Accreditation University workshops are specifically designed to prepare healthcare organizations for the initial or renewal accreditation process.


Upcoming Workshop Dates:

August 2-3, 2017

Cary, NC



The Infusion and Specialty Pharmacy workshop provides pharmacy personnel with a comprehensive overview of the ACHC Accreditation process under Infusion or Specialty Pharmacy standards. The two-day course is conducted with a personalized approach that delivers valuable insight for both attendees who are experienced in the accreditation process and those who are new to their accreditation responsibilities. Day one is designed for Specialty Pharmacy and day two is designed for Infusion Pharmacy. Attend one day or both days!

During the workshop, an AU Clinical Educator and Surveyor will provide participants with:

Hands-on training for using the take-home ACHC Accreditation Guide to Success workbook, a program-specific and comprehensive tool that offers guidance on the meanings
and requirements of each ACHC Accreditation Standard

Resources that contain audit tools and hints

How to prepare a Preliminary Evidence Report (PER)

How to create an effective Plan of Correction (POC)

Essential components for accreditation preparation

The best practices for a successful on-site survey

How to avoid pitfalls by reviewing "Top 10 Survey Deficiencies"

Each attendee will receive the ACHC Accreditation Guide to Success workbook for FREE, which will be used as the primary learning instrument during the course. This workbook serves as a valuable reference tool for achieving or maintaining accreditation.


Unless otherwise noted, workshops are held at ACHC’s Corporate Headquarters in Cary, NC
(a five-minute drive from Raleigh-Durham International airport - RDU).

Learning Objectives:

Become familiar with the initial and renewal accreditation process

Detail the essential components of functional Performance Improvement (PI) and Compliance Programs

Learn how to prepare an organization for the accreditation survey

Establish expectations for survey day and strategies for survey success

Learn how to utilize the ACHC Accreditation Guide to Success workbook to ensure ongoing compliance

Intended Audience:

This workshop is ideal for Infusion and Specialty Pharmacy personnel who are preparing for initial or renewal accreditation and are responsible for policies and procedures and  PI and Compliance Programs.

Your Instructor(s):

Jeff Reses, RPh.

Tim Safley

Greg Stowell

Accreditation Corporate Surveyor

Director of DMEPOS,
Pharmacy & Sleep

Education & Consulting Manager

Specialty/Infusion Pharmacy Workshop

1 Day: $499, 2 Days: $599

Day 1 Specialty Pharmacy Workshop Agenda  - (8am - 4:30pm)

Registration/Continental Breakfast

Pre-Survey Preparation/Gap Analysis

On-Site Survey Process

Post-Survey POC Process

Understanding ACHC Specialty Standards

Top 10 Survey Deficiencies


Patient Records/ Plans of Care

Staff Training and Competencies

PI Standard Requirements for Specialty Pharmacy

Leveraging Specialty Pharmacy Accreditation

Overview of Distinction in Oncology Program

Round Table discussions (As submitted by attendees)

Day 2 Infusion Pharmacy Workshop Agenda - (8am - 4:30pm)

Registration/Continental Breakfast

Pre-Survey Preparation/Gap Analysis

On-Site Survey Process

USP <800> Implementation


Top 10 Survey Deficiencies

USP <797> Updates

Overview Sterile Compounding Standards

Sterile Compounding Demo

Shipping and Storage Standards

Cleanroom Management

Patient Records

Top 10 Infusion Pharmacy Survey Deficiencies

PI Standards for Infusion Pharmacy