Have you ever heard of AAHA? It’s the four-letter acronym for the American Animal Hospital Association, a professional organization of vets who seek to increase the standard of care for pets through an accreditation process. Hospital membership is granted only to veterinary practices that meet standards deemed important for distinguishing higher quality practices from all others.
Of course, AAHA certification demands the standard of care we should all [theoretically] be providing. So why offer a special membership or certification process?
Because standardized record-keeping, above-and beyond OSHA compliance methods, healthier hospital design and careful policies and procedures for staff and doctors (like less frequent vaccine protocols) make for better care—but they can be extremely difficult (read: expensive and time consuming) to execute.
AAHA forces each member practice work consistently to meet these laudable but not-easy-to-implement goals. It’s a good thing, yet…
Many high-quality practices do not seek membership for a variety of reasons (there are only two or three AAHA hospitals in my general area). Some complain that AAHA requirements are overly onerous, especially for hospitals limited by space concerns (such as those in big-city, high-expense storefronts). Others argue that it discriminates against older practices where the quality of care is excellent but the structural changes necessary for pre-1980 practices are cost-prohibitive.
Still others believe the accreditation process is useless, countering that the vast majority of the pet-owning population has no idea what it means for a hospital to have obtained AAHA certification. And maybe that’s true, but…
I believe that if more hospitals (especially new places where AAHA standards would be easier to implement, by initial design) worked hard to gain certification, then our clients would come to recognize what the AAHA means when they see the sticker on our door or its logo on our Yellow Pages ad.
Once we reach a tipping point (to use an overused but still-useful term), vets will feel it’s worth the extra stress to meet this high bar. Consequently, all our professional practice standards will rise (it’ll no longer be the standard to keep minimal radiology records, for example) and pets everywhere will, on average, receive better care.
But if AAHA requirements are costly to put into practice, doesn’t that mean that our pet healthcare expenses will rise accordingly? There’s a downside to everything. But, rest assured, there will always be room for non-AAHA practices.
Another issue vets worry about: Is AAHA the right organization to make this happen (as some contend that it’s not—for political reasons)? For the past thirty years, I’ve seen no one else stepping up to the plate. Looks like we’ll just have to run with AAHA—like it or not. The AVMA (American Veterinary Medical Association) is far too broad-based—and painfully slow-moving—to make anything like this possible.
For the record, our hospital does not have AAHA certification for reasons of space, internal architecture, and the procedures that would be extremely difficult to implement in our deeply institutionalized workplace. And, for the record, I do wish we’d change the latter issue but we’re kind of old-school—which has its pros and cons, of course.
My ideal practice? Old school at heart with the new-fangled policies and procedures that help keep every patient’s care in line with the best in the country. At our place, it’s up to each individual doctor to set his or her own standards. And while we have great care (if I do say so, myself), extra requirements on each doctor (including me, no doubt) would help us practice even better medicine (especially when we’re very busy).
Maybe someday I’ll start my dream practice and get it AAHA accredited. But, for now, it’s old school care, new-fangled medicine—and everything in between.
I know you all are extra-specially interested in your pets’ healthcare by virtue of your reading this. However, do you mind going one step further and voting yea or nay on whether you’ve heard about the AAHA and (if so and should you have the time) what you think of it?
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No, sorry, I haven't heard of it. It sounds like a great idea, overall. But, have they considered "levels" in the same way human hospitals have levels of accreditation? Just a thought.
Pax,
MLO
MLO April 5th, 2007 11:22:00 AM
The hospital I take my animals to is AAHA acredited, but the one I work at is not. I appreciate what this means for the standards that the clinic upholds. We're talking about working toward the certification where I work, but being as we are the only emergency clinic in the area, most people who use our services don't have an alternative so it hasn't been a huge priority.
Ingrid April 5th, 2007 11:55:00 AM
I've heard of it! But I'm a vet assistant, so I should have, haha. I'm in Canada though, so not sure how much it applies to us. It's funny that I've heard of the American Association, but I have no idea if we have something like that of our own. That's rather typical around here, I think.
Amber April 5th, 2007 11:58:00 AM
I've never heard of it, but like Amber I'm a Canadian. Do we have a similar organization? I like the whole idea. It reminds me of having our industrial office ISO Standerdized (what a huge undertaking). Or am I way off base here?
Shannon
Shannon April 5th, 2007 12:06:00 PM
Ingrid: Your experience is familiar. When you're the only game in town or when no one else is accredited, the overal community's belief seems to be--who cares? But what if AAHA advertised more directly to the pet owning population? I bet that would help. It's just that one ad in Martha Stewart Living (for example) goes for tens of thousands a month. Raising awareness among pet owners is not exactly an easy job--especially given all the other competing issues pet owners *should* be aware of.
Dr. Patty Khuly April 5th, 2007 12:32:00 PM
No, I confess I haven't heard of it--and I've had dogs for twenty years and spent tens of thousands on their vet care. I don't know if this makes a difference, but my regular vets are private practice vets, but I've also brought dogs for more specialized care to the University of California, Davis, vet center. Where would a vet teaching hospital fit into this?
Arlene April 5th, 2007 01:32:00 PM
All three of the veterinary hospitals I patronize have AAHA accreditation, so I both know and care about this matter. And btw, Dr. Patty, I care about your blog!
Lisa paddock April 5th, 2007 01:44:00 PM
I worked in Merritt Island (FL) in the late 80s/early 90s at a vet clinic that went through the process, I don't remember much about it but the Dr. was very proud that he got certified.
Carla April 5th, 2007 01:47:00 PM
The second animal hospital I worked for was AAHA certified.
The only thing they did different from the other hospital besides acupunture was they had to drag everything out of the safe once a week to make sure every pill or ounce of liquid medication was accounted for. A pain staking process that would take hours on a busy surgery week. If somebody goofed with their record keeping, heads pretty much rolled across the Rx room floor.
In terms of the building itself, I don't know what the requirements are but I'm surprised they let it go through. The building was originally a house and the place is packed tight with anything and everything that you could possibly think of. In some areas you had to leave the room just to change your mind because of all the crap that was laying around.
While I think AAHA has good ideas, I often wonder if they really have the best intentions or if it's just a less hairy version of a Good Ol' Boys Club.
Stacy April 5th, 2007 02:15:00 PM
Heard of it. (I also know JCAHO and a few people certs)
Just looked- yes, my vet's office IS AAHA accredited. :) It's the only one in my home town that is, and one of three in the greater area.
Georg April 5th, 2007 02:38:00 PM
the clinic that i use is aaha accredited. considering the quality of care that they recieve and the problems that i hear about others having finding quality care, i have to wonder if the difference isn't the accreditation.
laura April 5th, 2007 02:47:00 PM
I had never heard of it before going in for my vet school interview, at which time the tour guide informed me that they were AAHA certified along with a couple other acronyms. I wonder if the places I've vet assisted at were. There's no way two of them were because of space/architecture issues, but the other...
I don't know that a cert would make me feel any better, except that I'd be more likely to check them out and see if I liked the staff and docters.
lindabcs April 5th, 2007 03:04:00 PM
Heard of it - wish I worked at a hospital that heeded their vaccine recommendations! :)
anna April 5th, 2007 03:54:00 PM
When my husband and I bought our house, we kind of roamed for a few vet visits, then did a search for vet clinics that were AAHA and then wanted a vet who was AAFP as well. :) Since I'm a semi-fanatic about my cats. So I wanted someone who would be able to do all the basics (and then some). I also wanted someone who would say when it was past their knowledge. And that's what I got lucky and ended up with. Love the vets, staff, and clinic.
Della
Della April 5th, 2007 07:00:00 PM
I have heard of AAHA, and I can honestly say that I'm not that impressed by AAHA certification.
I worked as a receptionist in an AAHA certified veterinary hospital once.There were a lot of practices that I thought were extremely unsafe at that hospital. For example, several of the cages the dogs were kept in had broken doors with wires sticking out that could catch a collar, and resulting in choking. Collars were not taken off before the animals were put in cages, even the broken ones. I even saw dogs put in the broken cages with choke collars on.
I saw things that I thought were unethical, as well. Things like untrained people (me) doing the work of vet techs (I even assisted during emergencies, took xrays, assisted the vet by holding a struggling dog while he stapled an opened wound... my veterinary training....is nada, zip. The reason I assisted was because they didn't hire more vet techs.) I also saw owners assisting with medical procedures by helping to hold their animals - something one of the vets told me is actually not supposed to happen. I saw errors all the time in veterinary records, mostly because one of the techs was extremely incompetent. One morning none of the animals in the entire hospital got their meds because of a staffing mixup, including an older dog with an infected suture wouldn't heal, that had had to be reopened and debrided - he didn't get his antibiotics. The receptionists were the ones who discovered that no meds had been dispensed all day. The more I worked there, the less comfortable I felt taking my dog there. I even had vet techs telling me that they didn't feel comfortable taking their own dogs to the hospital for anything that wasn't strictly routine.
I was so bothered by some of the things that I saw happen in this hospital that I called AAHA - I didn't tell them where I worked, but I did ask questions about what was allowed in an AAHa certified hospital.
There was no regulation against putting animals in broken cages with choke collars on. I asked questions about some of the other things I has seen at the hospital. AAHA seemed to issue recomendations and guidelines, but they didn't seem to regulate much in the way of basic safety and handling of the animals. And how often do they actually come to inspect a hospital that's certified? It's not even on a yearly basis, is it? So a lot can go on between physical inspections of the hospital.
Another thing that bothers me about AAHA, is that pet owners are supposed to be impressed by AAHA certification, and believe that their pet is safer in an AAHA certified hospital. But petowners are not allowed to see the actual standards that AAHA members have to follow. I went to the AAHA website, and clicked "View Standards". What I found is that you are not allowed to view the standards unless you are already a member of AAHA. So pet owners are supposed to believe that their pets are safer because AAHA standards are in place, while having no idea what those standards actually are.
I found Dolittler when I worked at that hospital. I was so upset by what I saw there, that I was online all of the time trying to figure out if what happened there was common to veterinary practices in general, or whether the hospital I was in was particularly poorly run. I'm still not entirely sure where this hosptal falls on the spectrum of safety and care of animals, but I do know that AAHA certification does not make me feel that my animal will get better care. In order for AAHA to matter to me, they would have to publish their standards, and they would have to inspect facilities regularly and unannounced.
AAHA standards would have to dictate basic safety and handling of patients. I would want to know that safe enclosures for the patients would be mandatory - no broken cages. That collars, especially choke collars, would be removed from animals before they were put in cages. That dogs wouldn't be left unattended in a bathtub wearing a slip leash, that would hang them if they jumped out of the tub. That vets and staff would not hit any of the animals (yes, I saw that happen too...). That dogs will not swelter unattended under heated dryers after a bath. That dogs would not run out of the kennel area loose, into the reception area, where there was one regularly opening and closing door between them and a busy road. Just as a human hospital can have the most advanced facility and still have a high mortality rate because the staff neglects to wash their hands frequently enough, a veterinary hospital can be AAHA certified and still not take commonsense measures to provide safety to their patients.
FarmFashion April 5th, 2007 11:05:00 PM
Yes I have heard of it. I discovered it when googling articles about natural dog care and vaccinosis (sp?). I like their guidelines on vaccinations. But I have the feeling that certification by them isn't needed to provide good care.
Agadore's momma April 6th, 2007 12:46:00 AM
FarmFashion: I'm so glad you wrote. In fact, I, too, have gone to the site and received no info on standards--I was frustrated until I got a member friend to show them to me. I'm going to write AAHA an email and direct them to our discussion. Your experience will hopefully count for something with them--as it does with us. Thanks.
Dr. Patty Khuly April 6th, 2007 09:29:00 AM
I hope they will be better than VCA, they are crooks and should be shut down. Is there a AAHA in California some place??My dog died and I do blame them. they didin't listen and didin't think it urgent.
I do blame the vets , I got him there is plenty of time it was like they poked around I got home from work at 9:15 he was ok he went out to pee and 10PM he started crying and not leaving my side at 1030 he was in the vets office I said I think he may be bloating , I'm panicy and no one cares they lock the door so you can't get out so they get there money,then he tells me there is no sugeon, made me wait for the xrays then I drove 45 min to the I got him there and I told them I think he is bloating the vet there took his his time to, and they never called me till 530 AM to say he needed surgery. by then it was to late, I'm glad I gave him a hug told him I loved him and I'll see him in the morning
I was told to make sure I report them to the board and I will I do believe if they would have acted faster he would be here today. I loved him so much, I was having so much fun with him.
I just can't deal with losing him right now.
Anne M. Pellette April 6th, 2007 11:47:00 AM
Anne: So sorry for your loss. To clarify: VCA is a corporation--a hospital chain. AAHA is an organization that certifies independently owned hospitals. The hospitals under AAHA are not related at all while the VCA hospitals share in the same management structure.
Dr. Patty Khuly April 6th, 2007 09:17:00 PM
This is an old thread but I still want to add my comment. AAHA is a complete joke. I've been going to an AAHA certified hospital for years thinking my pets were getting better care. I called AAHA today and got a complete runaround. There are really no specific standards of care from what I can tell. My question was simple. Does AAHA require their animal hospitals to do blood transfusions? The answer NO. This is hysterical. A simple life saving emergency procedure is not required. I had to change from a large AAHA certified hospital who did not do them (and also failed to prescribe the right medicine to save my cat twice until I asked them for it and then it was too late) to a smaller hospital who keeps donor cats in order to attempt to save my cats life. I first had to transfer to a large emergency center an hour away after going to my local emergency center (because my wonderful AAHA vet has no emergency care either). Local emergency center is only open in the evening so you have to transfer animal back and forth (some care) and only had 1 unit of blood which they used and person who ordered blood was away and didn't have a phone. AAHA emergency center an hour away was even worse and tried to fry my cat on the heating pad and weren't going to give them the transfusion he desperately needed until I got nasty and they finally decided to do a PCV. Anyway, then I had to find smaller hospital (or take a 3rd mortgage on my house and throw my cat to the mercy of complete idiot vets) after spending over $3000 to get the first 2 transfusions. Anyway, at least 2 AAHA hospitals and I think the 3rd is too and they all stunk and the one that actually tried to save my cat without begging was a small non AAHA certified hospital. I don't believe that vet care in my state (Maryland) is anywhere near the quality of other states (ex: California) but AAHA I can say for sure is absolutely NO help. They were extremely RUDE on the phone and not at all helpful. It's simply a money making scheme that has no merits. There are horrible vets and there are not so horrible vets (notice I didn't say good vets) and the AAHA certification doesn't mean a thing.
Bonnie January 8th, 2008 10:31:00 AM
Now, now Bonnie. Don't paint us all with the same brush. I'm sure no one you dealt there was deiberately trying to undermine your feelings or the care of your loved one. If we fail, it's not because we don't care or choose injury and illness over saving lives.
Dr. Patty Khuly January 8th, 2008 11:09:00 AM
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