establish strong leadership, clear accountability, and compliant credentialing systems.

Establish strong leadership, clear accountability, and compliant credentialing systems—each tailored to your clinic and state—supported by project management through Monday.com.

Includes:

  • Board Operations Manual & Corporate Bylaws Review
  • Medical Staff Bylaws
  • Board job descriptions, forms, and meeting templates
  • Conduct first board meeting under AAAHC standards
  • Credentialing policies and privileging process setup
  • AMA, NPDB, OIG, DEA, Criminal Background, and Student Clearinghouse verifications (customized version includes Medical Director/Nurse Manager/Nurse/RDMS)
  • Spreadsheet of annual AAAHC Board Responsibilities

Human Resources Management

$ 2,000
  • Develop compliant personnel and volunteer systems aligned with state and federal requirements.

Develop a compliant, consistent HR foundation for employees and volunteers, all tailored to your clinic and state—supported by project management through Monday.com.

Includes:

  • State-specific Personnel Policy Manual
  • Job descriptions and onboarding documentation
  • Personnel file templates and checklists
  • Competency and performance review tools
  • Volunteer management policies and documentation

Risk Management

Emergency Preparedness, Safety & Compliance Planning
$ 1,750
  • Build complete safety, infection control, and emergency response frameworks.

Risk Management/Emergency Preparedness/Safety & Compliance Planning

Build comprehensive safety and emergency preparedness frameworks, all tailored to your clinic and state—supported by project management through Monday.com.

Includes:

  • Exposure Control, Hazard Communication, and Infection Control Plans
  • Risk Management, Security, Fire, and Disaster Plans
  • Sharps Injury and Construction Risk Assessments (if applicable)
  • Risk Assessments
  • Emergency Preparedness online training with 11 modules

Quality Improvement & Patient Satisfaction

$ 1,750
  • Implement measurable systems for QI studies and patient satisfaction tracking.

Implement measurable improvement systems and patient feedback tracking, all tailored to reflect your unique clinic and supported by project management through Monday.com.

Includes:

  • QI policies and training
  • Two initial QI studies
  • Monthly satisfaction survey compilation and trend analysis

Clinical & Medical Operations

$ 6,250
  • Align medical documentation, procedures, and protocols with AAAHC standards.

Align your clinic’s medical documentation and processes with AAAHC standards, all tailored to your clinic and the services provided—supported by project management through Monday.com.

Includes:

  • Medical Policies and Procedures – 10 – 12 Sections depending on scope of practice
  • Plans
  • Diagnostic imaging (ultrasound) documentation
  • STI, lab, and infection control protocols
  • Pharmaceutical policies and logs
  • Paper and EMR-compatible medical record templates

State Privacy & Security (HIPAA)

$ 1,000
  • Protect patient data and ensure compliance with privacy and security standards.

Protect patient data and ensure HIPAA compliance.

Includes:

  • Privacy & Security policies
  • Privacy & Security forms
  • Notice of Privacy Practices for the waiting room
  • HIPAA Risk Assessment

  • Annual HIPAA Training Access

Online Training & Education Access

$ 500
  • Deliver essential compliance training for staff and volunteers with completion certificates.

Keep your team compliant and confident with complete online training.

Includes:

  • Bloodborne Pathogens, Safer Sharps, HIPAA, Infection Control, Workplace Violence, Personal Protective Equipment, Recognizing Abuse, Emergency Preparedness, Patient Rights &Responsibilities, Handwashing, Latex Allergies, Adverse Events, Ergonomics, Pharmaceutical Safety, and Medication Reconciliation.
  • Certificates of completion.

Additional & Standalone services

All services do not include travel expenses. Additional satellite locations and mobile units are $1,000 extra per location.

Gap Analysis & Corrective Action Plan

Ideal pre-accreditation assessment
$ 2,500 +Travel
  • Three-Day On-Site Evaluation
  • Identifying Operational, Clinical, And Governance Gaps
  • Detailed Corrective Plan

Gap Analysis

Our Gap Analysis and Corrective Action Plan is a three-day, on-site evaluation designed to identify every operational, clinical, and governance gap that could prevent your pregnancy medical clinic from meeting AAAHC accreditation standards.

During the visit, we conduct an in-depth assessment across all key areas of your organization — including board governance, personnel files, medical credentialing, facility safety, privacy and security compliance, infection control, and patient care documentation.

Scope of Work

  • Governance & Board Compliance: Review bylaws, meeting minutes, and board files to ensure compliance with IRS and AAAHC standards, confirming each member has current job descriptions, conflict of interest statements, and signed policy acknowledgments.
  • Personnel & Medical Staff Files: Audit all staff, volunteer, and medical professional files for completeness, consistency, and proper documentation of credentials, job descriptions, and annual reviews.
  • Clinical Operations: Evaluate patient charting, consent processes, privacy acknowledgments, and standing orders for medical accuracy, risk management, and alignment with best practices.
  • Facility & Safety Inspection: Conduct a full walkthrough using a detailed facility checklist covering emergency preparedness, hazardous waste management, infection control, utilities, fire safety, and OSHA standards.
  • Privacy & Security Compliance: Assess adherence to HIPAA-equivalent privacy laws, electronic medical record access, encryption, and data storage policies.
  • Quality Improvement & Risk Management: Identify missing logs, committee structures, and documentation needed to demonstrate a functioning QI program and ongoing peer review.

Deliverables – Following the site visit, you’ll receive:

  1. A comprehensive written report detailing findings, organized by category and level of urgency.
  2. A Corrective Action Plan prioritizing each item with recommended solutions, responsible parties, and compliance guidance.
  3. A Facility Safety and Hazard Checklist with itemized notes, photographs (as applicable), and links to compliant products or references.
  4. Updated or model policies and procedures where deficiencies were identified.

Outcome:

The deliverables provide the first steps for becoming AAAHC compliant — reducing risk, strengthening governance, protecting patient safety, and ensuring you are survey-ready.

Mock Survey

AAAHC Dress Rehearsal
$ 3,000 +Travel
  • Conduct a comprehensive electronic and on-site readiness assessment and follow-up consultation.

Prepare for the AAAHC survey with a full readiness review.

Includes:

  • On-site mock survey
  • Electronic mock survey
  • Follow-up consultation

Medical Conversion Readiness

Non-medical clinics converting to medical
$ 10,000 Plus Travel
  • A turnkey, step-by-step roadmap guiding the transition from PRC to a medical clinic.

From Pregnancy Resource Center to Medical Services

A structured, five-phase roadmap designed to guide pregnancy centers from basic urine pregnancy testing to fully accredited ultrasound medical services.

This process integrates governance, staffing, clinical readiness, and facility compliance into a clear, actionable plan that ensures every step—from hiring a nurse manager and securing a medical director to standing up your ultrasound equipment and passing safety inspections—is completed in alignment with AAAHC standards.

The roadmap includes:

  • Defined phases (Readiness → Governance → Credentialing → Facility → Launch)
  • Detailed tasks and responsible parties
  • Interactive project management platform using Monday.com
  • A live dashboard showing completion percentages by phase
  • The end result is a turnkey pathway that moves your clinic from non-medical to medical operations with full confidence in safety, compliance, and accreditation readiness.

We've helped Over 100 Clinics Become Accredited
throughout the nation

The Health Care Environment is Ever Changing

Accreditation is for organizations in the medical field that provide diagnostic medical care. For medical clinics, the challenge of achieving compliance becomes an ongoing task. We have years of working with medical clinics to prepare for an accreditation survey with the most recognized regulating organizations.

Benefits

Accreditation benefits organizations in ways even the most conscientious health care practitioners may never think about.

Peace of Mind

Accreditation gives you peace of mind knowing that your patients are receiving high-quality care.

Worth the Effort

However, the benefits far outweigh the cost and the extra work.

Best Practices

Clients' and employees' safety is paramount. Becoming accredited shows that your organization is an outstanding example of the very best practices in health care.

What's required to become accredited

PMCs must meet over 550 medical industry standards that fall under these categories.

  • Patient’s Rights
  • Human Resources
  • Governance
  • Medical
  • Quality of Care
  • Clinical Records and Health Information
  • Infection Control and Prevention
  • Quality Improvement
  • Diagnostic Imaging
  • Pharmaceutical Services
  • Medical Laboratory Services
  • Health Education and Promotion
  • Teaching and Publication Services
When I heard that some pregnancy medical centers were going through a process of ambulatory health care accreditation (AAAHC), I immediately saw that as a way to show that they take seriously their responsibility to their patients, speaking a language that regulatory entities would understand.
Susan Rutherford , MD, FACOG
Susan Rutherford , MD, FACOGBoard Certified OB/GYN and Maternal-Fetal Medicine President/CEO of 3W Medical, Seattle, WA Medical Director of Women's Health Network

Download our 2024 Accreditation Survey

We surveyed a group of accredited clinics throughout the nation. See how they responded by downloading the survey.

(Click on the blue button to download the PDF)

Download the Survey