The purpose of this program is to help consumers make choices about their health care by recognizing both short and long term acute care hospitals that promote patient safety by providing access to respiratory therapists to deliver their care.
The AARC maintains and publishes a database of hospitals that meet the following requirements. This list is posted on our web site for consumers, YourLungHealth.org.
The requirements for participating in the program are:
- All respiratory therapists employed by the hospital to deliver bedside respiratory care services are either legally recognized by the state as competent to provide respiratory care services or hold the CRT or RRT credential.
- Respiratory therapists are available 24 hours.
- Other personnel qualified to perform specific respiratory procedures and the amount of supervision required for personnel to carry out specific procedures must be designated in writing.
- Hospital policy prohibits the routine delivery of medicated aerosol treatments utilizing small volume nebulizers, metered dose inhalers, or intermittent positive pressure treatments to multiple patients simultaneously. Circumstances under which this practice is permitted is defined by policy.
- A doctor of medicine or osteopathy is designated as medical director of respiratory care services.
- Use a process that periodically compares performance of the respiratory therapy department on efficiency and quality metrics with similar departments for the purpose of identifying and achieving best practice. To meet the requirements of this criterion, a metric or metrics that reflect efficiency or quality must defined. Individual performance on the metric(s) must be measured by each of the participants and each participant must know how their performance on the metric compares with others in their group. Finally, with best performers and ranked performance of each participant identified, information can be exchanged among members of the group to improve their performance on the metric. This process repeats as periodic metric performance reports are available to the group. Simply providing data for inclusion into a database will not meet the requirements of this criterion. Participation in any system that has the characteristics described above will meet the requirements of this criterion. The simplest system can be easily developed by organizing a group of similar departments, defining the metric(s) to be measured and engaging in the process described above. Participation in a proprietary system (including the AARC’s Benchmarking System) is not required.
From January 1, 2015 until March 31, 2017, hospitals can recertify or make application to enroll in this program. Those hospitals that are eligible for recertification have been sent a letter in the mail.
To enroll in the program for the first time, have your hospital CEO read the following letter and fill out the form. Please mail it back to the AARC at: AARC—QRCR, 9425 N. MacArthur Blvd. Suite 100, Irving TX 75063.
The criteria for inclusion in the DME/HHA QRCR program are:
- All respiratory therapists employed by the DME/Home Health Agency to deliver home respiratory therapy services are either legally recognized by the state as competent to provide respiratory therapy services or hold the CRT or RRT credential.
- Respiratory therapists are available to patients 24 hours every day.
- Other personnel qualified to perform specific respiratory therapy procedures, and the amount of supervision required for them to perform these specific procedures, must be designated in writing.
- The DME/Home Health Agency must be accredited by a nationally recognized, third party accreditation organization.
The AARC will maintain a database of DMEs and HHAs that earn the QRCR designation on its consumer web site, YourLungHealth.org. Qualifying DMEs and HHAs will also receive a certificate of recognition from the AARC and a press release they can use to publicize their inclusion in the program to their local media.To enroll, have your company CEO read the informational letter and fill out the form, then mail the form to the AARC at: AARC—DME/HHA QRCR, 9425 N. MacArthur Blvd. Suite 100, Irving TX 75063.
This program is open to skilled nursing facilities, long-term acute care hospitals, and other long-term care facilities that promote patient safety by providing access to respiratory therapists to deliver their care.The requirements for participating in the LTC program are:
- All respiratory therapists who are employed or contracted by the long term care facility to deliver bedside respiratory care services are either legally recognized by the state as competent to provide respiratory care services or hold the CRT or RRT credential in non-licensed states.
- All respiratory therapy employees must have completed background checks.
- For routine care and patient assessment, respiratory therapists are available 24 hours a day.
- Respiratory therapists provide patient assessments and make clinical recommendations regarding the service needs and plan of care for the respiratory-impaired residents to respective physicians.
- A policy and procedure manual that is reviewed annually and addresses the provision of respiratory care and services is available at the facility.
- A competency-based training program shall be in place for personnel administering respiratory related care.
- A doctor of medicine (preferably a pulmonologist) or osteopathy is designated as a medical director of respiratory care services.
- A preventive maintenance program must be in place for all RT equipment.
- An established respiratory QA/PI program must be in place.
- The medical director reviews plan of care at least weekly in facilities providing ventilator care and at least monthly in facilities providing only routine respiratory care.
- In facilities that provide ventilator management, respiratory therapists are available 24 hours per day within the facility.
- All ventilator systems shall have a remote external alarm system and an emergency back-up power source.
The AARC maintains and publishes a database of long-term care facilities that meet these requirements on our web site for consumers, YourLungHealth.org.To enroll in the program, have your hospital CEO read the following letter and fill out the form. Please mail it back to the AARC at: AARC—QRCR, 9425 N. MacArthur Blvd. Suite 100, Irving TX 75063.