Managing Accreditation for the Physical Environment Workshop

12.5 CECs (1 CEC = 1 contact hour)

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).

In charge of compliance for your facility? Learn to navigate codes and standards confidently and correctly.

At this workshop attendees will develop a fully compliant accreditation management program for the health care physical environment. The course, taught by former accreditation organization surveyors, will teach you how to advocate for change in your hospital in developing the organization structure, how to assess risk, educate staff and document everything that will be needed for any accreditation survey. Attendees will walk away from this class with a full set of compliance binders created during the workshop using a plan customized for your unique facility needs.

Provided with this program:

  • Two-day seminar
  • On-site course materials
    • Life safety charts and checklists
    • Life safety index with CMS K-tags, TJC Standards and NFPA codes
    • Quick-reference list to locate which lesson covers each code and/or standard topic
    • Sample ILSM documents.
    • In addition, you will have the opportunity to connect with ASHE experts during the course to answer any questions you may have.
  • Certificate of course completion

Intended Audience

  • Health care facility managers
  • Environmental or safety managers

Learning Outcomes

  • Evaluate your health care facility’s compliance program with physical environment requirements (such as the Environment of Care, Managing Life Safety, and emergency management standards).
  • Create management plans for the physical environment using risk assessment principles and develop a priority based system for routine monitoring of compliance.
  • Learn how perform an hazard vulnerability analysis to develop emergency operations plans and interim life safety measures.
  • Establish an effective maintenance management program for medical equipment and utilities.


12.5 CECs (1 CEC = 1 contact hour)
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


There are ccurrently no programs scheduled at this time.

This course is available as a hosted program.