Organizations

CERTIFICATION AND RECERTIFICATION OF ORGANIZATIONS

An “Organization” is an entity that provides health care, whether a health system, Accountable Care Organization (ACO) or other type of integrated system, a hospital or a clinic. The “Organization” that is certified is the overarching legal entity. An “Organization” may have many sites of care. Each site that has Grand-Aides must meet the criteria for certification.

Certified Grand-Aides Organizations are:

  • Organizations for whom Grand-Aides work such as a health system, clinic or hospital.

Only organizations certified by Grand-Aides USA may employ Grand-Aides and Grand-Aides Supervisors.

Certification process In order to become certified, an organization must demonstrate:

  • Adequate programmatic support, facilities and personnel. Organizations must document appropriate infrastructure for each site where Grand-Aides are supervised (e.g. clinic, hospital), including written procedures for how Grand-Aides will answer calls, the name of the primary supervisor and arrangements for coverage, procedures for referral by the nurse supervisor and Grand-Aide, appropriate methods for incorporating Grand-Aides calls and visits into the medical record, as well as documenting sufficient providers willing to have Grand-Aides involved in the care of their patients. The program must also have written policies, procedures and job descriptions, a written quality assurance program for patient care including patient confidentiality.
  • Adequate training of one class of supervisors (see section on “How training works”)
  • Adequate training of one class of Grand-Aides (see section on “How training works”)
  • Every organization must employ at least one Supervisor (certified by Grand-Aides USA) who devotes at least 50% time to direct Grand-Aide supervision and may supervise up to 10 Grand-Aides depending upon the workload.
  • Each organization must have at least 2 Grand-Aides (certified by Grand-Aides USA); it is recommended that at least one Grand-Aide must be full-time.
  • Certification is awarded at the beginning of the program before the first patient is seen, and lasts for one year.
  • Yearly re-certification is required.
  • Confidentiality
    Before receiving program materials, the organization and each site will be required to sign a statement that the program (or subsidiaries or derivative program or employees or acquaintances of employees) will not use any materials and will not duplicate materials or sell / give them to others. If the organization is no longer certified, all materials must be returned to Grand-Aides USA and may not be used. The materials are all copyrighted. Patents are pending

  • There must be adequate numbers of patients at each site with diagnoses appropriate to the training and continued employment of the Grand-Aides
  • The estimated numbers must be documented as well as the projected number of calls/visits per Grand-Aide per year

APPLICATION

  • To apply for certification to Grand-Aides USA, organizations must provide the documentation in Certification Process, above.
  • Each site that has Grand-Aides must be certified.
  • Certification lasts for one year and then recertification is required.
  • Only Clinical Supervisors certified by Grand-Aides USA are permitted to supervise Grand-Aides. Every site must employ at least one Clinical Supervisor who devotes at least 50% time to direct Grand-Aide supervision. One Clinical Supervisor may supervise up to 5 Grand-Aides during any one four-hour period (i.e. between the hours of 8:00 AM and 12:00 PM, the supervisor may supervise up to 5 people; in the afternoon, if the Grand-Aides are part time, the individual Grand-Aides may be different from those in the morning.
  • Each site must have at least 2 Grand-Aides; it is recommended that at least one Grand-Aide be full time. Failure to meet these criteria after one year will result in the site being denied recertification and placed on inactive status. Inactive status may be maintained for up to two years after which the site is de-certified. Application for reinstatement may occur after inactive status but must include a plan for remediation. Such sites are granted “provisional status” for one year.
  • The organization fee is based upon the complexity of the program, the number of sites and the number of Grand-Aides

RE-CERTIFICATION

Annual re-certification by Grand-Aides USA assures that each site in each organization is providing the required care of high quality and sufficient quantity.

Programs must demonstrate their continued success by completing the following tasks:

  • Successfully complete 5 hours of continuing education for Grand-Aides and for Supervisors provided by Grand-Aides USA
  • To apply for re-certification, organizations must submit updated documentation of appropriate infrastructure for each site where Grand-Aides are supervised (e.g. clinic, hospital), including written procedures for how Grand-Aides answer calls, the name of the primary supervisor and arrangements for coverage, procedures for referral by the nurse supervisor and Grand-Aide, appropriate methods for incorporating Grand-Aides calls and visits into the medical record, as well as documenting sufficient providers willing to have Grand-Aides involved in the care of their patients. The program must also have written policies, procedures and job descriptions, a written quality assurance program for patient care including patient confidentiality.
  • There must be adequate numbers of patients with diagnoses appropriate to the training of the Grand-Aides. These numbers must be documented as well as the number of calls/visits per Grand-Aide in the year
  • Only certified Supervisors are permitted to supervise Grand-Aides.
  • Every organization must employ at least one Supervisor (certified by Grand-Aides USA) who devotes at least 50% time to direct Grand-Aide supervision and may supervise up to 10 Grand-Aides depending upon the workload.
  • Each organization must have at least 2 Grand-Aides (certified by Grand-Aides USA); it is recommended that at least one Grand-Aide be full-time.
  • Failure to meet these criteria after one year will result in the site being denied recertification and placed on inactive status. Inactive status may be maintained for up to two years after which the site is de -certified. Application for reinstatement may occur after inactive status but must include a plan for remediation. Such sites are granted “provisional status” for one year.
  • Completed application is due after 10 months; a site visit is conducted as part of recertification.
  • Each site must be re-certified.
  • Re-certification lasts for one year.

BENEFITS/COSTS

BENEFITS OF RE-CERTIFICATION

Program Certification provides the following benefits:

  • Continuing ability to employ Grand-Aides.
  • Opportunity to participate in worldwide registries, data collection and analysis as well as programmatic updates
    • Members of these registries have regular communication sharing best practices
  • Opportunity to participate in joint research programs
  • Yearly program review with site visit

COST OF RE-CERTIFICATION

The cost of -recertification is included in the Grand-Aides USA fee

FAQs

WHAT IS AN "ORGANIZATION"?

An "Organization" is an entity that provides health care, whether a health system, a hospital or a clinic. The "Organization" that is certified is the overarching legal entity. An "Organization" may have many sites of care. Each site must meet the criteria for certification.

CAN MY HAVE GRAND-AIDES IN MY ORGANIZATION?

Absolutely, as long as the organization and sites meet the certification criteria. Grand-Aides USA will work with you.

WHAT ARE THE CRITERIA FOR CERTIFICATION AND RE-CERTIFICATION?

Having only certified supervisors and certified Grand-Aides; having sufficient infrastructure and adequate numbers of patients; keeping up with updates from Grand-Aides USA; minimum numbers of patients seen by Grand-Aides.

CAN I USE THIS MATERIAL OUTSIDE OF THE GRAND-AIDES PROGRAM?

No. Each organization and site will be required to sign a yearly statement that the program (or subsidiaries or derivative program or employees or acquaintances of employees) will not use any materials and will not duplicate materials or sell / give them to others. The program will only teach Grand-Aides within the organization as stated on the certificate.