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The ASHE Health Facility Commissioning (HFCx) Process

A new approach to commissioning health care facilities

Health Facility Commissioning GuidelinesASHE is convinced that commissioning is critical to the success of every health care facility project. Many buildings designed for high performance fail to achieve high-performance results. The ASHE Health Facility Commissioning Guidelines was developed to help health care organizations achieve the facilities they want. To provide more hands-on information about this approach to commissioning, ASHE published the Health Facility Commissioning Handbook.

Although there are many excellent commissioning processes and guidelines in the marketplace, no other specifically addresses the complexities of commissioning health care facilities. The ASHE commissioning process—referred to as health facility commissioning (HFCx)—establishes a standard language and process for commissioning health care facilities that are cost-effective and efficient and deliver the desired return on investment.

The ASHE HFCx process assigns accountability for actual building performance to the entire project team, including the health facility commissioning authority. The collaboration among project participants encouraged by this approach improves the project team’s ability to deliver a health care physical environment that meets the goals of the health care organization and the needs of its community. The ASHE HFCx guidelines, supported by the handbook, provide project teams with a process and a robust set of tools to improve initial project commissioning collaboration, continuing commissioning behaviors, and retrocommissioning tactics.

Following the ASHE HFCx process can help you improve the performance of your facility’s next construction project. The HFCX Guidelines includes key steps not found in other commissioning processes that can ensure a successful transition from construction completion to sustainable, high-performance building operation. The HFCx Handbook provides additional details to help you apply this process to your projects.

It is time to make commissioning a standard part of every health care facility project, regardless of its size or cost. Use the ASHE health facility commissioning process to optimize delivery of your next construction or renovation project!

For information about purchasing the ASHE HFCx publications, visit the ASHE store:

Health Facility Commissioning Guidelines

Health Facility Commissioning Handbook

For information about ASHE workshops on health facility commissioning, visit the Learn section of the ASHE website.

The American Society for Healthcare Engineering of the American Hospital Association
155 N. Wacker Drive, Suite 400. Chicago, IL 60606
Phone: 312-422-3800 | Fax: 312-422-4571
ashe@aha.org