Managing Accreditation in the Physical Environment

NEW and IMPROVED in 2017!
This program has been updated to reflect current Joint Commission standards, CMS K-tags, and CMS emergency management conditions of participation (CoPs).

Better navigate codes and standards to achieve compliance for your facility.

The myriad of codes and standards health care facility professionals must manage can cause confusion and frustration when seeking compliance with accrediting organizations, such as The Joint Commission. Recognizing these challenges, ASHE developed this two-day program that shows how standards can be used as a management tool to help you to achieve compliance for your facility without over complying.

Through this workshop, you will discover the impact that the physical environment has on patient outcomes, patient satisfaction, and in turn, reimbursement. You will also learn the importance of complying with the various codes and standards applicable to healthcare facility management. In addition, you will explore the driving factors affecting the operations and maintenance of health care facilities, including regulatory requirements, meeting clinical needs, and financial management of the health care physical environment. By focusing on the day-to-day issues that impact you as a health care facility professional, you will return to your hospital with the insights you need to understand your role within the facility management department and the hospital setting.

By taking a deep dive into the current Joint Commission Environment of Care, Life Safety®, and Emergency Management standards, you will learn the relationship of these various principles and their effect on the physical environment. As common findings of accrediting organizations are presented and discussed, you will develop the tools and strategies you need to demonstrate and maintain compliance for your facility.

Provided with this program:

  • Two-day seminar
  • On-site course materials
  • Certificate of course completion

Intended Audience

  • Health care facility managers
  • Environmental or safety managers

Learning Outcomes

  • Evaluate your health care facility's compliance with The Joint Commission Environment of Care, Life Safety®, and Emergency Management standards.
  • Develop a system, based on priority, for routine monitoring of compliance.
  • Create management plans for managing aspects of the physical environment using risk assessment principles.
  • Implement and manage interim life safety measures.
  • Develop an emergency operations plan using a hazard vulnerability analysis.
  • Establish an effective maintenance management program for medical equipment and utilities.
  • Describe the codes standards and laws pertaining to of hazardous materials and waste.


1.25 CEUs (equivalent to 12.5 contact hours)
Credit hours can be used toward the renewal of the Certified Health Care Facility Manager (CHFM) credential and the Certified Health Care Constructor (CHC) credential.

This program is sponsored by


Course Options*

Hotel Date/Location Information


April 16–17
Chicago, IL
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This course is available as a hosted program.